Organization Active NPI

Susan Brust LLC

  • Adult Mental Health Clinic/Center
  • Rochester, MN
National Provider Identifier
1215003231
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
R 130695-2 Issued in MN
Legal business name
SUSAN BRUST LLC
Practice address
3253 19TH St NW
Suite 1
Rochester, MN 55901-6786
Phone
(507) 280-0690
Fax
(507) 282-6659
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Susan Rene Brust, MS, RN, CNS, NP
Title
Psychiatric Nurse Practitioner
Phone
(507) 280-0690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X R 130695-2 MN Primary

Addresses

Primary practice location

3253 19TH St NW
Suite 1
Rochester, MN 55901-6786

Mailing address

3253 19TH St NW
Suite 1
Rochester, MN 55901-6786
Phone (507) 280-0690

National Provider Directory

National Provider Directory

Locations

2746 Superior Dr NW
Ste 370
Rochester, MN 55901
Phone (507) 280-0690

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215003231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3253 19TH ST NW",
            "address_2": "SUITE 1",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016786",
            "telephone_number": "507-280-0690",
            "fax_number": "507-282-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3253 19TH ST NW",
            "address_2": "SUITE 1",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016786",
            "telephone_number": "507-280-0690",
            "fax_number": "507-282-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN BRUST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRUST",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "507-280-0690",
        "authorized_official_credential": "MS, RN, CNS, NP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MN",
            "license": "R 130695-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.