Active NPI
Theresa Marie Steele, PSYCHNP
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Baxter, MN
National Provider Identifier
1134329808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- R 104065-8
- Practice address
- 14241 Grand Oaks Drive
Baxter Community Behavioral Health Hospital
Baxter, MN 56425 - Phone
- (218) 316-3101
- Fax
- (218) 829-9141
- NPI assigned
- Jul 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | R 104065-8 | MN | Primary |
Addresses
Primary practice location
14241 Grand Oaks Drive
Baxter Community Behavioral Health Hospital
Baxter, MN 56425
Mailing address
14241 Grand Oaks Drive
Baxter Community Behavioral Health Hospital
Baxter, MN 56425
Phone (218) 316-3101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 104065-8 | MN | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Behavioral Health Hospital-Baxter | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba CBHH Baxter
- Psychiatric Hospital
- Baxter, MN
- NPI 1487715033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1134329808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14241 GRAND OAKS DRIVE",
"address_2": "BAXTER COMMUNITY BEHAVIORAL HEALTH HOSPITAL",
"city": "BAXTER",
"state": "MN",
"postal_code": "56425",
"telephone_number": "218-316-3101",
"fax_number": "218-829-9141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14241 GRAND OAKS DRIVE",
"address_2": "BAXTER COMMUNITY BEHAVIORAL HEALTH HOSPITAL",
"city": "BAXTER",
"state": "MN",
"postal_code": "56425",
"telephone_number": "218-316-3101",
"fax_number": "218-829-9141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEELE",
"first_name": "THERESA",
"middle_name": "MARIE",
"credential": "PSYCHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-20",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "MN",
"license": "R 104065-8",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baxter, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.