Active NPI
New Day Health
- Nurse Practitioner
- Duluth, MN
National Provider Identifier
1508979253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 077946-7
- Legal business name
- NEW DAY HEALTH
- Practice address
- 1180 88TH Ave. West
Suite 2
Duluth, MN 55808 - Phone
- (218) 626-1222
- NPI assigned
- Aug 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pam Idziorek, RNNP
- Title
- Owner
- Phone
- (218) 626-1222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 077946-7 | MN | Primary |
Addresses
Primary practice location
1180 88TH Ave. West
Suite 2
Duluth, MN 55808
Mailing address
3920 13TH Ave E
Suite 6
Hibbing, MN 55746-3675
Phone (218) 263-7540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8G560ID | Other | MN | BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Hermantown, MN
- NPI 1134235344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200441600000",
"number": "1508979253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 13TH AVE E",
"address_2": "SUITE 6",
"city": "HIBBING",
"state": "MN",
"postal_code": "557463675",
"telephone_number": "218-263-7540",
"fax_number": "866-732-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 88TH AVE. WEST",
"address_2": "SUITE 2",
"city": "DULUTH",
"state": "MN",
"postal_code": "55808",
"telephone_number": "218-626-1222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW DAY HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-16",
"last_updated": "2008-01-16",
"status": "A",
"authorized_official_last_name": "IDZIOREK",
"authorized_official_first_name": "PAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "218-626-1222",
"authorized_official_credential": "RNNP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "077946-7",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8G560ID",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.