Suzette Childs, RN BSN CDE CPT

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

R179169-3 Issued in MN

Practice address

1601 Golf Course Rd
Grand Rapids, MN 55744-8648

Phone

(218) 999-1937

NPI assigned

Jun 3, 2016

Sex

Female

Sole proprietor

No

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

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1932558558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16659 SUGAR HILLS RD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557445981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 GOLF COURSE RD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557448648",
            "telephone_number": "218-999-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "SUZETTE",
        "credential": "RN BSN CDE CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MN",
            "license": "R179169-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine a. McDonald
• Grace Elizabeth Chang, LICSW
• Childrens Mental Health Service Reach (Children's Mental Health Services)
• Childrens Mental Health Services Reach (Children's Mental Health Services)
• Heidi Raquel Childs
• Angela Danette Christian, PMHNP
• James Dale Christian, MS. ED., LMFT
• Danielle Christopherson, LICSW
• Sara Elizabeth Citrine, CHW
• Clearwater Mental Health & Wellness

• Diabetes Educator Registered Nurse in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Diabetes Educator Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.