Sarah B Gustafson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R30914 Issued in ND

Practice address

600 1St St SE
Mayville, ND 58257-1518

Phone

(701) 786-4500

NPI assigned

Aug 19, 2013

Last updated

Aug 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Sarah B Barrett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of North Dakota Center for Sports Medicine

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  • NPI 1215080437
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1134552763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 1ST ST SE",
            "city": "MAYVILLE",
            "state": "ND",
            "postal_code": "582571518",
            "telephone_number": "701-786-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 1ST ST SE",
            "city": "MAYVILLE",
            "state": "ND",
            "postal_code": "582571518",
            "telephone_number": "701-786-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "SARAH",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R30914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BARRETT",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Dukart, PT
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• Sara Dawn Garrett, COM
• Gary a Matthys MD PLC (Matthys Orthopaedic Center)
• Goose River Dental Assoc., PC
• Cherron Marie Kingzett Halvorson, DPT
• Cathi Hanson
• Nicholas Huss
• Natasha Ann Jones
• Jamie Kauffman, OTR/L

• Family Nurse Practitioner in Mayville, ND
• Providers in Mayville, ND by specialty
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.