JULIE ANNE REZAC (NPI# 1063922516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063922516 |
| Entity Type | Individual |
| Full Name | JULIE ANNE REZAC |
| Credential | PA-C |
| Practice Address |
14655 Galaxie Ave Apple Valley MN 55124-8602 |
| Mailing Address |
17111 Round Lake Rd Eden Prairie MN 55346-4352 |
| Practice Telephone | 9524324141 |
| Mailing Telephone | 9526491485 |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2019-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
12476 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14655 GALAXIE AVE |
| City | APPLE VALLEY |
| State | MN |
| Zip Code | 55124-8602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940042 | Imr of Mn., LLC | Clinic/Center | 14655 Galaxie Ave, Ste 160, Apple Valley, MN 55124-8575 | 2005-05-26 |
| 1760097976 | Allina Health System | Clinic/Center | 14655 Galaxie Ave, Apple Valley, MN 55124-8602 | 2020-09-14 |
| 1467087064 | Devon Simone Ellena | Nurse Practitioner | 14655 Galaxie Ave, Apple Valley, MN 55124-8602 | 2020-03-04 |
| 1437781333 | Nathaniel Vanloon | Physician Assistant | 14655 Galaxie Ave, Apple Valley, MN 55124-8602 | 2020-02-08 |
| 1790315273 | Sarah Barnes | Physician Assistant | 14655 Galaxie Ave, Apple Valley, MN 55124-8602 | 2020-01-23 |
| 1700427499 | Allina Health System | Emergency Medicine | 14655 Galaxie Ave, Apple Valley, MN 55124-8602 | 2019-10-03 |
| 1336620210 | Nicole Marie Lapage | Physician Assistant | 14655 Galaxie Ave, Apple Valley, MN 55124-8597 | 2018-08-28 |
| 1902390214 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 14655 Galaxie Ave, Apple Valley, MN 55124-8602 | 2018-06-20 |
| 1528507886 | Tammy Denise Johnston | Nurse Practitioner | 14655 Galaxie Ave, Apple Valley, MN 55124-8575 | 2017-02-20 |
| 1487107975 | Rachel Hansohn | Physician Assistant | 14655 Galaxie Ave, Apple Valley, MN 55124-8575 | 2016-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
| 1629612569 | Gadaa Care Transportation | Non-emergency Medical Transport (VAN) | 7296 157th St W, Apple Valley, MN 55124 | 2019-11-04 |
| 1356831515 | Dustin W Seabolt | Hearing Instrument Specialist | 15071 Dunwood Trl, Apple Valley, MN 55124 | 2018-05-14 |
| 1639687189 | Dentalign P.a. | Clinic/Center | 15875 Emperor Avenue, Apple Valley, MN 55124 | 2018-01-18 |
| 1982126926 | Apex Family Chiropractic LLC | Chiropractor | 15678 Pilot Knob Road, Suite 120, Apple Valley, MN 55124 | 2017-07-12 |
| 1821523028 | Robin Marie Parker | Nurse Practitioner | 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 | 2017-04-25 |
| 1134578826 | Ellen Denise Jacobson | Dentist | 14682 Pennock Avenue South, Apple Valley, MN 55124 | 2016-06-03 |
| 1831568708 | Clearriver Inc. | Home Health | 13790 Elkhart Rd, Apple Valley, MN 55124 | 2015-09-21 |
| 1265826879 | Next Level Fitness Co | Public Health or Welfare | 14645 Felton Ct, 104, Apple Valley, MN 55124 | 2015-03-20 |
| 1568872216 | Jon Butala | Marriage & Family Therapist | 4300 W 147th St., Suite 204, Apple Valley, MN 55124 | 2014-05-04 |
| Find all providers in zip 55124 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194120204 | Nathan C Clapper | Physician Assistant | 3580 Arcade St Ste 100, Vadnais Heights, MN 55127-7135 | 2014-10-31 |
| 1003180555 | Elizabeth K Saterenzoller | Physician Assistant | 1015 Marsh Street, Mankato, MN 56002-8673 | 2012-03-01 |
| 1477824472 | Andrea Jo Pitzl | Physician Assistant | 3208 36th Ave Ne, St Anthony, MN 55418-1713 | 2012-01-23 |
| 1447560693 | Jeanine Marie Edstrom | Physician Assistant | 1185 Town Centre Dr Ste 200, Eagan, MN 55123-1343 | 2010-10-20 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1194042390 | Gerald Frederick Anderson | Physician Assistant | 4060 Haines Rd, #104, Duluth, MN 55811-1746 | 2010-04-27 |
| 1558683904 | Oswaldo Serge | Physician Assistant | 4036 3rd St Nw, Rochester, MN 55901-7564 | 2010-02-25 |
| 1417288945 | Amanda Kay Johnson | Physician Assistant | 201 W Center St Ei-01 Surgical Assistant, Rochester, MN 55902-3003 | 2010-01-22 |
| 1790922755 | Jenelle Cecilia Rock | Physician Assistant | 1950 Northwestern Ave S, Suite 102, Stillwater, MN 55082-7590 | 2009-01-13 |
| 1174775514 | Nathan J Nistler | Physician Assistant | 3580 Arcade Stq, Vadnais Heights, MN 55127-7135 | 2008-10-16 |
| Find all providers with the same taxonomy | ||||
| City | APPLE VALLEY |
| Zip Code | 55124 |
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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.