Revadean J Quastad, MSN, NP-C, APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6831 Issued in MN

Practice address

717 S State St Ste 900
Fairmont, MN 56031

Phone

(072) 384-9495

NPI assigned

Dec 2, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fairmont Orthopedics & Sports Medicine P a

  • Specialist
  • Armstrong, IA
  • NPI 1487885653
  NPD (past)
• Leo J Bronston

  • Chiropractor
  • Onalaska, WI
  • NPI 1578507331
  NPD (past)

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1538437728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 S STATE ST STE 900",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314478",
            "telephone_number": "072-384-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S STATE ST STE 900",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "56031",
            "telephone_number": "072-384-9495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 W Wisconsin St",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "WI",
            "postal_code": "546562230",
            "country_code": "US",
            "telephone_number": "608-269-8145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUASTAD",
        "first_name": "REVADEAN",
        "middle_name": "J",
        "credential": "MSN, NP-C, APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "4555-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "6831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shae Leann Pierson, RN, PHN
• April E Poolman, FNP-C
• Prairieview Anesthesia and Pain Management
• Primary Care Management Services, LLC
• Primary Specialists
• Recovery in Motion, LLC
• Lynn Helm Reeve Sr., DDS
• Reiter Dental PA
• Mark Edward Reiter
• Rem Heartland Inc

• Family Nurse Practitioner in Fairmont, MN
• Providers in Fairmont, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.