Sara I Husby, COTA/L

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

201299 Issued in MN

Practice address

815 Forest Ave
Northfield, MN 55057-1643

Phone

(507) 664-8800

NPI assigned

Jul 16, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1295965846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 ROOSEVELT DR APT 54",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573512",
            "telephone_number": "218-396-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 FOREST AVE",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550571643",
            "telephone_number": "507-664-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSBY",
        "first_name": "SARA",
        "middle_name": "I",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MN",
            "license": "201299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201299",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Hostetter, DDS
• Therese Houndt-Dalberg, APRN, PMHNP-BC
• Karen Ann Hubbard, LMT
• Hughes Psychotherapy
• Kathleen Hughes, MSW
• Eric Huska, PHARMD
• Denise Marie Intihar-Lum, F.N.P.
• Pamala Wood Jacobel, PH.D., L.P.
• Katie Jacobi
• Brandon Jentink, LAT, ATC

• Nursing Facility/Intermediate Care Facility in Northfield, MN
• Providers in Northfield, MN by specialty
• Nursing Facility/Intermediate Care Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.