Active NPI
Roxanna Gapstur, NP
- Clinical Nurse Specialist
- Minnetonka, MN
National Provider Identifier
1477781540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- MN R1056891
- Practice address
- 5435 Feltl Rd
Minnetonka, MN 55343-7983 - Phone
- (952) 857-1555
- NPI assigned
- Jun 29, 2009
- Last updated
- Jun 29, 2009
- 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 |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | MN R1056891 | MN | Primary |
Addresses
Primary practice location
5435 Feltl Rd
Minnetonka, MN 55343-7983
Mailing address
5435 Feltl Rd
Minnetonka, MN 55343-7983
Phone (952) 857-1555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MN R1056891 | Other | MN | STATE LICENSE NUMBER |
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
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MN R1056891 | MN | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246233600000",
"number": "1477781540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5435 FELTL RD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553437983",
"telephone_number": "952-857-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5435 FELTL RD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553437983",
"telephone_number": "952-857-1555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAPSTUR",
"first_name": "ROXANNA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-29",
"last_updated": "2009-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "MN",
"license": "MN R1056891",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "MN R1056891",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.