MS. RENEE HAROLDSON


Address: 14500 99th Ave N, #1-210, Maple Grove, MN 55369-4730
Phone: 7638981778

MS. RENEE HAROLDSON (NPI# 1013975663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013975663
Entity Type Individual
Full Name MS. RENEE HAROLDSON
Credential OTRL CHT
Practice Address 14500 99th Ave N
#1-210
Maple Grove
MN 55369-4730
Practice Telephone 7638981778
Practice Fax Number 7638981771
Mailing Telephone 7638981778
Mailing Fax Number 7638981771
Enumeration Date 2006-05-03
Last Update Date 2013-04-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XH1200X Occupational Therapist
Specialization: Hand
103981 MN Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 8937141 05
VA RAILROAD MEDICARE 670001766 01
AETNA 7601113 01
VA BCBS OCCUPATIONAL THERAPY 192940 01

Office Location

Street Address 14500 99TH AVE N
#1-210
City MAPLE GROVE
State MN
Zip Code 55369-4730

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649275777 Jeannette Louise Wilcox Radiology 14500 99th Ave N, Maple Grove, MN 55369-4730 2005-06-16
1215487525 Wendy Blue Registered Nurse 14500 99th Ave N, Maple Grove, MN 55369-4730 2016-10-11
1942667209 Rachel Leigh Lahti Physician Assistant 14500 99th Ave N, Maple Grove, MN 55369-4730 2016-01-18
1033585914 Michaela Monetti Psychologist 14500 99th Ave N, Maple Grove, MN 55369-4730 2015-08-14
1922486109 Charmi Shah Internal Medicine 14500 99th Ave N, Maple Grove, MN 55369-4730 2015-05-08
1356748495 Nitika Ghattaura Internal Medicine 14500 99th Ave N, Maple Grove, MN 55369-4730 2014-12-03
1235571191 Hanaa Tahir Physician Assistant 14500 99th Ave N, Maple Grove, MN 55369-4730 2013-07-20
1003255472 Sarah Nicole Olson Venning Counselor 14500 99th Ave N, Maple Grove, MN 55369-4730 2013-06-19
1275970402 Sarah A Wernimont Obstetrics & Gynecology 14500 99th Ave N, Maple Grove, MN 55369-4730 2013-05-29
1346582558 Bethany Ann Sabol Obstetrics & Gynecology 14500 99th Ave N, Maple Grove, MN 55369-4730 2013-03-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376144188 Bonnie Rose Theis Counselor 24 3rd Ave Ne, Unit B, Osseo, MN 55369 2020-11-06
1356976328 Kirollos Samir Hanna Pharmacist 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 2020-03-10
1396395463 Susan Osborne Technician 9240 Orchid Lane, Maple Grove, MN 55369 2019-09-19
1710537196 Janis Langsdale Technician 11070 108 Avenue North, Maple Grove, MN 55369 2019-09-17
1043724552 Tracey Wahlquist Speech-Language Pathologist 11100 86th Ave N, Maple Grove, MN 55369 2017-11-20
1154860005 Kayla Uptagrafft Specialist/Technologist 9555 Upland Lane Norh, Maple Grove, MN 55369 2017-02-13
1750823324 Jennifer Ranallo Social Worker 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 2016-11-13
1558723999 Debra Grace Boersma Advanced Practice Midwife 9825 Hospital Dr#205, Maple Grove, MN 55369 2016-03-24
1396129433 Maple Grove Smiles Dentistry, PC Dentist 12775 Elm Creek Blvd N, Maple Grove, MN 55369 2015-07-18
1558755900 Krista Newman Counselor 24 3rd St Nw, Unit B, Osseo, MN 55369 2015-03-24
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Taxonomy Information

Taxonomy Code 225XH1200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Hand

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598138711 Courtney Nicole Mason Occupational Therapist 9630 Grove Cir N, Suite 200, Maple Grove, MN 55369-3464 2015-11-10
1346533577 Advanced Arm Dynamics of Minnesota Occupational Therapist 11671 Fountains Dr, Suite 220, Maple Grove, MN 55369-4711 2011-05-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205256484 Eunjin Kim Occupational Therapist 3832 Hillsboro Ave N, New Hope, MN 55427-1613 2014-04-25
1326344912 Gregory Lee Rife Occupational Therapist 10230 Baltimore St Ne, Blaine, MN 55449-4674 2011-01-31
1184817819 Lynn Allison Hatfield Occupational Therapist 6515 Barrie Rd Ste 100, Edina, MN 55435-2305 2007-08-27
1720206618 Patrice K. Schober-branigan Occupational Therapist 280 Smith Ave N Ste 100, Saint Paul, MN 55102-2424 2007-04-23
1457484917 Corey Weston Mcgee Occupational Therapist 6363 France Ave. South, Suite 404, Edina, MN 55435 2007-03-13
1437225125 Michelle Anne Reiner Occupational Therapist 2855 Campus Dr Ste 300, Plymouth, MN 55441 2006-11-27
1134217367 Maureen C Scanlan Occupational Therapist 3294 Rolling Hills Dr, Eagan, MN 55121-2357 2006-10-11
1609964915 Karolyn J Paulson Occupational Therapist 310 Smith Ave N Ste 360, Saint Paul, MN 55102-2383 2006-10-11
1649365628 Aileen M Roberts Occupational Therapist 1425 Main St N, Pine City, MN 55063-6026 2006-10-04
1538254172 Elizabeth Ann Mohror-hill Occupational Therapist 1500 Irving Street, Alexandria, MN 56308 2006-10-03
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Competitor

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City MAPLE GROVE
Zip Code 55369

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Dataset Information

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.

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