Individual provider Active NPI

Rimma Faina Winnick, NPC

  • Family Nurse Practitioner
  • Forest Lake, MN
National Provider Identifier
1205021466
Registry record updated Aug 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R137948-4 Issued in MN
Practice address
20555 Ingersoll Ave N
Forest Lake, MN 55025-9782
Phone
(651) 464-0267
NPI assigned
Sep 11, 2007
Last updated
Aug 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R137948-4 MN Primary

Addresses

Primary practice location

20555 Ingersoll Ave N
Forest Lake, MN 55025-9782

Mailing address

PO Box 151
Forest Lake, MN 55025-0151
Phone (651) 464-0267

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

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251504000000",
    "number": "1205021466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550250151",
            "telephone_number": "651-464-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20555 INGERSOLL AVE N",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550259782",
            "telephone_number": "651-464-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINNICK",
        "first_name": "RIMMA",
        "middle_name": "FAINA",
        "name_prefix": "Mrs.",
        "credential": "NPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2009-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R137948-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2009; 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.