VICTORIA L FENSTERMACHER (NPI# 1114074150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114074150 |
| Entity Type | Individual |
| Full Name | VICTORIA L FENSTERMACHER |
| Credential | CFNP |
| Practice Address |
12800 Rolling Ridge Centracare Clinic Becker Becker MN 55308 |
| Practice Telephone | 7632617000 |
| Mailing Telephone | 7632617000 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2008-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R1395617 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0382048 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12800 ROLLING RIDGE CENTRACARE CLINIC BECKER |
| City | BECKER |
| State | MN |
| Zip Code | 55308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336120971 | Becky Jo Mueller | Family Medicine | 12800 Rolling Ridge, Centracare Clinic - Becker Family Medicine, Becker, MN 55308-8838 | 2005-11-10 |
| 1710048590 | Centracare Clinic Becker | Durable Medical Equipment & Medical Supplies | 12800 Rolling Ridge, Centracare Clinic Becker, Becker, MN 55308 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548523525 | Allison Erica Reid | Behavioral Analyst | 14385 Tyler Avenue, Becker, MN 55308 | 2012-06-24 |
| 1174737084 | Stephanie L Gruenes | Dentist | 13734 First Street, Becker, MN 55308 | 2007-05-09 |
| 1235252693 | Shepherd of Grace, LLC | Assisted Living Facility | 11175 27th Ave Se, Becker, MN 55308 | 2007-04-09 |
| 1386701407 | Sharon Ann Kuhlmann | Marriage & Family Therapist | 14068 Bank St, Box 114, Becker, MN 55308 | 2007-01-02 |
| 1366509317 | Got County of Sherburne Independent School District 726 | Local Education Agency (LEA) | 12000 Hancock St, Becker, MN 55308 | 2007-01-02 |
| 1053420315 | John Patrick Brennan | Chiropractor | 13754 1st Street Se, Suite #1, Becker, MN 55308 | 2006-08-30 |
| 1982064440 | Becker Spine Pa | Chiropractor | 13952 First Street, Becker, MN 55308 | 2016-02-26 |
| 1518171081 | Dr. Stephanie Gruenes Center for Cosmetic Dentistry Pa | Dentist | 13734 First Street, Becker, MN 55308 | 2007-05-10 |
| 1194800946 | Timothy Paul Clark | Dentist | 12392 Pleasant Ave., Becker, MN 55308-0098 | 2006-10-26 |
| 1881689974 | Central Minnesota Anesthesia Providers, Pa | Nurse Anesthetist, Certified Registered | 14054 Bank St, Box 100, Becker, MN 55308-0100 | 2005-09-14 |
| Find all providers in zip 55308 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033632062 | Danielle M Cohen | Nurse Practitioner | 12800 Rolling Ridge Rd, Becker, MN 55308-8838 | 2017-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466368 | Amalia Jo Folland Harvey | Nurse Practitioner | 19883 Evensong Ct, Farmington, MN 55024-8688 | 2020-10-29 |
| 1710586235 | Jackelyn Laura Peterson | Nurse Practitioner | 10101 Bren Rd E Unit 345, Minnetonka, MN 55343-0060 | 2020-10-26 |
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1861091704 | Morgan Rohl | Nurse Practitioner | 117 12th Ave Nw Apt 2, Rochester, MN 55901-2787 | 2020-10-21 |
| 1063010304 | Kalie R Mccauley | Nurse Practitioner | 11452 Brook Rd Nw, Elk River, MN 55330-8739 | 2020-10-09 |
| 1659978930 | Sarah Jean Mudge | Nurse Practitioner | 350 Harbor Dr, Duluth, MN 55802-2600 | 2020-10-08 |
| 1285231621 | Karlu Dorleh | Nurse Practitioner | 14151 Territorial Rd Unit 212, Maple Grove, MN 55369-5725 | 2020-10-08 |
| 1447857669 | Kimberly Dawn Bursch-tewalt | Nurse Practitioner | 11884 237th Ave Nw, Elk River, MN 55330-8255 | 2020-10-01 |
| 1639786312 | Peter Wahl | Nurse Practitioner | 4652 Lyndale Ave S, Minneapolis, MN 55419-5302 | 2020-09-28 |
| 1568078616 | Joanna Kay Rehm | Nurse Practitioner | 3025 Eagandale Pl Apt 338, Eagan, MN 55121-1236 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
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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.