NPIMap

Organization Active NPI

Nsu Inc

Doing business as cornerstone healthcare of winona

  • Physician Assistant
  • Winona, MN
National Provider Identifier
1326064908
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
NSU INC
Doing business as
cornerstone healthcare of winona
Practice address
62 E 3Rd St
Suite 3
Winona, MN 55987-3481
Phone
(507) 474-4770
Fax
(507) 474-4774
NPI assigned
Jul 15, 2006
Last updated
Mar 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Tessie M Renard, CPC
Title
Clinic Administrator
Phone
(507) 474-4770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

62 E 3Rd St
Suite 3
Winona, MN 55987-3481

Mailing address

170 E 4TH St
Suite 6
Winona, MN 55987-3512
Phone (507) 474-4770

Other identifiers 2

IdentifierTypeStateIssuer
109960OtherMNHEALTH PARTNERS
677G2COOtherMNBCBS MN

Other names 1

  • cornerstone healthcare of winona Doing business as

National Provider Directory

National Provider Directory

Locations

170 E 4th St
Ste 6
Winona, MN 55987
Phone (507) 474-4770

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1326064908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 E 4TH ST",
            "address_2": "SUITE 6",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873512",
            "telephone_number": "507-474-4770",
            "fax_number": "507-474-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 E 3RD ST",
            "address_2": "SUITE 3",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873481",
            "telephone_number": "507-474-4770",
            "fax_number": "507-474-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSU INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "RENARD",
        "authorized_official_first_name": "TESSIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "507-474-4770",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "109960",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "677G2CO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cornerstone healthcare of winona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winona, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.