Erin E Bissonnette, RN, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R118658-3 Issued in MN

Practice address

1230 E. Main Street
Mankato Clinic @ Main Street
Mankato, MN 56002-8674

Phone

(507) 625-1811

Fax

(507) 837-3945

NPI assigned

Oct 4, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Erin Elizabeth North Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

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 and National Provider Directory roles.

• Desmoines Valley BHS

  • Clinical Nurse Specialist
  • Jackson, MN
  • NPI 1407065824
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1144217209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8674 1230 E. MAIN STREET",
            "address_2": "MANKATO CLINIC, LTD",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560028674",
            "telephone_number": "507-625-1811",
            "fax_number": "507-837-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 E. MAIN STREET",
            "address_2": "MANKATO CLINIC @ MAIN STREET",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560028674",
            "telephone_number": "507-625-1811",
            "fax_number": "507-837-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSONNETTE",
        "first_name": "ERIN",
        "middle_name": "E",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R118658-3",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R118658-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "NORTH",
            "middle_name": "ELIZABETH",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peter Chuol Biel
• Patrick Bigaouette, M.D.
• Holly Olson Bird
• Emily Susan Birkholz, M.D.
• Rosean Bishop, PHD
• Patricia Wray Bjerke
• Krista Kaye Bjorum
• Blairco, Inc. (Trail Creek Health Center)
• Ashley Blanchard, L.AC.
• Douglas D Blanchard, M.OM., L.AC.

• Family Nurse Practitioner in Mankato, MN
• Providers in Mankato, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.

Verify at the official NPI Registry.