LAUREN BENOLKIN (NPI# 1033516570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033516570 |
| Entity Type | Individual |
| Full Name | LAUREN BENOLKIN |
| Credential | C.N.P. |
| Practice Address |
1601 Saint Francis Ave Ste 100 Shakopee MN 55379-3384 |
| Practice Telephone | 9524283535 |
| Mailing Telephone | 9524283535 |
| Enumeration Date | 2014-11-27 |
| Last Update Date | 2018-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 3553 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2014020750 | MN | 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 |
| 1023490174 | Bridget Nicole Holbrook | Physician Assistant | 1601 Saint Francis Ave Ste 100, Shakopee, MN 55379-3384 | 2015-06-25 |
| 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 | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234435 | Hawa Warsame Ali | Nurse Practitioner | 2650 Portland Ave, Minneapolis, MN 55407-1011 | 2020-10-27 |
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1811504038 | Rita Jane Giglio | Nurse Practitioner | 201 Stade Ln, Fairmont, MN 56031-3227 | 2020-09-30 |
| 1568077725 | Linda Mongare | Nurse Practitioner | 3659 Tower Pond Dr, Anoka, MN 55303-8302 | 2020-09-14 |
| 1366056806 | Associates In Mental Health and Addiction Services. P.l.l.c | Nurse Practitioner | 166 W 3rd St Ste 202, Winona, MN 55987-6591 | 2020-09-02 |
| 1891308813 | Chelsey Paulson | Nurse Practitioner | 228 Krays Mill Rd, Cold Spring, MN 56320-4563 | 2020-08-28 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1609488964 | Heather Mantsch | Nurse Practitioner | 1900 Silver Lake Rd Nw Ste 100, New Brighton, MN 55112-1786 | 2020-08-18 |
| 1326659210 | Monsurat Oluwa-okougbo | Nurse Practitioner | 1565 11th Ave, Newport, MN 55055-1650 | 2020-08-13 |
| 1629687124 | Justin Robert Wirth | Nurse Practitioner | 4801 Veterans Dr # 111, Saint Cloud, MN 56303-2015 | 2020-07-30 |
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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.