SONJA THEOBALD (NPI# 1073129300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073129300 |
| Entity Type | Individual |
| Full Name | SONJA THEOBALD |
| Practice Address |
145 2nd Ave Se Cambridge MN 55008-1602 |
| Practice Telephone | 3204964663 |
| Practice Fax Number | 8664351128 |
| Mailing Telephone | 3204964663 |
| Mailing Fax Number | 8664351128 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
7748 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
145 2ND AVE SE |
| City | CAMBRIDGE |
| State | MN |
| Zip Code | 55008-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568594497 | Beth Ann Good | Clinical Nurse Specialist | 145 2nd Ave Se, Cambridge, MN 55008 | 2007-03-09 |
| 1205319464 | Dr. Beth A. Good Dnp, Aprn, Pmhcns-bc, LLC | Clinic/Center | 145 2nd Ave Se, Cambridge, MN 55008-1602 | 2018-09-12 |
| 1952618563 | Bethann Marie Frazier | Registered Nurse | 145 2nd Ave Se, Cambridge, MN 55008 | 2010-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912475716 | B's Adult Day Center Inc | Clinic/Center | 626 Main Street North, Cambridge, MN 55008 | 2018-11-09 |
| 1538607494 | Katy Karas | Counselor | 3171 309 Ave Nw, Cambridge, MN 55008 | 2017-02-10 |
| 1295273944 | Amy Roell | Occupational Therapist | 701 S Dellwood Street, Mail Route 71000, Cambridge, MN 55008 | 2017-02-02 |
| 1689957888 | Minnesota Sedation Dental | Clinic/Center | 1596 2nd Ave Ne, Suite B, Cambridge, MN 55008 | 2011-09-23 |
| 1235424870 | Melanie Andree Furtney Christofferson | Obstetrics & Gynecology | 701 S. Dellwood St., Cambridge, MN 55008 | 2011-06-11 |
| 1962712638 | Joy Marie Morlock | Counselor | 32393 Rendova Circle Ne, Cambridge, MN 55008 | 2010-10-15 |
| 1386966166 | Stacie Mix | Massage Therapist | 807 Main St North, Cambridge, MN 55008 | 2010-02-22 |
| 1538491261 | Kristin Peltz | Massage Therapist | 807 Main St N, Cambridge, MN 55008 | 2010-02-05 |
| 1831324979 | Michelle Lynn Preuss Varsoke | Dietitian, Registered | 701 S Dellwood St, Cambridge, MN 55008 | 2009-05-19 |
| 1659590024 | Jennifer Ellen Norberg | Physical Therapist | 701 South Dellwood Street, Cambridge, MN 55008 | 2007-04-24 |
| Find all providers in zip 55008 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543612 | Elizabeth Tadie | Nurse Practitioner | 8 Allen St Apt 2, Cambridge, MA 02140-1360 | 2019-11-18 |
| 1528054806 | Andrea D Markwalter | Nurse Practitioner | 828 Airpax Rd, Suite 300b, Cambridge, MD 21613-6405 | 2005-09-22 |
| 1851905491 | Alexa L Burley | Nurse Practitioner | 300 Byrn St, Cambridge, MD 21613-1908 | 2020-09-01 |
| 1710536834 | Alida Bushe | Nurse Practitioner | 813 Chesapeake Dr Ste 1, Cambridge, MD 21613-9405 | 2019-09-11 |
| 1093360877 | Michelle Kay Schultz | Nurse Practitioner | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-08-07 |
| 1184284366 | Abigail Irene Christensen | Nurse Practitioner | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-06-19 |
| 1417436692 | Katrina Pauline Karbowniczak | Nurse Practitioner | 3 Bow St, Cambridge, MA 02138-5109 | 2018-08-09 |
| 1447743406 | Jennifer L Duppert | Nurse Practitioner | 3 Bow St, Cambridge, MA 02138-5109 | 2018-06-13 |
| 1548785017 | Leslie Fox | Nurse Practitioner | 300 Byrn St, Cambridge, MD 21613-1908 | 2017-08-07 |
| 1689127631 | Rebecca Richardson Mccloskey | Nurse Practitioner | 5 Sacramento St, Cambridge, MA 02138-1812 | 2016-07-26 |
| Find all providers in CAMBRIDGE | ||||
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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.