MELISSA JO DAHLSTROM (NPI# 1093322273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093322273 |
| Entity Type | Individual |
| Full Name | MELISSA JO DAHLSTROM |
| Practice Address |
185 Hidden Vly Minnesota City MN 55959-1231 |
| Practice Telephone | 5074298902 |
| Mailing Telephone | 5074298902 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | R768175844521 | MN | Other Service Providers |
| Street Address |
185 HIDDEN VLY |
| City | MINNESOTA CITY |
| State | MN |
| Zip Code | 55959-1231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437518925 | Cindy Peterson M.a. Lmft Plcc Client Centered Counciling | Case Management | 72 Judy Ln, Minnesota City, MN 55959-1125 | 2016-02-12 |
| 1598828865 | Sharon K Nako | Foster Care Agency | 197 Maurl Dr, Minnesota City, MN 55959-1131 | 2006-12-18 |
| 1710240163 | Cindy Carol Peterson | Marriage & Family Therapist | 72 Judy Lane, Minnesota City, MN 55959-9998 | 2012-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437518925 | Cindy Peterson M.a. Lmft Plcc Client Centered Counciling | Case Management | 72 Judy Ln, Minnesota City, MN 55959-1125 | 2016-02-12 |
| 1710240163 | Cindy Carol Peterson | Marriage & Family Therapist | 72 Judy Lane, Minnesota City, MN 55959-9998 | 2012-06-20 |
| 1598828865 | Sharon K Nako | Foster Care Agency | 197 Maurl Dr, Minnesota City, MN 55959-1131 | 2006-12-18 |
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346866100 | Oral M Sledge | Driver | 4261 Penn Ave N, Minneapolis, MN 55412-1537 | 2020-06-17 |
| 1790318186 | Grace Edith Line | Driver | 2934 168th Ln Nw, Andover, MN 55304-1928 | 2020-02-13 |
| 1548813447 | Camille Krashawn Eubanks | Driver | 6444 84thcourt, Brooklyn Park, MN 55445 | 2019-07-19 |
| 1174180640 | Kathryn L Pederson | Driver | 22329 141st St Ne, Hawick, MN 56273-7705 | 2019-05-21 |
| 1336606912 | Oluseye Akeem Adenusi | Driver | 6609 Hillsboro Ave N, Brooklyn Park, MN 55428-1862 | 2019-03-01 |
| 1710444146 | Abdi Fatah | Driver | 2509 Pillsbury Ave S Apt 208, Minneapolis, MN 55404-4206 | 2019-02-21 |
| 1932665403 | Mark Shea | Driver | 17242 Horizon Trl Se, Prior Lake, MN 55372-3939 | 2019-02-20 |
| 1861975765 | Kenyi Okucu | Driver | 1490 148th Ave Nw, Andover, MN 55304-3459 | 2018-09-07 |
| 1013498872 | Nebiyu Jamal Fanta | Driver | 478 University Ave W, Saint Paul, MN 55103-1935 | 2018-08-28 |
| 1619456084 | Abdifatah Yusuf Warsame | Driver | 14023 Virginia Ave, Savage, MN 55378 | 2018-08-07 |
| Find all providers with the same taxonomy | ||||
| City | MINNESOTA CITY |
| Zip Code | 55959 |
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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.