Cindy Suellen Shoemaker, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

R209716-3 Issued in MN

Practice address

10307 University Ave NE
Blaine, MN 55434-8026

Phone

(763) 786-3439

Fax

(763) 783-3528

NPI assigned

Nov 9, 2023

Last updated

Nov 9, 2023By the provider in NPPES

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

Credentials

Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Life's Companion P.C.a., Inc.

  • Home Health Agency
  • Blaine, MN
  • NPI 1487939138
  NPD (past)

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1336913326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10307 UNIVERSITY AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554348026",
            "telephone_number": "763-786-3439",
            "fax_number": "763-783-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10307 UNIVERSITY AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554348026",
            "telephone_number": "763-786-3439",
            "fax_number": "763-783-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "CINDY",
        "middle_name": "SUELLEN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "R209716-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jaylee Seyah
• Zainah M Shaker, DDS
• Fardowsa Sheikhnoor
• Shenoah Reed (Shenoah Reed Foundation)
• Emily Clara Rose Sherman, CCC-SLP
• Susan Marie Siegel Brown, RN
• Krystal Sievert
• William Scott Sievert, MD
• Signcal Human Services
• Simonson Psychological Services

• Home Health Registered Nurse in Blaine, MN
• Providers in Blaine, 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 Nov 9, 2023; 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.