Colleen Notsch

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Practice address

419 Brandl Dr NW
Blackduck, MN 56630-2182

Phone

(218) 835-8793

NPI assigned

May 17, 2017

Last updated

May 17, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

• Tender Hearts

  • Foster Care Agency
  • Blackduck, MN
  • NPI 1194123604
  NPD (past) Authorized official

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494979200000",
    "number": "1356878631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 BRANDL DR NW",
            "city": "BLACKDUCK",
            "state": "MN",
            "postal_code": "566302182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 BRANDL DR NW",
            "city": "BLACKDUCK",
            "state": "MN",
            "postal_code": "566302182",
            "telephone_number": "218-835-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTSCH",
        "first_name": "COLLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-17",
        "last_updated": "2017-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Furuseth, OTR/L
• Jenna Gross, NP
• Elaine D Kelly, PA-C
• Scott Joseph Larson, D.D.S
• Moon's Pharmacy
• Thomas K O'Reilly, D.C.
• Sanford Clinic North (Sanford Bemidji Blackduck Clinic)
• Sanford Health of Northern Minnesota (Sanford Blackduck Pharmacy)
• Sanford Health of Northern Minnesota (Sanford Blackduck Pharmacy)
• Serenity Living Solutions of Blackduck LLC (Serenity Living Solutions of Blackduck)

• Foster Care Agency in Blackduck, MN
• Providers in Blackduck, MN by specialty
• Foster Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; 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.