Karen R Sussman, MS RN CNS

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

R0854832 Issued in MN

Practice address

624 S 13TH St
Range Mental Health Center Inc
Virginia, MN 55792

Phone

(218) 749-2881

Fax

(218) 749-3806

NPI assigned

Sep 26, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science, Registered Nurse

State licenses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215038468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 S 13TH ST",
            "address_2": "RANGE MENTAL HEALTH CENTER INC",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "55792",
            "telephone_number": "218-749-2881",
            "fax_number": "218-749-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 S 13TH ST",
            "address_2": "RANGE MENTAL HEALTH CENTER INC",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "55792",
            "telephone_number": "218-749-2881",
            "fax_number": "218-749-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSMAN",
        "first_name": "KAREN",
        "middle_name": "R",
        "credential": "MS RN CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "MN",
            "license": "R0854832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Sulentich, M.D./F.A.C.O.G.
• Sundell Anesthesia LLC
• Sundell Eye Associates, PA
• Bridget Ann Sundell, MD
• Jennifer Sundvick
• Kenneth Sussman
• Joshua Sutherland
• Elaine Mae Svoboda
• Deanna Sue Swenson
• Tod Swenson

• Clinical Nurse Specialist in Virginia, MN
• Providers in Virginia, MN by specialty
• Clinical Nurse Specialist in Minnesota

• 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.

Verify at the official NPI Registry.