Active NPI
Nichol Lynn Sedivy, RN
- Case Management Registered Nurse
- Duluth, MN
National Provider Identifier
1497387450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 2472832
- Practice address
- 2701 W Superior St Ste 101
Duluth, MN 55806-1857 - Phone
- (218) 733-0707
- Fax
- (218) 733-0717
- NPI assigned
- Feb 7, 2020
- 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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 2472832 | MN | Primary |
Addresses
Primary practice location
2701 W Superior St Ste 101
Duluth, MN 55806-1857
Mailing address
2701 W Superior St Ste 101
Duluth, MN 55806-1857
Phone (218) 733-0707
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 |
|---|---|---|---|
| 2472832 | MN | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1497387450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 W SUPERIOR ST STE 101",
"city": "DULUTH",
"state": "MN",
"postal_code": "558061857",
"telephone_number": "218-733-0707",
"fax_number": "218-733-0717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 W SUPERIOR ST STE 101",
"city": "DULUTH",
"state": "MN",
"postal_code": "558061857",
"telephone_number": "218-733-0707",
"fax_number": "218-733-0717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDIVY",
"first_name": "NICHOL",
"middle_name": "LYNN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-07",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "MN",
"license": "2472832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
- Nicole Susanne Seacotte, MD
- Maxine Camille Seales Kasangana, M.D.
- Dolph Benjamin Sears Jr., LICSW
- James Albert Sebastian, MD
- Eric James Seda
- Britany Nicole Seehus
- Seeking Balance, LLC
- Kim Louise Seely, RN, CNP
- Seen and Heard Individual and Family Therapy LLC (Shift LLC)
- Angela Marie Segner I, MA, LPCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.