SUSAN M RABENBER (NPI# 1922118967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922118967 |
| Entity Type | Individual |
| Full Name | SUSAN M RABENBER |
| Credential | NP, CNP |
| Practice Address |
202 1st St S Montgomery MN 56069-1602 |
| Mailing Address |
301 Main St E New Prague MN 56071-1803 |
| Practice Telephone | 5073645600 |
| Practice Fax Number | 5073645686 |
| Mailing Telephone | 9527581050 |
| Mailing Fax Number | 9527585011 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R130725-2 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 257504300 | 05 |
| Street Address |
202 1ST ST S |
| City | MONTGOMERY |
| State | MN |
| Zip Code | 56069-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992750806 | Stephanie A Kivi | Family Medicine | 202 1st St S, Montgomery Medical, Montgomery, MN 56069-1602 | 2006-05-23 |
| 1013531318 | Nancy Marie Kaley | Counselor | 202 1st St S, Montgomery, MN 56069-1602 | 2020-06-02 |
| 1467076778 | Hugh Thissen | Counselor | 202 1st St S, Montgomery, MN 56069-1602 | 2020-06-02 |
| 1487273728 | Spirits At Rest | Counselor | 202 1st St S, Montgomery, MN 56069-1602 | 2020-04-15 |
| 1821036054 | Martin J Herrmann | Family Medicine | 202 1st St S, Montgomery Clinic, Montgomery, MN 56069-1602 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326108150 | City of Montgomery | Ambulance | 201 Ash Avenue East, Montgomery, MN 56069 | 2006-12-11 |
| 1437139714 | Robert A Taylor | Family Medicine | 501 4th St Nw, Montgomery, MN 56069 | 2006-01-20 |
| 1821495789 | Sara Marie Farias | Nurse Practitioner | 501 4th St Nw, Montgomery, MN 56069-1003 | 2014-11-20 |
| 1992198055 | Brenda Lee Hentges | Licensed Practical Nurse | 407 5th St Nw, Montgomery, MN 56069-1026 | 2015-03-13 |
| 1902430879 | Golden Years Home | Adult Companion | 506 4th St Sw, Montgomery, MN 56069-1222 | 2020-02-28 |
| 1932240314 | Blossom Hill Corporation | Assisted Living Facility | 100 Oak Ave Sw, Montgomery, MN 56069-1243 | 2007-02-09 |
| 1366914392 | Susan Marie Connolly | Counselor | 100 Oak Ave Sw, Montgomery, MN 56069-1243 | 2019-01-02 |
| 1134691975 | Inspire Services, LLC | Clinic/Center | 100 Oak Ave Sw, Montgomery, MN 56069-1243 | 2018-12-18 |
| 1326110388 | Mark Allen Brahs | Dentist | 110 1st St N, Montgomery, MN 56069-1514 | 2006-11-14 |
| 1265086011 | Gabriel Alberto De Los Rios | Dentist | 110 1st St N, Montgomery, MN 56069-1514 | 2019-07-30 |
| Find all providers in zip 56069 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240285 | Miranda Michelle Roach | Nurse Practitioner | 11907 Candlewood Pl, Montgomery, TX 77356-5427 | 2020-06-24 |
| 1508416611 | Casey Thornton | Nurse Practitioner | 370 Saint Lukes Dr, Montgomery, AL 36117-7111 | 2019-09-19 |
| 1558917047 | Brittany Ann Smith | Nurse Practitioner | 1722 Pine St Ste 904, Montgomery, AL 36106-1104 | 2019-08-12 |
| 1952956567 | Cassandra Aileen Kelley | Nurse Practitioner | 1722 Pine St Ste 401, Montgomery, AL 36106-1103 | 2019-08-09 |
| 1982264867 | Bethany Fain Phelps | Nurse Practitioner | 1722 Pine St Ste 402, Montgomery, AL 36106-1159 | 2019-06-13 |
| 1447813027 | Haley Harvey Clifton | Nurse Practitioner | 1758 Park Pl Ste 401, Montgomery, AL 36106-1135 | 2019-04-18 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1780162024 | Grace Santana | Nurse Practitioner | 3270 Gatsby Ln, Montgomery, AL 36106-2668 | 2018-07-30 |
| 1013494673 | Angela K Rayborn | Nurse Practitioner | 1725 W 4th St # Na, Montgomery, AL 36106-1509 | 2018-07-25 |
| 1942795430 | Richard Yullambo Yenkong | Nurse Practitioner | 2270 Jericho Rd Apt A5, Montgomery, IL 60538-5621 | 2018-06-27 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 56069 |
Please comment or provide details below to improve the information on SUSAN M RABENBER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.