Active NPI
Suzanne R Fletcher, RN
- Registered Nurse
- Minneapolis, MN
National Provider Identifier
1376694992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R129776-0
- Practice address
- 1801 Nicollet Ave
Minneapolis, MN 55403-3793 - Phone
- (612) 596-0841
- Fax
- (612) 879-3823
- NPI assigned
- Jan 12, 2007
- Sex
- Female
- Sole proprietor
- No
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 | R129776-0 | MN | Primary |
Addresses
Primary practice location
1801 Nicollet Ave
Minneapolis, MN 55403-3793
Mailing address
10005 Russell Ave N
Brooklyn Park, MN 55444-1046
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00 | Other | NO OTHER NUMBERS ASSIGNED |
Other names 1
- Suzanne R Neslund
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 |
|---|---|---|---|
| R129776-0 | MN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376694992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10005 RUSSELL AVE N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554441046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 NICOLLET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554033793",
"telephone_number": "612-596-0841",
"fax_number": "612-879-3823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "SUZANNE",
"middle_name": "R",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R129776-0",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NO OTHER NUMBERS ASSIGNED",
"identifier": "00",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUZANNE",
"last_name": "NESLUND",
"middle_name": "R",
"credential": "RN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.