Active NPI
Judith Diane Niemeyer, R.N.
- Registered Nurse
- Ramsey, MN
National Provider Identifier
1356631592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R 80435-8
- Practice address
- 7830 149TH LN NW
Ramsey, MN 55303-4342 - Phone
- (763) 422-9713
- Fax
- (763) 421-3098
- NPI assigned
- Apr 8, 2011
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R 80435-8 | MN | Primary |
Addresses
Primary practice location
7830 149TH LN NW
Ramsey, MN 55303-4342
Mailing address
12241 Stallman Rd
Brainerd, MN 56401-5257
Phone (218) 829-9655
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 80435-8 | MN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302220800000",
"number": "1356631592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12241 STALLMAN RD",
"city": "BRAINERD",
"state": "MN",
"postal_code": "564015257",
"telephone_number": "218-829-9655",
"fax_number": "218-829-9655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7830 149TH LN NW",
"city": "RAMSEY",
"state": "MN",
"postal_code": "553034342",
"telephone_number": "763-422-9713",
"fax_number": "763-421-3098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEMEYER",
"first_name": "JUDITH",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-08",
"last_updated": "2011-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R 80435-8",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ramsey, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.