Active NPI
Nancy Jo Downerd, CNP
- Nurse Practitioner
- Robbinsdale, MN
National Provider Identifier
1891026522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R080746-5
- Practice address
- 3300 Oakdale Ave No
North Memorial Medical Center
Robbinsdale, MN 55422 - Phone
- (763) 520-2658
- Fax
- (763) 520-5596
- NPI assigned
- Jan 20, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R080746-5 | MN | Primary |
Addresses
Primary practice location
3300 Oakdale Ave No
North Memorial Medical Center
Robbinsdale, MN 55422
Mailing address
3300 Oakdale Ave No
North Memorial Medical Center
Robbinsdale, MN 55422
Phone (763) 520-2658
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R080746-5 | MN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1891026522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 OAKDALE AVE NO",
"address_2": "NORTH MEMORIAL MEDICAL CENTER",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "55422",
"telephone_number": "763-520-2658",
"fax_number": "763-520-5596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 OAKDALE AVE NO",
"address_2": "NORTH MEMORIAL MEDICAL CENTER",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "55422",
"telephone_number": "763-520-2658",
"fax_number": "763-520-5596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWNERD",
"first_name": "NANCY",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-20",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R080746-5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Robbinsdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.