Active NPI
Susan Estenson, RN
- Registered Nurse
- Devils Lake, ND
National Provider Identifier
1205923653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R24996
- Practice address
- 200 Highway 2 W
Devils Lake, ND 58301-3532 - Phone
- (701) 665-2200
- Fax
- (701) 665-2300
- NPI assigned
- Oct 6, 2006
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R24996 | ND | Primary |
Addresses
Primary practice location
200 Highway 2 W
Devils Lake, ND 58301-3532
Mailing address
PO Box 650
Devils Lake, ND 58301-0650
Phone (701) 665-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 054518 | Medicaid | ND |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R24996 | ND | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1205923653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650",
"city": "DEVILS LAKE",
"state": "ND",
"postal_code": "583010650",
"telephone_number": "701-665-2200",
"fax_number": "701-665-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HIGHWAY 2 W",
"city": "DEVILS LAKE",
"state": "ND",
"postal_code": "583013532",
"telephone_number": "701-665-2200",
"fax_number": "701-665-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTENSON",
"first_name": "SUSAN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ND",
"license": "R24996",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "054518",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Devils Lake, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.