Individual provider Active NPI

Joan Alice Betsinger, RN, BSN, IBCLC, ANLC

  • Lactation Consultant (Registered Nurse)
  • Preston, MN
National Provider Identifier
1790039436
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
R 72116-9 Issued in MN
Practice address
902 Houston St NW Ste 2
Preston, MN 55965-1094
Phone
(507) 765-2647
Fax
(507) 765-2139
NPI assigned
Nov 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X R 72116-9 MN Primary

Addresses

Primary practice location

902 Houston St NW Ste 2
Preston, MN 55965-1094

Mailing address

902 Houston St NW Ste 2
Preston, MN 55965-1094
Phone (507) 765-2647

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R 72116-9MNMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
County of Fillmore 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351814400000",
    "number": "1790039436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 HOUSTON ST NW STE 2",
            "city": "PRESTON",
            "state": "MN",
            "postal_code": "559651094",
            "telephone_number": "507-765-2647",
            "fax_number": "507-765-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 HOUSTON ST NW STE 2",
            "city": "PRESTON",
            "state": "MN",
            "postal_code": "559651094",
            "telephone_number": "507-765-2647",
            "fax_number": "507-765-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETSINGER",
        "first_name": "JOAN",
        "middle_name": "ALICE",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, IBCLC, ANLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-02",
        "last_updated": "2012-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MN",
            "license": "R 72116-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Preston, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.