Individual provider Active NPI

Suzie F Mesteth, PHN

  • Registered Nurse
  • New Town, ND
National Provider Identifier
1649308503
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R27578 Issued in ND
Practice address
1 Minni Tohe Dr
New Town, ND 58763-4400
Phone
(701) 627-4701
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R27578 ND Primary

Addresses

Primary practice location

1 Minni Tohe Dr
New Town, ND 58763-4400

Mailing address

1 Minni Tohe Dr
New Town, ND 58763-4400
Phone (701) 627-4701

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

State licenses

LicenseStateTypeSpecialty
R27578NDMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1649308503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MINNI TOHE DR",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "587634400",
            "telephone_number": "701-627-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MINNI TOHE DR",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "587634400",
            "telephone_number": "701-627-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESTETH",
        "first_name": "SUZIE",
        "middle_name": "F",
        "credential": "PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R27578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Town, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.