ADDIE NOEL KETELSEN (NPI# 1043519499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043519499 |
| Entity Type | Individual |
| Full Name | ADDIE NOEL KETELSEN |
| Credential | ARNP |
| Practice Address |
7231 Sunwood Dr Nw Anoka MN 55303-5190 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 7632360000 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2014-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A-113254 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7231 SUNWOOD DR NW |
| City | ANOKA |
| State | MN |
| Zip Code | 55303-5190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1568083111 | Suite Living Senior Care of Ramsey | Assisted Living Facility | 7007 139th Lane Nw, Ramsey, MN 55303 | 2020-05-05 |
| 1154942258 | Naomi Nystrom | Clinical Neuropsychologist | Psychology-building A, 3301 7th Ave. N, Anoka, MN 55303 | 2020-04-29 |
| 1104452135 | Vnv Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 15200 Helium Street Nw, Ramsey, MN 55303 | 2020-03-22 |
| 1043851165 | Mary Rahn | Technician | 20650 Poppy St. Nw, Oak Grove, MN 55303 | 2019-09-30 |
| 1417509100 | Deka Ahmed Abdulle | Advanced Practice Midwife | 601 Jacob Lane, Mail Stop 39300a, Anoka, MN 55303 | 2019-07-12 |
| 1952818981 | Golden Hearts Home Care Services | Home Health | 609 Parkview Ct, Anoka, MN 55303 | 2017-12-29 |
| 1144740143 | Margret Kallstrom | Occupational Therapist | 929 Adams St., Anoka, MN 55303 | 2017-06-21 |
| 1376095471 | Sabra Ramsey Trs, LLC | Assisted Living Facility | 14401 Nowthen Blvd Nw, Ramsey, MN 55303 | 2016-10-25 |
| 1356794135 | Katlyn Marie Bass | Chiropractor | 1902 5th Ave S Suite 5, Anoka, MN 55303 | 2016-07-18 |
| Find all providers in zip 55303 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184059677 | Erin R Wilkinson | Nurse Practitioner | 2100 3rd Ave Ste W121, Anoka, MN 55303-2235 | 2013-09-04 |
| 1306498597 | Libbie Nyarangi | Nurse Practitioner | 601 Jacob Ln, Anoka, MN 55303-1776 | 2019-07-09 |
| 1023509882 | Jessica Kenser | Nurse Practitioner | 601 Jacob Ln, Anoka, MN 55303 | 2018-05-28 |
| 1407365745 | Christina Fjeld | Nurse Practitioner | 657 E Main St, Anoka, MN 55303-2528 | 2017-09-28 |
| 1932623592 | Maureen Elizabeth Sletten | Nurse Practitioner | 325 E Main St, Anoka, MN 55303-2401 | 2017-07-26 |
| 1801240205 | Ernestine Mambo | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2016-04-21 |
| 1932575305 | Peg Fitzgerald Hintz | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2015-08-19 |
| 1164602363 | Miriam Ingutia | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2007-11-06 |
| 1235319427 | Joey Vork | Nurse Practitioner | 657 E Main St, Anoka, MN 55303-2528 | 2007-11-06 |
| 1518043561 | Melinda K Monigold | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2006-10-31 |
| Find all providers in ANOKA | ||||
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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.