Georgia Gayle Nygaard, RN, CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R051060-0 Issued in MN

Practice address

410 Church St SE
Boynton Health Service
Minneapolis, MN 55455-0340

Phone

(612) 625-8400

NPI assigned

Nov 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, 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.

• Northwestern Health Sciences University

  • Multi-Specialty Clinic/Center
  • Bloomington, MN
  • NPI 1124103544
  NPD (past)
• Sweere Clinic LLC

  • Clinic/Center
  • Bloomington, MN
  • NPI 1942778097
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558433862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CHURCH ST SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550340",
            "telephone_number": "612-625-8400",
            "fax_number": "612-625-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CHURCH ST SE",
            "address_2": "BOYNTON HEALTH SERVICE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550340",
            "telephone_number": "612-625-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYGAARD",
        "first_name": "GEORGIA",
        "middle_name": "GAYLE",
        "credential": "RN, CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "R051060-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Mary Nyberg, MPS, LPCC, LADC
• Emily Ann Nyberg, LAC, DIPL. AC., MAC
• Anna Lynn Nybo
• Katherine Lynn Nye
• Amy E Nygaard, MD
• Kelly Ann Nygard
• Ashlee Lynn Nygren
• Linda J Nygren, MD
• Matthew Martin Nygren, CNP
• Karen Nyhus, MA CCC-SLP

• Adult Health Nurse Practitioner in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Adult Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.