Individual provider Active NPI

Ellen S Teigland, MS, APRN, BC, LP

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Grand Rapids, MN
National Provider Identifier
1669401345
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
Practice address
25 NE 3Rd St
Grand Rapids, MN 55744-2742
Phone
(218) 326-7089
Fax
(218) 327-3173
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP2283 MN
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X MN Primary

Addresses

Primary practice location

25 NE 3Rd St
Grand Rapids, MN 55744-2742

Mailing address

25 NE 3Rd St
Grand Rapids, MN 55744-2742
Phone (218) 326-7089

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)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science

State licenses

LicenseStateTypeSpecialty
LP2283MNMDPsychologist
0252613-01MNMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Itasca Psychiatric Services Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1669401345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NE 3RD ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442742",
            "telephone_number": "218-326-7089",
            "fax_number": "218-327-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NE 3RD ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442742",
            "telephone_number": "218-326-7089",
            "fax_number": "218-327-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEIGLAND",
        "first_name": "ELLEN",
        "middle_name": "S",
        "credential": "MS, APRN, BC, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP2283",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

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