Individual provider Active NPI

Teresa Newstrom Bondhus, RN

  • Case Manager/Care Coordinator
  • Big Lake, MN
National Provider Identifier
1255411906
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
R174780-9 Issued in MN
Practice address
531 Shoreacres Dr
Big Lake, MN 55309-8331
Phone
(763) 263-7062
NPI assigned
Oct 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X R174780-9 MN Primary

Addresses

Primary practice location

531 Shoreacres Dr
Big Lake, MN 55309-8331

Mailing address

531 Shoreacres Dr
Big Lake, MN 55309-8331
Phone (763) 263-7062

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
R174780-9MNMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255411906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 SHOREACRES DR",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553098331",
            "telephone_number": "763-263-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 SHOREACRES DR",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553098331",
            "telephone_number": "763-263-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDHUS",
        "first_name": "TERESA",
        "middle_name": "NEWSTROM",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MN",
            "license": "R174780-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Lake, MN

Sources for this page

  • 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.