DR. MICHELLE NICOLE RHEAULT (NPI# 1013053982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013053982 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE NICOLE RHEAULT |
| Credential | M.D. |
| Practice Address |
2512 S 7th St Pediatric Specialty Care Minneapolis MN 55454-1404 |
| Mailing Address |
720 Washington Ave Se University of Minnesota Physicians Minneapolis MN 55414 |
| Practice Telephone | 6123656777 |
| Practice Fax Number | 6126241446 |
| Mailing Telephone | 6128840649 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2013-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
44250 | MN | Allopathic & Osteopathic Physicians |
| N | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
242353 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
2512 S 7TH ST PEDIATRIC SPECIALTY CARE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55454-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619950839 | Bradley James Nelson | Orthopaedic Surgery | 2512 S 7th St, Department of Orthopaedics, R200, Minneapolis, MN 55454-1404 | 2005-11-22 |
| 1316548498 | Erin Devine | Speech-Language Pathologist | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2020-11-04 |
| 1689209173 | Megan Fritsch | Occupational Therapist | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2020-03-05 |
| 1649819665 | Amanda Wenzel Kalstabakken | Clinical Neuropsychologist | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2019-12-23 |
| 1528540671 | Emre Josiah Michelle Mauleon | Registered Nurse | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2018-09-05 |
| 1114419793 | Katherine Berglove | Physical Therapist | 2512 S 7th St, Minneapolis, MN 55454 | 2018-05-31 |
| 1811497621 | Kathryn Louise Chappelow | Occupational Therapy Assistant | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2018-02-19 |
| 1255830774 | Tracy Ann Moe | Nurse Practitioner | 2512 S 7th St, Minneapolis, MN 55454 | 2018-02-10 |
| 1558878363 | Nicole Ann Witowski | Registered Nurse | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2018-01-02 |
| 1396258448 | Ashley Relopez | Physical Therapist | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2017-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
| 1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
| 1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
| 1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
| 1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
| 1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
| 1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
| 1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
| 1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
| Find all providers in zip 55454 | ||||
| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639460439 | Anne Marie Kouri | Pediatrics | 2450 Riverside Ave Bldg 6th, Minneapolis, MN 55454-1450 | 2011-04-27 |
| 1770992331 | Shanthi Balani | Pediatrics | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2014-08-07 |
| 1972746568 | Scott Thomas Mcewen | Pediatrics | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2009-04-12 |
| 1689747982 | Lydia Najera | Pediatrics | University of Minnesota Physicians, 516 Delaware St Se, Room 4-100, Minneapolis, MN 55455 | 2006-11-16 |
| 1699863274 | Clifford E Kashtan | Pediatrics | 516 Delaware St Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 | 2006-10-10 |
| 1780781021 | Alfred J Fish | Pediatrics | University of Minnesota Physicians, 516 Delaware St Se Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 | 2006-09-20 |
| 1144337593 | Avi Katz | Pediatrics | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528221538 | Christian Hanna | Pediatrics | 200 1st St Sw, Rochester, MN 55905 | 2008-07-09 |
| City | MINNEAPOLIS |
| Zip Code | 55454 |
Please comment or provide details below to improve the information on DR. MICHELLE NICOLE RHEAULT.
| 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.