TIMOTHY DAVID KRUEGER (NPI# 1093076929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093076929 |
| Entity Type | Individual |
| Full Name | TIMOTHY DAVID KRUEGER |
| Credential | RN, CNP |
| Practice Address |
1101 Moulton and Parsons Dr Saint James MN 56081 |
| Mailing Address |
1101 Moulton and Parsons Dr Saint James MN 56081-5550 |
| Practice Telephone | 5073753261 |
| Mailing Telephone | 5073753261 |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2019-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 804 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | R1490130 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 1st St Sw, Rochester, MN 559050001 | 5072842511 | |
| 625 N Jackson Ave, Springfield, MN 560871714 | 5077236201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194780197 | Timothy J. Krueger | Anesthesiology | 600 Highland Ave, Madison, WI 53792-0001 | 2006-04-20 |
| Street Address |
1101 MOULTON AND PARSONS DR |
| City | SAINT JAMES |
| State | MN |
| Zip Code | 56081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003899535 | Cinda Lou Wallace | Nurse Practitioner | 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 | 2005-11-29 |
| 1356940555 | Mayo Clinic Health System-st James | Clinic/Center | 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 | 2020-10-20 |
| 1982225330 | Dayn Kenneth Besel | Physical Therapist | 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 | 2020-04-27 |
| 1154973329 | Paige Marie Gernes | Physician Assistant | 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 | 2019-07-09 |
| 1023478146 | Kyle Robert Elliott | Nurse Practitioner | 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 | 2016-03-02 |
| 1922406222 | Luis Santiago Escobar Acevedo | Physician Assistant | 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 | 2014-12-18 |
| 1386040475 | Vanda Jandl | Pharmacist | 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 | 2014-11-17 |
| 1154564011 | Mayo Clinic Health System-st James | Non-Pharmacy Dispensing Site | 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 | 2009-04-08 |
| 1881845683 | Yvonne Myrna Gratz | Nurse Practitioner | 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 | 2008-10-10 |
| 1487816872 | David Alan Steele | Nurse Practitioner | 1101 Moulton and Parsons Dr, Saint James, MN 56081 | 2008-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921250 | Marjorie Ploeger | Pharmacist | 1105 13th Ave South, Saint James, MN 56081 | 2020-01-13 |
| 1639634710 | Lewis Family Drug, LLC | Pharmacy | 1105 13th Ave S, Saint James, MN 56081 | 2019-02-04 |
| 1326219338 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 1110 Second St S, St James, MN 56081 | 2008-03-18 |
| 1679625628 | Drs Moulton & Parsons Md | Family Medicine | 502 2nd Ave S, St James, MN 56081 | 2007-01-18 |
| 1124132956 | Lindy C Eatwell | Family Medicine | 1101 Moulton and Parson Drive, St James, MN 56081-0460 | 2006-08-18 |
| 1568419638 | Joseph Henry Hamm | Family Medicine | 1101 Moulton and Parsons Drive, St James, MN 56081-0460 | 2006-05-27 |
| 1962441477 | Kara Elizabeth Anderson | Nurse Practitioner | 1101 Moulton and Parsons Drive, St James, MN 56081-0460 | 2006-06-06 |
| 1720448400 | Brigette Glienke | Community Health Worker | 717 1st St N, Saint James, MN 56081-1130 | 2016-02-24 |
| 1497879977 | David J Haler | Chiropractor | 700 1st St S, Saint James, MN 56081-1308 | 2007-03-19 |
| 1225037708 | Curtis Leon Leimer | Chiropractor | 800 Weston Ave, St James, MN 56081-1642 | 2005-07-18 |
| Find all providers in zip 56081 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023478146 | Kyle Robert Elliott | Nurse Practitioner | 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 | 2016-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803970 | Kelsey Olson | Nurse Practitioner | 2450 Riverside Ave Fl 9, Minneapolis, MN 55454-1450 | 2020-08-28 |
| 1043821622 | Byron Howard Herdman | Nurse Practitioner | 20671 State Highway 29, Henning, MN 56551-9521 | 2020-08-16 |
| 1568071058 | Miranda Bea Irene Charley | Nurse Practitioner | 510 Water St E, Cannon Falls, MN 55009-1643 | 2020-07-30 |
| 1861001059 | Angelsisters Home Healthcare Servies LLC | Nurse Practitioner | 10001 Butternut Cir N, Brooklyn Park, MN 55443-1864 | 2020-07-24 |
| 1720606544 | Kendra Marie Robida | Nurse Practitioner | 7245 Guider Dr Apt 317, Woodbury, MN 55125-5358 | 2020-07-08 |
| 1568089340 | Emily Abernethy | Nurse Practitioner | 1001 E Superior St Ste 401, Duluth, MN 55802-2229 | 2020-06-29 |
| 1487276556 | Kerriann Godwin | Nurse Practitioner | 842 102nd Ln Ne, Blaine, MN 55434-2642 | 2020-05-12 |
| 1699397851 | School of Health LLC | Nurse Practitioner | 30165 Terryll St, Lindstrom, MN 55045-9310 | 2020-05-11 |
| 1255953626 | Carla Renea Boudoir | Nurse Practitioner | 18342 Kerrville Trl, Lakeville, MN 55044-7310 | 2020-05-08 |
| 1639799745 | Elizabeth Carole Moe | Nurse Practitioner | 2151 Troop Dr, Sartell, MN 56377-4563 | 2020-04-17 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JAMES |
| Zip Code | 56081 |
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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.