Mavis Jean Pautz, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R070896-2 Issued in MN

Practice address

535 E 12TH St
Gibbon, MN 55335

Phone

(507) 834-6874

Fax

(507) 834-6511

NPI assigned

Nov 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821162926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 E 12TH ST",
            "address_2": "PO BOX 366",
            "city": "GIBBON",
            "state": "MN",
            "postal_code": "55335",
            "telephone_number": "507-834-6874",
            "fax_number": "507-834-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E 12TH ST",
            "city": "GIBBON",
            "state": "MN",
            "postal_code": "55335",
            "telephone_number": "507-834-6874",
            "fax_number": "507-834-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUTZ",
        "first_name": "MAVIS",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R070896-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Hartmann
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• Southview Living Center, LLC

• Registered Nurse in Gibbon, MN
• Providers in Gibbon, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.