DR. KORENA MARIE KATHERINE KEMERLING-THEOBALD


Address: 2450 Riverside Ave, Minneapolis, MN 55454-1450
Phone: 6123656777

DR. KORENA MARIE KATHERINE KEMERLING-THEOBALD (NPI# 1063069284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063069284
Entity Type Individual
Full Name DR. KORENA MARIE KATHERINE KEMERLING-THEOBALD
Credential NNP-BC
Practice Address 2450 Riverside Ave
Minneapolis
MN 55454-1450
Mailing Address E9674 County Road Ss
Viroqua
WI 54665-7155
Practice Telephone 6123656777
Mailing Telephone 6083868463
Enumeration Date 2019-08-22
Last Update Date 2019-09-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0005X Nurse Practitioner
Specialization: Neonatal, Critical Care 		6956 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2450 RIVERSIDE AVE
City MINNEAPOLIS
State MN
Zip Code 55454-1450

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568462570 Sreejaya Veluvali Psychiatry & Neurology 2450 Riverside Ave, Minneapolis, MN 55454-1450 2005-08-01
1588265375 Fairview Health Services General Acute Care Hospital 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-11-06
1215535927 Katrina Joelle Christian Student in an Organized Health Care Education/Training Program 2450 Riverside Ave, Department of Pediatrics, 6 East Building, Minneapolis, MN 55454-5510 2020-10-14
1023616208 Jodi Renee Nelson Psychologist 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-10-11
1912504150 Pamela Norling Counselor 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-10-01
1225635345 Trevor Ryan Goldsmith Nurse Anesthetist, Certified Registered 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-10-01
1215534342 Michelle L White Marriage & Family Therapist 2450 Riverside Ave, Attn: Adult Cd Lodging Plus, Minneapolis, MN 55454-1450 2020-10-01
1295341048 Tobias Zander Donlon Student in an Organized Health Care Education/Training Program 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-09-17
1417562497 Megan Farr Dietitian, Registered 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-09-15
1871101238 Fairview Express Care General Practice 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-07-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194341842 Bruce Zhang Student in an Organized Health Care Education/Training Program 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 2020-06-18
1205456738 Sara Segner Student in an Organized Health Care Education/Training Program Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 2020-04-24
1417576844 Sabena Khan Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 2020-04-15
1811525983 Kayla Joy Solstad Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 2020-04-01
1720647126 Lauren Harasymiw Student in an Organized Health Care Education/Training Program Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 2019-06-10
1689237448 Katelyn Marie Adams Student in an Organized Health Care Education/Training Program Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 2019-04-17
1285197848 Adrienne Bruder Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 2019-04-10
1588142855 Stewart Graeme Morrison Student in an Organized Health Care Education/Training Program Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 2018-07-30
1831682251 Sherab Tsheringla Student in an Organized Health Care Education/Training Program 2450 Riverside Avenue South, Minneapolis, MN 55454 2018-06-11
1669962148 Pooja Elizabeth Mishra Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 2018-05-10
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Taxonomy Information

Taxonomy Code 363LN0005X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal, Critical Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356502124 Nannette Marie Albright Nurse Practitioner Children's Minnesota, 2525 Chicago Avenue South, Minneapolis, MN 55404 2008-06-24
1255930202 Gershom Aaron Tam Nurse Practitioner 2525 Chicago Ave, Minneapolis, MN 55404-4518 2020-10-21
1184244139 Ahnalieza Marie Brill Nurse Practitioner 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-04-20
1972078632 Kallie Renee Graham Nurse Practitioner 701 Park Ave, Minneapolis, MN 55415-1623 2018-10-09
1538641592 Melissa Luanne Masselink Nurse Practitioner 2450 Riverside Ave, Minneapolis, MN 55454-1450 2018-09-05
1003354853 Maria A Andrews Nurse Practitioner 2525 Chicago Avenue South, Minneapolis, MN 55404-4518 2017-02-01
1407309214 Erin Gorham Nurse Practitioner 2450 Riverside Ave, Minneapolis, MN 55454-1450 2016-07-27
1922455591 Jessica Ann Perry Nurse Practitioner 2450 Riverside Ave, Minneapolis, MN 55454-1450 2016-05-24
1720432768 Kaylee Michael Adams Nurse Practitioner 2450 Riverside Ave, Minneapolis, MN 55454-1450 2016-04-15
1306219217 Lauren Guerrero Nurse Practitioner 2450 Riverside Ave, Minneapolis, MN 55454-1450 2015-11-02
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Competitor

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City MINNEAPOLIS
Zip Code 55454

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Dataset Information

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.

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