SUSAN GRACE KNUDSEN RN
NPI 1073720439
Registered Nurse in Wagner, SD

Q: What is Susan Knudsen's NPI number?

The NPI number for Susan Knudsen is 1073720439. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Q: What is Susan Knudsen's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Knudsen was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 16, 2007

111 WASHINGTON AVE NW, WAGNER, SD 57380(605) 384-3621(605) 384-3293 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Susan Grace Knudsen Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN GRACE KNUDSEN RN (NPI 1073720439) is an individual registered nurse in Wagner, South Dakota, licensed in South Dakota (R019453) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1073720439

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameSUSAN GRACE KNUDSENCredential: RN

Location Address111 WASHINGTON AVE NWWagner, SD 57380

Mailing Address111 Washington Ave NwWagner, SD 57380 · (605) 384-3621 · Fax (605) 384-3293

Phone(605) 384-3621

Fax(605) 384-3293

Sole ProprietorNo

Enumeration DateMay 16, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1073720439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in SD · R019453

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

111 WASHINGTON AVE NW, Wagner, SD 57380

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Other Identifiers 3

Medicaid5540100SD

Medicaid5540030SD

Medicare ID-Type UnspecifiedHSZ059SD

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANA LYNN WACKEL RPH

Pharmacist