MS. MICHELLE MADELINE LAVELLE-HENRY (NPI# 1063490134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063490134 |
Entity Type | Individual |
Full Name | MS. MICHELLE MADELINE LAVELLE-HENRY |
Other Name | MS. MICHELLE HENRY |
Credential | N.P. |
Practice Address |
6521 Mccauley Edina MN 55439-1028 |
Practice Telephone | 9529427569 |
Practice Fax Number | 6122739945 |
Mailing Telephone | 9529427569 |
Mailing Fax Number | 6122739945 |
Enumeration Date | 2006-01-09 |
Last Update Date | 2012-07-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R953047 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
6521 MCCAULEY |
City | EDINA |
State | MN |
Zip Code | 55439-1028 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
1316421050 | Global Kinetics Usa Corporation | Physiological Laboratory | 5810 West 78th Street, Suite 210, Bloomington, MN 55439 | 2018-09-19 |
1003361601 | Zainab Ismail Hassan | Community Health Worker | 5400 W. 70th St # 207, Edina, MN 55439 | 2016-08-24 |
1861852287 | Global Linguistics Inc | Interpreter | 5535 Oak Glen Rd, Edina, MN 55439 | 2016-02-26 |
1063889616 | Lindsey Mackereth | Counselor | 7117 Ohms Ln, Edina, MN 55439 | 2015-08-31 |
1851706105 | Holly Beth Gaudreau | Specialist/Technologist | 8100 W 78th St., Suite 225, Edina, MN 55439 | 2014-06-25 |
1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
Find all providers in zip 55439 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932569035 | David Makonde Ogato | Nurse Practitioner | 5325 W 74th St, Edina, MN 55439-2231 | 2016-03-02 |
1710308234 | Heidi Ekman | Nurse Practitioner | 6405 France Ave S Ste W340, Edina, MN 55435-2195 | 2013-12-31 |
1740269927 | Debra Kay Mike | Nurse Practitioner | 3400 W 66th Street, Suite 290, Edina, MN 55435 | 2006-01-16 |
1255881967 | Dawn Hostenske Tope | Nurse Practitioner | 6545 France Ave S, Suite 564, Edina, MN 55435-2131 | 2016-10-05 |
1477973733 | Kelli F Daly | Nurse Practitioner | 6545 France Ave S, Suite 210, Edina, MN 55435-2131 | 2014-04-24 |
1225466840 | Sally Kangas | Nurse Practitioner | 7235 Ohms Ln, Edina, MN 55439 | 2013-10-16 |
1912348657 | Rachael Sara Berube | Nurse Practitioner | 7500 France Ave S, Edina, MN 55435-3400 | 2013-07-10 |
1043554652 | Angela Susan Johnson | Nurse Practitioner | 6363 France Ave S, Suite 400, Edina, MN 55435-2129 | 2012-11-20 |
1225398472 | Beth Ann Kempf | Nurse Practitioner | 3400 W 66th St Ste 290, Edina, MN 55435-2133 | 2012-05-22 |
1992078299 | House Calls Consultants Pa | Nurse Practitioner | 6550 York Ave S Ste 303, Edina, MN 55435-2334 | 2012-02-16 |
Find all providers in EDINA |
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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.