Individual provider Active NPI

Stephanie Lynn Seubert, RN

  • Community Health Registered Nurse
  • Minneapolis, MN
National Provider Identifier
1235360272
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
R 79245-7 Issued in MN
Practice address
330 S 12TH St
Suite 4710, MC 635
Minneapolis, MN 55404-1004
Phone
(612) 596-7067
Fax
(612) 466-9652
NPI assigned
Aug 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X R 79245-7 MN Primary

Addresses

Primary practice location

330 S 12TH St
Suite 4710, MC 635
Minneapolis, MN 55404-1004

Mailing address

330 S 12TH St
Suite 4710, MC 635
Minneapolis, MN 55404-1004
Phone (612) 596-7067

Other names 1

  • Miss Stephanie Lynn Pinnow Former name

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

LicenseStateTypeSpecialty
R 79245-7MNMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249516800000",
    "number": "1235360272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S 12TH ST",
            "address_2": "SUITE 4710, MC 635",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041004",
            "telephone_number": "612-596-7067",
            "fax_number": "612-466-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S 12TH ST",
            "address_2": "SUITE 4710, MC 635",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041004",
            "telephone_number": "612-596-7067",
            "fax_number": "612-466-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEUBERT",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MN",
            "license": "R 79245-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "PINNOW",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.