Individual provider Active NPI

Angela L Qson, RN, PHN, LSN

  • Registered Nurse
  • Duluth, MN
National Provider Identifier
1902136526
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
189616-1 Issued in MN
Practice address
1356 Fern Ave
Duluth, MN 55805-1128
Phone
(218) 728-0309
NPI assigned
Jan 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 189616-1 MN Primary
School Registered Nurse 163WS0200X 450895 MN

Addresses

Primary practice location

1356 Fern Ave
Duluth, MN 55805-1128

Mailing address

1356 Fern Ave
Duluth, MN 55805-1128
Phone (218) 728-0309

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
189616-1MNMDRegistered Nurse
450895MNMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1902136526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 FERN AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051128",
            "telephone_number": "218-728-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 FERN AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051128",
            "telephone_number": "218-728-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QSON",
        "first_name": "ANGELA",
        "middle_name": "L",
        "credential": "RN, PHN, LSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "189616-1",
            "primary": true
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "MN",
            "license": "450895",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.

Verify at the official NPI Registry.