BRENDA RENEE BAKKEN (NPI# 1023510591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023510591 |
| Entity Type | Individual |
| Full Name | BRENDA RENEE BAKKEN |
| Practice Address |
25 1st Ave Ne Suite 100 Buffalo MN 55313 |
| Practice Telephone | 7636823005 |
| Practice Fax Number | 7636823006 |
| Mailing Telephone | 7636823005 |
| Mailing Fax Number | 7636823006 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L567608 | MN | Nursing Service Providers |
| Street Address |
25 1ST AVE NE SUITE 100 |
| City | BUFFALO |
| State | MN |
| Zip Code | 55313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
| 1386279610 | Julie Lee | Pharmacist | 1300 Hwy 55, Buffalo, MN 55313 | 2020-03-06 |
| 1760938716 | Karen Kahler | Counselor | 1772 Donnelly Dr Nw, Buffalo, MN 55313 | 2016-08-30 |
| 1235514118 | Minnesota Teen Challenge, Inc. | Exclusive Provider Organization | 100 Garrison Ave Ne, Buffalo, MN 55313 | 2015-07-21 |
| 1912391723 | Cassandra Loeffler | Chiropractor | 1200 Mn 25, Buffalo, MN 55313 | 2015-03-19 |
| 1134531395 | Total Health and Wellness, Inc. | Chiropractor | 639 Ryan's Way, Buffalo, MN 55313 | 2014-05-22 |
| 1366797946 | Brenda Kay Lenz | Nurse Practitioner | 755 Crossroads Campus Dr Ne, Buffalo, MN 55313 | 2012-07-19 |
| 1801190327 | Professional Counseling Center | Community/Behavioral Health | 7 Highway 55 West, Unit 3, Wright One Plaza, Buffalo, MN 55313 | 2010-12-23 |
| 1619140456 | Lisa Marlene Marty | Speech-Language Pathologist | 2144 County Rd 12 South, Buffalo, MN 55313 | 2008-04-11 |
| 1891905568 | Melissa Rae Hendrickson | Dietitian, Registered | 303 Catlin St., Buffalo, MN 55313 | 2007-05-23 |
| Find all providers in zip 55313 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546963 | Tawanda Johnson | Licensed Practical Nurse | 333 S Division St, Buffalo, NY 14204-1715 | 2020-10-23 |
| 1740889195 | Jailyn Dickson | Licensed Practical Nurse | 298 E Delavan Ave, Buffalo, NY 14208-1313 | 2020-10-17 |
| 1972100493 | Bernadette Harrison | Licensed Practical Nurse | 352 Glenwood Ave, Buffalo, NY 14208-1817 | 2020-10-07 |
| 1225644727 | Stephanie Danielle Fuller | Licensed Practical Nurse | 22 Montclair Ave, Buffalo, NY 14215-2124 | 2020-09-20 |
| 1417567959 | Leisha Lett | Licensed Practical Nurse | 12 Midland St, Buffalo, NY 14220-1020 | 2020-08-07 |
| 1073131934 | Jaimontae Jeannette Mcduffie | Licensed Practical Nurse | 370 Wyoming Ave, Buffalo, NY 14215-3120 | 2020-07-08 |
| 1710500129 | Altricia Glisson | Licensed Practical Nurse | 511 Winslow Ave Uppr, Buffalo, NY 14211-1361 | 2020-05-20 |
| 1073134714 | Sharina Janee Morris | Licensed Practical Nurse | 354 Katherine St, Buffalo, NY 14210-2019 | 2020-05-05 |
| 1154952307 | Natalie Marie Jones | Licensed Practical Nurse | 110 Wood Ave, Buffalo, NY 14211-2550 | 2020-01-27 |
| 1073153128 | Keisha Samuels | Licensed Practical Nurse | 2092 Bailey Ave, Buffalo, NY 14211-2057 | 2020-01-07 |
| Find all providers in BUFFALO | ||||
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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.