Susan Marie Putnam

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

R121260-6 Issued in MN

Practice address

PO Box 102
Mahnomen, MN 56557-0102

Phone

(218) 936-6336

Fax

(218) 936-6337

NPI assigned

Apr 29, 2024

Last updated

Apr 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1700632882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102",
            "city": "MAHNOMEN",
            "state": "MN",
            "postal_code": "565570102",
            "telephone_number": "218-936-6336",
            "fax_number": "218-936-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 102",
            "city": "MAHNOMEN",
            "state": "MN",
            "postal_code": "565570102",
            "telephone_number": "218-936-6336",
            "fax_number": "218-936-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "R121260-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naytahwaush Health Center (White Earth Health Center)
• Ashley Marie Neis, PT, DPT
• Tawnia Ann Netland, APRN CNP
• Tamera Ostenaa, APRN, CNP
• Michael Parsons, RPT
• Bryan Kirk Ridgley, PHARM D
• Gretchen Bea Rockstad, LRD
• Sanford Medical Center Fargo (Sanford Health Mahnomen Clinic)
• Macey Schaefbauer, PA-C
• Naomi Schwede

• Home Health Registered Nurse in Mahnomen, MN
• Providers in Mahnomen, MN by specialty
• Home Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.