Elite Sleep Solutions, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ELITE SLEEP SOLUTIONS, LLC

Practice address

14410 Golf Course Dr Ste 105
Baxter, MN 56425-8617

Phone

(218) 820-6195

NPI assigned

May 24, 2021

Organization subpart

No

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

Authorized official

Name

Kirsten Smith, RCP, RT

Title

Ceo

Phone

(218) 454-2064

Specialties & licenses 1

Addresses

Other names 1

• Elite Sleep Solutions Other name

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1790350643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14410 GOLF COURSE DR STE 105",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258617",
            "telephone_number": "218-454-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14410 GOLF COURSE DR STE 105",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258617",
            "telephone_number": "218-820-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SLEEP SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-454-2064",
        "authorized_official_credential": "RCP, RT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kirsten@elitesleepllc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4467 Deerwood Rd",
            "city": "Baxter",
            "state": "MN",
            "country_code": "US",
            "postal_code": "564254005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Elite Sleep Solutions",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Elite Sleep Solutions",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly Jeane Dwinnell-Dillon, L.I.C.S.W
• Jessica Ann Eastman, CNP
• Dawn Marie Eckstrom
• Edgewood Baxter LLC
• Kevin James Edwards, PH.D.
• Marilyn Elizabeth Ellis
• Amber Endres, LGSW
• McKenzie Lou Engebretson
• Amy Elise Engen
• Deborah Anna Erickson, MA MFT

• Durable Medical Equipment & Medical Supplies in Baxter, MN
• Providers in Baxter, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.