Active NPI
Jennie Geertsema, RN, CDE
- Registered Nurse
- Mankato, MN
National Provider Identifier
1235432717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R-139237-7
- Practice address
- 1230 E Main St
Mankato, MN 56001-5066 - Phone
- (507) 625-1811
- Fax
- (507) 625-3928
- NPI assigned
- Dec 6, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R-139237-7 | MN | Primary |
| Diabetes Educator Registered Nurse | 163WD0400X | 20810133 | MN |
Addresses
Primary practice location
1230 E Main St
Mankato, MN 56001-5066
Mailing address
P.O. Box 8674
1230 East Main St.
Mankato, MN 56002-8674
Phone (507) 625-1811
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 |
|---|---|---|---|
| R-139237-7 | MN | MD | Registered Nurse |
| 20810133 | MN | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1235432717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 8674",
"address_2": "1230 EAST MAIN ST.",
"city": "MANKATO",
"state": "MN",
"postal_code": "560028674",
"telephone_number": "507-625-1811",
"fax_number": "507-625-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 E MAIN ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560015066",
"telephone_number": "507-625-1811",
"fax_number": "507-625-3928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEERTSEMA",
"first_name": "JENNIE",
"credential": "RN, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-06",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R-139237-7",
"primary": true
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "MN",
"license": "20810133",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.