Active NPI
Susan M Karnitz, CNS
- Clinical Nurse Specialist
- Maplewood, MN
National Provider Identifier
1174745715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- R153383-5
- Practice address
- 1575 Beam Avenue
Maplewood, MN 55109 - Phone
- (651) 326-7628
- Fax
- (651) 232-7240
- NPI assigned
- May 3, 2007
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | R153383-5 | MN | Primary |
Addresses
Primary practice location
1575 Beam Avenue
Maplewood, MN 55109
Mailing address
9289 Jergen Avenue South
Cottage Grove, MN 55016
Phone (651) 326-7628
Other names 1
- Susan M Larson
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)
- Not enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R153383-5 | MN | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174745715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9289 JERGEN AVENUE SOUTH",
"city": "COTTAGE GROVE",
"state": "MN",
"postal_code": "55016",
"telephone_number": "651-326-7628",
"fax_number": "651-232-7240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 BEAM AVENUE",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "55109",
"telephone_number": "651-326-7628",
"fax_number": "651-232-7240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARNITZ",
"first_name": "SUSAN",
"middle_name": "M",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "MN",
"license": "R153383-5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "LARSON",
"middle_name": "M",
"credential": "CNS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Maplewood, MN
- Sarah Kandikatla
- Erica JW Kanewischer, MS, LMFT
- Kumba Umu Sogbeh Kanu, NP
- Karen Myanmar Senior Services Inc (Karen Myanmar Senior Center)
- Karing Hent Inc. (BrightStar Care of St. Paul)
- Tracy Lee Kaye, M.A.
- Christopher James Kedzie, DPM
- Margaret Kedzie, DPM
- Timber Lee Keller
- Kelly & Nguyen-Kelly Psychological and Consulting Services, LLC (Maplewood Psychology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.