Christine Nangendo Nsubuga, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

CNP4107 Issued in MN

Practice address

7400 France Ave S Ste 100
Edina, MN 55435-4738

Phone

(763) 537-6000

Fax

(763) 537-6666

NPI assigned

Sep 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• N/a N/a N/a Other name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306215744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 NORTHDALE BLVD NW STE 220",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554333046",
            "telephone_number": "763-537-6000",
            "fax_number": "763-537-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 FRANCE AVE S STE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354738",
            "telephone_number": "763-537-6000",
            "fax_number": "763-537-6666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9550 Upland Ln N Ste 120",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553694481",
            "country_code": "US",
            "telephone_number": "763-537-6000",
            "fax_number": "763-537-6666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2104 Northdale Blvd NW Ste 220",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554333046",
            "country_code": "US",
            "telephone_number": "763-537-6000",
            "fax_number": "763-537-6666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "675 E Nicollet Blvd Ste 245",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553376782",
            "country_code": "US",
            "telephone_number": "763-537-6000",
            "fax_number": "763-537-6666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Hundertmark Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Chaska",
            "state": "MN",
            "postal_code": "553182729",
            "country_code": "US",
            "telephone_number": "763-537-6000",
            "fax_number": "763-537-6666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NSUBUGA",
        "first_name": "CHRISTINE",
        "middle_name": "NANGENDO",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "CNP4107",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "CNP4107",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MN",
            "license": "CNP4107",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "CNP4107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "middle_name": "N/A",
            "credential": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Kevin Novick, MD
• Deborah M. Nowak, M.D.
• Kayla Elizabeth Nowak, PMHNP-BC, MSN
• Saria Josephine Noyes, BSN, RN
• Timothy Daniel Noyes, PTA
• Suad Mohamed Nur
• Nura PLLC
• Nura Surgical Center LLC
• Nura Surgical Center LLC
• Nurture Counseling Center, LLC

• All providers in Edina, MN
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.