Individual provider Active NPI

Laurie Marie Chuesberg, RN

  • Registered Nurse
  • Minneapolis, MN
National Provider Identifier
1700185253
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R123211-0 Issued in MN
Practice address
1421 Park Ave Ste 104
Minneapolis, MN 55404-1579
Phone
(612) 872-8811
Fax
(612) 872-8866
NPI assigned
Mar 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 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 R123211-0 MN Primary

Addresses

Primary practice location

1421 Park Ave Ste 104
Minneapolis, MN 55404-1579

Mailing address

6841 Upper 5TH St N
Oakdale, MN 55128-6718
Phone (612) 872-8811

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
R123211-0MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Quality Care, 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": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1700185253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6841 UPPER 5TH ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286718",
            "telephone_number": "612-872-8811",
            "fax_number": "612-872-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 PARK AVE STE 104",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041579",
            "telephone_number": "612-872-8811",
            "fax_number": "612-872-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUESBERG",
        "first_name": "LAURIE",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R123211-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.