Active NPI
Nathan Winterhalter
- Registered Nurse
- Faribault, MN
National Provider Identifier
1841066263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 221599-0
- Practice address
- 1520 17TH St NW
Faribault, MN 55021-2817 - Phone
- (507) 497-2011
- NPI assigned
- Nov 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 221599-0 | MN | Primary |
Addresses
Primary practice location
1520 17TH St NW
Faribault, MN 55021-2817
Mailing address
853 4TH Ave SW
Faribault, MN 55021-6122
Phone (763) 258-7102
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 221599-0 | MN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1841066263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "853 4TH AVE SW",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "550216122",
"telephone_number": "763-258-7102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 17TH ST NW",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "550212817",
"telephone_number": "507-497-2011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINTERHALTER",
"first_name": "NATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-27",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "221599-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Faribault, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.