Nightingale Clinical Consultants

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NIGHTINGALE CLINICAL CONSULTANTS

Doing business as

Ceres Medical

Practice address

275 3Rd St S Ste 103
Stillwater, MN 55082-8000

Phone

(651) 283-5183

NPI assigned

Feb 2, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Lynn Marie WachtlerNPI 1548389398

Title

President

Phone

(651) 283-5183

Specialties & licenses 1

Addresses

Other names 1

• Ceres Medical Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynn Marie Wachtler, CNP

  • Family Nurse Practitioner
  • Hastings, MN
  • NPI 1548389398
  NPD Authorized official

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1699428292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 LAUREL AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046129",
            "telephone_number": "651-283-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 3RD ST S STE 103",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550828000",
            "telephone_number": "651-283-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHTINGALE CLINICAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "WACHTLER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-283-5183",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ceres Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jackie Sue Niemand, LIC PSYCHOLOGIST
• Katherine A Niemann, ANP
• Patricia A Niemuth, PT
• Katherine Faye Nierengarten
• Colleen J Nietz, BA, LADC
• Monte Norgaard, M.D.
• Bailey Norris
• Northland Chiropractic Clinic, LLC
• Jaden Thomas Northup
• Northway Academy, Inc.

• Family Medicine Physician in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.