Individual provider Active NPI

Vivien H Jutsum, APRN

  • Family Nurse Practitioner
  • Westbrook, MN
National Provider Identifier
1972518462
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R1598508 Issued in MN
Practice address
920 Bell Ave
Westbrook, MN 56183-9669
Phone
(507) 274-6121
Fax
(507) 274-5630
NPI assigned
Jul 31, 2006
Last updated
May 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R1598508 MN Primary

Addresses

Primary practice location

920 Bell Ave
Westbrook, MN 56183-9669

Mailing address

920 Bell Ave
Westbrook, MN 56183-9669
Phone (507) 274-6121

Other names 1

  • Vivien H Horrocks Former name

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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Nursing Healthcare, Inc. Past Accepting new patients
Frontier Nursing Healthcare Past Accepting new patients
Mary Breckinridge Healthcare, Inc. Past Accepting new patients
Sanford Health Network Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1972518462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 BELL AVE",
            "city": "WESTBROOK",
            "state": "MN",
            "postal_code": "561839669",
            "telephone_number": "507-274-6121",
            "fax_number": "507-274-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 BELL AVE",
            "city": "WESTBROOK",
            "state": "MN",
            "postal_code": "561839669",
            "telephone_number": "507-274-6121",
            "fax_number": "507-274-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUTSUM",
        "first_name": "VIVIEN",
        "middle_name": "H",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R1598508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIEN",
            "last_name": "HORROCKS",
            "middle_name": "H",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westbrook, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.