Huriya L Gerba, DIRECTOR

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2458236 Issued in MN

Practice address

8143 Ivywood Ave S
Cottage Grove, MN 55016-3277

Phone

(612) 772-6733

NPI assigned

May 31, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Golden Star Residential Care LLC

  • Assisted Living Facility
  • Cottage Grove, MN
  • NPI 1699414219
  NPD Authorized official

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1144969908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8143 IVYWOOD AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163277",
            "telephone_number": "612-772-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8143 IVYWOOD AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163277",
            "telephone_number": "612-772-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBA",
        "first_name": "HURIYA",
        "middle_name": "L",
        "credential": "DIRECTOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2458236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "email",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "8143 Ivywood Ave S",
            "city": "Cottage Grove",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550163277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Frazier Recovery Home LLC
• Erin Friesen
• Charles Frunwi
• Angela Gallagher, MSW, LICSW
• Robert John Garrick, RN
• Ross Gildow
• Catherine Gillis O'Neill, MST/CCC-SLP
• Lance Matthew Glaser, DC
• Golden Star Residential Care LLC
• Ryan Gordon, PHARMD

• Registered Nurse in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.