Active NPI
Theresa A Beardsley, REGISTERED NURSE
- Home Health Registered Nurse
- Zimmerman, MN
National Provider Identifier
1295203446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- R-1615096
- Practice address
- 12950 Fremont Ave Ste 1
Zimmerman, MN 55398-4628 - Phone
- (763) 294-0714
- Fax
- (763) 374-7161
- NPI assigned
- Nov 6, 2018
- Last updated
- Sep 9, 2025
- 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | R-1615096 | MN | Primary |
Addresses
Primary practice location
12950 Fremont Ave Ste 1
Zimmerman, MN 55398-4628
Mailing address
12950 Fremont Ave Ste 1
Zimmerman, MN 55398-4628
Phone (320) 235-7909
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 |
|---|---|---|---|
| R-1615096 | MN | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassionate Home Care LTD | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Zimmerman, MN
- NPI 1083146344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1295203446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12950 FREMONT AVE STE 1",
"city": "ZIMMERMAN",
"state": "MN",
"postal_code": "553984628",
"telephone_number": "320-235-7909",
"fax_number": "763-374-7161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12950 FREMONT AVE STE 1",
"city": "ZIMMERMAN",
"state": "MN",
"postal_code": "553984628",
"telephone_number": "763-294-0714",
"fax_number": "763-374-7161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARDSLEY",
"first_name": "THERESA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-06",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MN",
"license": "R-1615096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zimmerman, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.