MRS. KATHRYN MARIE DONOVAN (NPI# 1053304386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053304386 |
Entity Type | Individual |
Full Name | MRS. KATHRYN MARIE DONOVAN |
Credential | D.C. |
Practice Address |
4961 Rice Lake Rd Suite #103 Duluth MN 55803-8438 |
Practice Telephone | 2183919976 |
Mailing Telephone | 2183919976 |
Enumeration Date | 2005-08-23 |
Last Update Date | 2012-07-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 3224 | MN | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | FIRST HEALTH | 2157492 | 01 |
MN | BLUE CROSS BLUE SHIELD | 62G00DO | 01 |
MN | 558525200 | 05 | |
MN | CHIROCARE | 231905 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710507181 | Kathryn Marie Donovan | Occupational Therapist | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-04-25 |
1164059887 | Kathryn Rose Donovan | Student in an Organized Health Care Education/Training Program | 13540 Hull Street Rd, Midlothian, VA 23112-2107 | 2020-03-24 |
1518523661 | Kathryn Alyce Donovan | Behavior Technician | 64 Industrial Park Rd, Plymouth, MA 02360-4881 | 2019-05-14 |
1528432960 | Kathryn Donovan | Specialist | 8370 Northfield Blvd, Unit 1775, Denver, CO 80238-3132 | 2015-11-23 |
1568843571 | Kathryn Donovan | Social Worker | 555 Amory St, Jamaica Plain, MA 02130-2652 | 2015-06-16 |
1972781193 | Kathryn Donovan | Social Worker | 345 Fortune Blvd, Milford, MA 01757-1723 | 2008-02-11 |
Street Address |
4961 RICE LAKE RD SUITE #103 |
City | DULUTH |
State | MN |
Zip Code | 55803-8438 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407287303 | Jill Bianchet | Registered Nurse | 4961 Rice Lake Rd, #105, Duluth, MN 55803-8438 | 2013-12-03 |
1508296682 | Yvonne Myers | Registered Nurse | 4961 Rice Lake Rd, #105, Duluth, MN 55803-8438 | 2013-11-26 |
1639438773 | Jill Lutkevich | Registered Nurse | 4961 Rice Lake Rd, Suite 105, Duluth, MN 55803-8438 | 2012-05-10 |
1649539735 | Cheryl Joy Frost-anderson | Registered Nurse | 4961 Rice Lake Rd, 105, Duluth, MN 55803-8438 | 2012-05-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144872615 | Rosslyn Jean Kendrick | Health Educator | 1926 Lakeview Dr, Duluth, MN 55803 | 2019-07-15 |
1255757191 | Chandra Rose Shoberg | Physical Therapy Assistant | 131 West Wabasha Street, Duluth, MN 55803 | 2014-03-17 |
1053642652 | Kate Elizabeth Matson | Social Worker | 5095 Fish Lake Road, Duluth, MN 55803 | 2010-01-21 |
1972740025 | Danie-marie Osterlund | Marriage & Family Therapist | 4321 Allendale Ave., Duluth, MN 55803 | 2009-01-12 |
1205020419 | Marjorie Lynn Gilbertson | Registered Nurse | 167 Farley Lane, Duluth, MN 55803 | 2007-08-30 |
1497894646 | Jeffrey Keith Somrock | Dentist | 22 E Calvary Rd, Woodland Family Dental Clinic Pa, Duluth, MN 55803 | 2007-02-05 |
1407949167 | The Hills Youth and Family Services | Clinic/Center | 4321 Allendale Avenue, Duluth, MN 55803 | 2006-10-02 |
1942567086 | Carl Peter Rasmussen | Family Medicine | 1400 Woodland Ave, Duluth, MN 55803 | 2012-04-13 |
1285011692 | Chandra J Fischer | Midwife | 3548 W Tischer Rd, Duluth, MN 55803-1124 | 2015-05-05 |
1518143999 | Claudia Virginia Weber | Psychologist | 4298 Charles Rd, Duluth, MN 55803-1270 | 2008-01-15 |
Find all providers in zip 55803 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164034591 | Chantelle Frazier | Chiropractor | 2131 Pleasant Hill Rd Ste 122, Duluth, GA 30096-4657 | 2020-08-18 |
1396371571 | Northern Lakes Chiropractic LLC | Chiropractor | 2340 Mountain Shadow Dr, Duluth, MN 55811-3809 | 2020-03-19 |
1578113973 | Chester Creek Chiropractic | Chiropractor | 1324 E 4th St Ste A, Duluth, MN 55805-2335 | 2019-09-17 |
1467007997 | Pleasant Hill Chiropractic | Chiropractor | 4390 Pleasant Hill Rd Ste G, Duluth, GA 30096-8054 | 2019-08-01 |
1851951024 | Marian Denisse Ortiz Rodriguez | Chiropractor | 3775 Venture Dr Bldg F, Duluth, GA 30096-5102 | 2019-06-19 |
1396234613 | Sangsoo Lee | Chiropractor | 2148 Duluth Highway 120 Ste 110, Duluth, GA 30097-4504 | 2018-05-02 |
1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
1942708235 | Kyle Severson | Chiropractor | 224 E Central Entrance Ste C, Duluth, MN 55811-5518 | 2018-02-01 |
1669987228 | Frances Hearn | Chiropractor | 2719 Irene Cir, Duluth, GA 30096-4149 | 2017-12-05 |
1467966911 | Corey Steven Milbrandt | Chiropractor | 925 E Superior St Ste 112, Duluth, MN 55802-2253 | 2017-11-20 |
Find all providers in DULUTH |
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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.