Ginger Celeste Gustafson

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

R200815-2 Issued in MN

Practice address

1919 University Ave., Ste. 130
St. Paul, MN 55104

Phone

(651) 647-0017

Fax

(651) 647-3423

NPI assigned

Aug 5, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• TLC Nursing Services of Roseville Inc

  • Home Health Agency
  • Saint Paul, MN
  • NPI 1720065600
  NPD (past)

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1306255278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 UNIVERSITY AVE., STE. 130",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-647-0017",
            "fax_number": "651-647-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 UNIVERSITY AVE., STE. 130",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-647-0017",
            "fax_number": "651-647-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "GINGER",
        "middle_name": "CELESTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "R200815-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zakaria Gure
• Sam A. Gurnoe, LMFT
• Laura Suurmeyer Gusa, M.D.
• David H Gustafson, MD
• Gayl L Gustafson, MD
• Kevin Gustafson, M.D.
• Mary Catherine Gustafson, PHARMD
• Katherine F Guthrie, MD
• Margaret L Guthrie, MD
• Richard Bernie Guthrie, M.D.

• Home Health Registered Nurse in St. Paul, MN
• Providers in St. Paul, MN by specialty
• Home Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.