Active NPI
Deanna Pearl Rizk, RN
- Home Health Registered Nurse
- Saint Paul, MN
National Provider Identifier
1306180500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- R 104829-4
- Practice address
- 1543 Como Ave
Ste 101
Saint Paul, MN 55108-2544 - Phone
- (651) 646-8771
- NPI assigned
- Nov 12, 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | R 104829-4 | MN | Primary |
Addresses
Primary practice location
1543 Como Ave
Ste 101
Saint Paul, MN 55108-2544
Mailing address
4098 W 133Rd St
Savage, MN 55378-1618
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
| License | State | Type | Specialty |
|---|---|---|---|
| R 104829-4 | MN | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352678400000",
"number": "1306180500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4098 W 133RD ST",
"city": "SAVAGE",
"state": "MN",
"postal_code": "553781618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1543 COMO AVE",
"address_2": "STE 101",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551082544",
"telephone_number": "651-646-8771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZK",
"first_name": "DEANNA",
"middle_name": "PEARL",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-12",
"last_updated": "2012-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MN",
"license": "R 104829-4",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.