Gina Mott, RN

Key facts

NPI

1386110591

Entity type

Individual (NPI type 1)

Primary specialty

Home Health Registered Nurse 163WH0200X

License

1671881 (MN)

Practice address

2777 County Road 144
Carlton, MN 55718-9120

Phone

(218) 451-0016

NPI assigned

Oct 16, 2018

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Registered Nurse

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 16, 2018.

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1386110591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 COUNTY ROAD 144",
            "city": "CARLTON",
            "state": "MN",
            "postal_code": "557189120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 COUNTY ROAD 144",
            "city": "CARLTON",
            "state": "MN",
            "postal_code": "557189120",
            "telephone_number": "218-451-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTT",
        "first_name": "GINA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "1671881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlton, MN

• Kirsten K Komarek, RDH
• Steven Boyd Kottke, DDS
• Kimberly Kroll, OTR
• Lake Superior Community Health Center
• Cristy Sue Leonard-Rivers, LPCC
• Linda Newlon, RPT
• Northwoods Counseling, LLC
• Wendy Ann Peterson, DMD
• Shannon M Winn, OTR/L

All providers in Carlton, MN · Home Health Registered Nurse in Minnesota