Individual provider Active NPI

Sara J Engelby, RN

  • Registered Nurse
  • Albert Lea, MN
National Provider Identifier
1669263646
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R-2285904 Issued in MN
Practice address
23916 700TH Ave
Albert Lea, MN 56007-6093
Phone
(507) 391-0110
NPI assigned
May 16, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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 R-2285904 MN Primary

Addresses

Primary practice location

23916 700TH Ave
Albert Lea, MN 56007-6093

Mailing address

23916 700TH Ave
Albert Lea, MN 56007-6093

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R-2285904MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1669263646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23916 700TH AVE",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560076093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23916 700TH AVE",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560076093",
            "telephone_number": "507-391-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELBY",
        "first_name": "SARA",
        "middle_name": "J",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R-2285904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albert Lea, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.