Susan Knutson, RN, BSN, MA-HSM

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R77566-5 Issued in MN

Practice address

300 3Rd Ave SE
Suite 405
Rochester, MN 55904-4619

Phone

(507) 288-8544

Fax

(507) 288-8545

NPI assigned

Jul 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

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.

• Associates in Psychiatry and Psychology

  • Group Psychotherapy Psychologist
  • Rochester, MN
  • NPI 1922145622
  NPD (past)

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1538472352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 3RD AVE SE",
            "address_2": "SUITE 405",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559044619",
            "telephone_number": "507-288-8544",
            "fax_number": "507-288-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 3RD AVE SE",
            "address_2": "SUITE 405",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559044619",
            "telephone_number": "507-288-8544",
            "fax_number": "507-288-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUTSON",
        "first_name": "SUSAN",
        "credential": "RN, BSN, MA-HSM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R77566-5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE",
            "identifier": "R77566-5",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luther Knudsen
• Savanna May Knudsen, OT
• Stephanie R Knudsen
• Maryann Betty Knudson
• Debra A Knutson
• Tanner Ray Knutson, DPT
• Kaela Koalska
• Jun Min Koay, PSY.D.
• Afton Marie Koball, PH.D.
• Paige Kobi

• Registered Nurse in Rochester, MN
• Providers in Rochester, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.