MRS. BRIEANNE KELSEY BORNTRAGER (NPI# 1073872503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073872503 |
| Entity Type | Individual |
| Full Name | MRS. BRIEANNE KELSEY BORNTRAGER |
| Credential | ADT |
| Practice Address |
13899 Hwy 13 S Frnt Rd Savage MN 55378-2135 |
| Practice Telephone | 7632180597 |
| Mailing Telephone | 7632180597 |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2016-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 125K00000X | Advanced Practice Dental Therapist | DT15 | MN | Dental Providers |
| Street Address |
13899 HWY 13 S FRNT RD |
| City | SAVAGE |
| State | MN |
| Zip Code | 55378-2135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184010704 | Karen Bohnen | Dental Therapist | 13899 Hwy 13 S Frnt Rd, Savage, MN 55378-2135 | 2015-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083271662 | Nlm Investment Group LLC | Home Health | 7460 South Park Drive, Savage, MN 55378 | 2019-05-20 |
| 1558835942 | Jennifer Iacobelli | Dental Therapist | 13899 Highway 13 South Frontage Road, Savage, MN 55378 | 2019-01-18 |
| 1992288781 | Katie Ask | Dental Therapist | 13889 Highway 13 S, Frontage Rd, Savage, MN 55378 | 2018-09-08 |
| 1619456084 | Abdifatah Yusuf Warsame | Driver | 14023 Virginia Ave, Savage, MN 55378 | 2018-08-07 |
| 1023502580 | Cathleen J. Gempeler | Music Therapist | 4011 West Highway 13, This Address Is My Music Therapy Center, Savage, MN 55378 | 2018-06-19 |
| 1750870515 | Jamie C. Lang | Registered Nurse | 14362 Utica Ave., Savage, MN 55378 | 2018-05-08 |
| 1932643756 | Touching Lives Communities, LLC | Assisted Living Facility | 14280 Allen Drive, Savage, MN 55378 | 2016-12-13 |
| 1194267344 | Dentists of Savage, PC | Dentist | 14012 Hwy 13, Savage, MN 55378 | 2016-11-04 |
| 1518350719 | Corey Thompson | Counselor | 7675 Mn Hwy 13, Savage, MN 55378 | 2015-03-12 |
| 1679963235 | Melissa Jaeger | Dietitian, Registered | 6150 Egan Drive, Savage, MN 55378 | 2015-02-03 |
| Find all providers in zip 55378 | ||||
| Taxonomy Code | 125K00000X |
| Grouping | Dental Providers |
| Classification | Advanced Practice Dental Therapist |
| An Advanced Practice Dental Therapist is: (1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or (2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum. The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations. |
| Notes: Source: Summarized from Minnesota Statute 150A.106. [7/1/2012: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578117438 | Christina Marie Hubred | Advanced Practice Dental Therapist | Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 | 2019-07-30 |
| 1144733130 | Lydia J Diekmann | Advanced Practice Dental Therapist | 2711 Broadway Ave Ste A00, Slayton, MN 56172-1313 | 2017-11-13 |
| 1023541695 | Carley Banks | Advanced Practice Dental Therapist | 1575 20th St Nw, Faribault, MN 55021 | 2017-04-10 |
| 1033642947 | Lauren Johnson | Advanced Practice Dental Therapist | 1575 20th St Nw, Suite 102, Faribault, MN 55021-2930 | 2017-04-07 |
| 1063953032 | Ashley Hueman | Advanced Practice Dental Therapist | 973 Skyline Dr Sw, Rochester, MN 55902-1220 | 2017-03-10 |
| 1124483656 | Tanu Dhoopar | Advanced Practice Dental Therapist | 3152 Minnehaha Ave, Minneapolis, MN 55406-1934 | 2015-12-29 |
| 1548631187 | Kaitlin Siewert | Advanced Practice Dental Therapist | 520 Main Street, Hawley, MN 56549 | 2015-10-08 |
Please comment or provide details below to improve the information on MRS. BRIEANNE KELSEY BORNTRAGER.
| 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.