Active NPI
Brandy Lyn Unzen
- Registered Nurse
- Duluth, MN
National Provider Identifier
1235496993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 205240-9
- Practice address
- 4815 Burning Tree Rd
Suite 100
Duluth, MN 55811-3800 - Phone
- (218) 733-0707
- NPI assigned
- Apr 19, 2012
- 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 | 205240-9 | MN | Primary |
Addresses
Primary practice location
4815 Burning Tree Rd
Suite 100
Duluth, MN 55811-3800
Mailing address
4815 Burning Tree Rd
Suite 100
Duluth, MN 55811-3800
Phone (218) 733-0707
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205240-9 | MN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthstar / First Nations | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Management Agency
- Duluth, MN
- NPI 1497298293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334793600000",
"number": "1235496993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 BURNING TREE RD",
"address_2": "SUITE 100",
"city": "DULUTH",
"state": "MN",
"postal_code": "558113800",
"telephone_number": "218-733-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 BURNING TREE RD",
"address_2": "SUITE 100",
"city": "DULUTH",
"state": "MN",
"postal_code": "558113800",
"telephone_number": "218-733-0707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNZEN",
"first_name": "BRANDY",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-19",
"last_updated": "2012-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "205240-9",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
- Univ of MN Duluth Health Services
- Univ of MN Duluth Quick Care
- Univeristy of Minnesota Duluth
- University of Minnesota Medical School
- Unleashed Phoenix Corp
- Patricia B Urbanski, MED, RD, LD,CNSD,CDE
- Rodolfo Edmundo Urias
- Brock Thomas Urie, MD
- Matthew Urmanski, DPT
- Danielle Elizabeth Urness, APRN, CNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.