Individual provider Active NPI

Dale Ann Nasby, MS, RN, PMHCNS-BC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Rochester, MN
National Provider Identifier
1912379264
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
CNS 0482 Issued in MN
Practice address
315 Elton Hills Dr NW
Rochester, MN 55901-2988
Phone
(507) 322-6564
Fax
(507) 322-6566
NPI assigned
Oct 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X CNS 0482 MN Primary

Addresses

Primary practice location

315 Elton Hills Dr NW
Rochester, MN 55901-2988

Mailing address

382 Norseman CT NW
Rochester, MN 55901-2430
Phone (507) 322-6564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 30, 2022 through Nov 30, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
CNS 0482MNMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Spirit Mental Health Care, LLC Psychiatric/Mental Health, Adult Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1912379264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 NORSEMAN CT NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012430",
            "telephone_number": "507-322-6564",
            "fax_number": "507-322-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 ELTON HILLS DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012988",
            "telephone_number": "507-322-6564",
            "fax_number": "507-322-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASBY",
        "first_name": "DALE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS, RN, PMHCNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MN",
            "license": "CNS 0482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.