ELAINE RENEE ROSE (NPI# 1003183229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003183229 |
| Entity Type | Individual |
| Full Name | ELAINE RENEE ROSE |
| Credential | IBCLC |
| Practice Address |
12345 Heather St Nw Coon Rapids MN 55433-1754 |
| Practice Telephone | 6129631301 |
| Mailing Telephone | 6129631301 |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740580430 | Elaine Marva Rose | Pharmacist | 50 Watkins Park Dr, Upper Marlboro, MD 20774-1628 | 2010-10-27 |
| Street Address |
12345 HEATHER ST NW |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-1754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801269154 | Linda Paulson | Lactation Consultant, Non-RN | 299 Coon Rapids Blvd Nw Ste 105, Coon Rapids, MN 55433-5804 | 2015-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275163750 | Madolynn Jon Duckwall | Lactation Consultant, Non-RN | 159 Elizabeth Ln, Burnsville, MN 55337-2709 | 2020-01-23 |
| 1679130272 | Elizabeth Georgeanne Raivo-lynch | Lactation Consultant, Non-RN | 3020 Harding St Ne, St Anthony, MN 55418-2466 | 2019-05-20 |
| 1346785599 | Laura Page | Lactation Consultant, Non-RN | 2359 Thomas Ave N, Minneapolis, MN 55411-2355 | 2016-12-26 |
| 1770967069 | Tiffany Gallagher | Lactation Consultant, Non-RN | 3312 Ewing Ave N, Robbinsdale, MN 55422-3204 | 2015-07-16 |
| 1962800995 | Natasha-kristin Reilly | Lactation Consultant, Non-RN | 910 Pontiac Ln, Chanhassen, MN 55317-9447 | 2014-12-08 |
| 1487059689 | Jennifer Mason | Lactation Consultant, Non-RN | 1382 Summit Ave, Saint Paul, MN 55105 | 2014-10-30 |
| 1841695020 | Emily Grace Whebbe | Lactation Consultant, Non-RN | 1408 W 28th St, Apt 3, Minneapolis, MN 55408-1935 | 2014-10-29 |
| 1922424829 | Amy Opatz | Lactation Consultant, Non-RN | 736 Mckinley Pl S, Saint Cloud, MN 56301-4007 | 2014-03-16 |
| 1326477548 | Stephanie Amber Rodriguez | Lactation Consultant, Non-RN | 623 Ethel St, Brainerd, MN 56401-5902 | 2013-11-07 |
| 1740529858 | Johanna Ellen Schnell | Lactation Consultant, Non-RN | 30672 Sunny Beach Rd, Grand Rapids, MN 55744-4891 | 2013-02-08 |
| Find all providers with the same taxonomy | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
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| 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.