Derek Hustvet

Primary specialty

Neonatal/Pediatric Registered Respiratory TherapistTaxonomy code 2279P3900X

License

2070 Issued in MN

Practice address

2800 Cleveland Ave N
Roseville, MN 55113-1126

Phone

(651) 642-1825

NPI assigned

Feb 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255473658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18595 OLSON ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553304222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 CLEVELAND AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131126",
            "telephone_number": "651-642-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSTVET",
        "first_name": "DEREK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279P3900X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Neonatal/Pediatrics",
            "state": "WI",
            "license": "2556",
            "primary": false
        },
        {
            "code": "2279P3900X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Neonatal/Pediatrics",
            "state": "MN",
            "license": "2070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Lee Hunt, WALTER HUNT DDS
• Scott Edward Hunter, M.D.
• Tressa Hunting
• Hamdi Hussein, RN
• Kadir Hussein
• Huxley Optical LLC
• Ahmed Abdullahi Ibrahim
• Hamza Muhiyadin Ibrahim
• Noura Mohamoud Ibrahim
• Wael S Ibrahim, MD

• Registered Respiratory Therapist in Roseville, MN
• Providers in Roseville, MN by specialty
• Registered Respiratory Therapist 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.