Active NPI
Regina Ann Srsen
- Durable Medical Equipment & Medical Supplies
- Chaska, MN
National Provider Identifier
1346799848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- #K153389
- Practice address
- 2897 Forest RDG
Chaska, MN 55318-1112 - Phone
- (952) 457-6602
- NPI assigned
- Sep 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | #K153389 | NM | Primary |
Addresses
Primary practice location
2897 Forest RDG
Chaska, MN 55318-1112
Mailing address
2897 Forest RDG
Chaska, MN 55318-1112
Phone (952) 457-6602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K153389 | Other | MN | PRESCRIPTION FDA MEDICAL DEVICE #K153389 / TREATMENT PLAN CPT-97026 |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #K153389 | NM | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474761600000",
"number": "1346799848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2897 FOREST RDG",
"city": "CHASKA",
"state": "MN",
"postal_code": "553181112",
"telephone_number": "952-457-6602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2897 FOREST RDG",
"city": "CHASKA",
"state": "MN",
"postal_code": "553181112",
"telephone_number": "952-457-6602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRSEN",
"first_name": "REGINA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-25",
"last_updated": "2016-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NM",
"license": "#K153389",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESCRIPTION FDA MEDICAL DEVICE #K153389 / TREATMENT PLAN CPT-97026",
"identifier": "K153389",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chaska, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.