Individual provider Active NPI

Niels Korsholm Billund

  • Registered Nurse
  • Glencoe, MN
National Provider Identifier
1982998001
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R160895-1 Issued in MN
Practice address
14907 125TH St
Glencoe, MN 55336-4613
Phone
(320) 864-6544
NPI assigned
Jun 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R160895-1 MN Primary

Addresses

Primary practice location

14907 125TH St
Glencoe, MN 55336-4613

Mailing address

14907 125TH St
Glencoe, MN 55336-4613
Phone (320) 864-6544

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

State licenses

LicenseStateTypeSpecialty
R160895-1MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Guardian in Home Health & Security, LLC 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": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1982998001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14907 125TH ST",
            "city": "GLENCOE",
            "state": "MN",
            "postal_code": "553364613",
            "telephone_number": "320-864-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14907 125TH ST",
            "city": "GLENCOE",
            "state": "MN",
            "postal_code": "553364613",
            "telephone_number": "320-864-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLUND",
        "first_name": "NIELS",
        "middle_name": "KORSHOLM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R160895-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glencoe, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.