BRIDGET NICOLE HOLBROOK (NPI# 1023490174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023490174 |
| Entity Type | Individual |
| Full Name | BRIDGET NICOLE HOLBROOK |
| Other Name | BRIDGET NICOLE GERADS |
| Credential | PA-C |
| Practice Address |
1601 Saint Francis Ave Ste 100 Shakopee MN 55379-3384 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 9524283535 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2016-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1601 SAINT FRANCIS AVE STE 100 |
| City | SHAKOPEE |
| State | MN |
| Zip Code | 55379-3384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386625481 | Venkateshwaran K Iyer | Internal Medicine | 1601 Saint Francis Ave Ste 100, Shakopee, MN 55379 | 2005-11-07 |
| 1447795414 | Joelle Elise Van Valkenburg | Nurse Practitioner | 1601 Saint Francis Ave Ste 100, Shakopee, MN 55379-3384 | 2016-12-30 |
| 1033516570 | Lauren Benolkin | Nurse Practitioner | 1601 Saint Francis Ave Ste 100, Shakopee, MN 55379-3384 | 2014-11-27 |
| 1235492869 | Mien Hai Nguyen | Internal Medicine | 1601 Saint Francis Ave Ste 100, Shakopee, MN 55379-3384 | 2012-06-19 |
| 1598058497 | Richard T. Kiok | Internal Medicine | 1601 Saint Francis Ave Ste 100, Mail Route 73046, Shakopee, MN 55379-3384 | 2011-05-25 |
| 1144458951 | Aroti Achari | Obstetrics & Gynecology | 1601 Saint Francis Ave Ste 100, Shakopee, MN 55379-3384 | 2009-06-30 |
| 1710170428 | Gayle Heather Macbride | Psychologist | 1601 Saint Francis Ave Ste 100, Shakopee, MN 55379-3384 | 2007-08-26 |
| 1568503191 | Mahsa Moghaddam Smoot | Plastic Surgery | 1601 Saint Francis Ave Ste 100, Shakopee, MN 55379-3384 | 2007-02-08 |
| 1063500247 | Elizabeth Maureen Kennedy Laliberte | Physician Assistant | 1601 Saint Francis Ave Ste 100, Shakopee, MN 55379-3384 | 2006-10-11 |
| 1851489793 | Ealena S Callender | Obstetrics & Gynecology | 1601 Saint Francis Ave Ste 100, Shakopee, MN 55379-3384 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1154988236 | Benedictine Living Community of Shakopee LLC | Assisted Living Facility | 1705 Windermere Way, Shakopee, MN 55379 | 2019-05-23 |
| 1346741394 | Expressions In Motion LLC | Speech-Language Pathologist | 1221 East 4th Ave., Shakopee, MN 55379 | 2018-02-26 |
| 1124529334 | A.m Dental Professionals P.a | Clinic/Center | 1036 1st Ave E, Shakopee, MN 55379 | 2018-02-22 |
| 1538522024 | Jesse Sylvester | Chiropractor | 1275 Ramsey Street South, #600, Shakopee, MN 55379 | 2016-04-01 |
| 1376903963 | Dakota Best Transportation LLC | Non-emergency Medical Transport (VAN) | 449 Dakota Street Apt 2, Shakopee, MN 55379 | 2016-02-25 |
| 1568856631 | Tatyana Mishkin Gleyzer | Nurse Practitioner | 1010 West Sixth Avenue, Shakopee, MN 55379 | 2015-03-26 |
| 1245634039 | Kalli Ledel | Pharmacist | 1198 Vierling Dr, Cub Pharmacy, Shakopee, MN 55379 | 2014-10-22 |
| 1487992913 | Jennifer Elizabeth Boyd | Nurse Practitioner | Pediatrics 1415 St Francis Ave, Park Nicollet Clinic-shakopee, Shakopee, MN 55379 | 2013-01-17 |
| 1013253798 | Acts Therapy LLC | Counselor | 8170 Old Carriage Court North, 215, Shakopee, MN 55379 | 2012-12-27 |
| Find all providers in zip 55379 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649446493 | Elizabeth Bennett | Physician Assistant | 4050 Dean Lakes Blvd, Shakopee, MN 55379-2714 | 2008-05-01 |
| 1124657549 | Mackenzie Ann Loutzenhiser | Physician Assistant | 4360 12th Ave E, Shakopee, MN 55379-1955 | 2020-04-07 |
| 1902217045 | Samantha Mantz | Physician Assistant | 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3383 | 2014-05-12 |
| 1215146550 | Jodi Lynn Winters | Physician Assistant | 1515 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3387 | 2007-05-22 |
| 1962611210 | Kari Ann Badali | Physician Assistant | 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3383 | 2007-05-22 |
| 1063500247 | Elizabeth Maureen Kennedy Laliberte | Physician Assistant | 1601 Saint Francis Ave Ste 100, Shakopee, MN 55379-3384 | 2006-10-11 |
| 1386671873 | David J Collins | Physician Assistant | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2006-06-28 |
| 1295781920 | Orthopedic Surgical Consultants, P.a. | Physician Assistant | 1515 Saint Francis Ave, Suite 150, Shakopee, MN 55379-3387 | 2006-05-25 |
| 1285684555 | Jennifer Ruth Larson | Physician Assistant | 1515 Saint Francis Ave, Suite 150, Shakopee, MN 55379-3387 | 2006-05-10 |
| 1134194152 | Jennifer E Grundhofer | Physician Assistant | 1415 Saint Francis Ave, Shakopee, MN 55379-3374 | 2006-02-22 |
| Find all providers in SHAKOPEE | ||||
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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.