Individual provider Active NPI

Nora M Rasmussen, NP

  • Family Nurse Practitioner
  • Minot, ND
National Provider Identifier
1417028978
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R24697 Issued in ND
Practice address
1500 24TH Ave SW
Minot, ND 58701-6905
Phone
(701) 857-5343
Fax
(701) 857-5063
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R24697 ND
Family Nurse Practitioner 363LF0000X R24697 ND Primary

Addresses

Primary practice location

1500 24TH Ave SW
Minot, ND 58701-6905

Mailing address

PO Box 5010
Minot, ND 58702-5010
Phone (701) 857-5650

Other practice location 1

604 1st St N
New Town, ND 58763
Phone (701) 627-2990

Other identifiers 1

IdentifierTypeStateIssuer
19543MedicaidND

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1417028978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5010",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587025010",
            "telephone_number": "701-857-5650",
            "fax_number": "701-857-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 24TH AVE SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016905",
            "telephone_number": "701-857-5343",
            "fax_number": "701-857-5063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 1st St N",
            "address_purpose": "LOCATION",
            "city": "New Town",
            "state": "ND",
            "postal_code": "58763",
            "country_code": "US",
            "telephone_number": "701-627-2990",
            "fax_number": "701-627-2910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "NORA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R24697",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R24697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19543",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.