KATHI MARGARET HENRICKSON (NPI# 1124050059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124050059 |
| Entity Type | Individual |
| Full Name | KATHI MARGARET HENRICKSON |
| Practice Address |
2501 Keenan Dr Essentia Health International Falls Clinic International Falls MN 56649-2181 |
| Practice Telephone | 2182834481 |
| Mailing Telephone | 2182834481 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2016-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R-084037-0 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
CNP 2672 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R-084037-0 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41198600 | 05 | |
| MN | 559177500 | 05 |
| Street Address |
2501 KEENAN DR ESSENTIA HEALTH INTERNATIONAL FALLS CLINIC |
| City | INTERNATIONAL FALLS |
| State | MN |
| Zip Code | 56649-2181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386682045 | Essentia Health Virginia, LLC | Clinic/Center | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2006-06-03 |
| 1881144970 | Essentia Health Virginia, LLC | Clinic/Center | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2016-10-12 |
| 1689053704 | Jacelyn Paige Davidson | Family Medicine | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2015-05-21 |
| 1477967685 | Elizabeth Lessard | Nurse Practitioner | 2501 Keenan Dr, Essentia Health International Falls, International Falls, MN 56649-2181 | 2014-06-16 |
| 1336584218 | Emily Michelle Nicholson | Physician Assistant | 2501 Keenan Dr, Rainy Lake Medical Center, International Falls, MN 56649-2181 | 2013-05-06 |
| 1063705689 | Darci Leigh Pelland | Nurse Practitioner | 2501 Keenan Dr, Rainy Lake Medical Center Clinic, International Falls, MN 56649-2181 | 2011-05-17 |
| 1881821619 | Tim Allen Smith | Psychiatry & Neurology | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2009-06-19 |
| 1932365640 | Tara B Tomczak | Pharmacist | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2008-08-01 |
| 1245393719 | Elizabeth Kathleen Marchuk | Family Medicine | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2006-12-18 |
| 1992865935 | Alan Marc Gorden | Family Medicine | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2006-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811518137 | Falls Medical Group, Pllc | General Practice | 1580 Highway 11-71, International Falls, MN 56649 | 2020-04-27 |
| 1275987851 | Shannon Hoshaw | Pharmacist | 1606 Highway 11-71, International Falls, MN 56649 | 2016-04-20 |
| 1033521729 | Thomas Lofgren | Pharmacist | 1606 Hwy 1171, International Falls, MN 56649 | 2014-05-29 |
| 1871920041 | Lisa Michelle Blanchard | Pharmacist | 1606 Hwy 11-71, International Falls, MN 56649 | 2013-10-03 |
| 1538422894 | Eric Koperda | Family Medicine | 1801 2nd Ave W, Suite 435, International Falls, MN 56649 | 2012-06-21 |
| 1366752925 | Doreen Evonne Swendsen | Nurse Practitioner | 205 Third St, International Falls, MN 56649 | 2010-10-18 |
| 1639315096 | Jon M. Talsness | Preventive Medicine | 400 2nd St., Boise, Inc., International Falls, MN 56649 | 2009-01-06 |
| 1316034267 | Dean Christopher Cowman | Chiropractor | 501 3rd Street, Suite 100, International Falls, MN 56649 | 2006-10-10 |
| 1679668933 | Falls Advanced Chiropractic Center | Chiropractor | 1322 Third Street, Suite 4, International Falls, MN 56649 | 2006-10-04 |
| 1154356657 | E L Anderson City Drug Store | Pharmacy | 314 3rd St, International Falls, MN 56649 | 2006-07-12 |
| Find all providers in zip 56649 | ||||
| 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 |
|---|---|---|---|---|
| 1285234435 | Hawa Warsame Ali | Nurse Practitioner | 2650 Portland Ave, Minneapolis, MN 55407-1011 | 2020-10-27 |
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1811504038 | Rita Jane Giglio | Nurse Practitioner | 201 Stade Ln, Fairmont, MN 56031-3227 | 2020-09-30 |
| 1568077725 | Linda Mongare | Nurse Practitioner | 3659 Tower Pond Dr, Anoka, MN 55303-8302 | 2020-09-14 |
| 1366056806 | Associates In Mental Health and Addiction Services. P.l.l.c | Nurse Practitioner | 166 W 3rd St Ste 202, Winona, MN 55987-6591 | 2020-09-02 |
| 1891308813 | Chelsey Paulson | Nurse Practitioner | 228 Krays Mill Rd, Cold Spring, MN 56320-4563 | 2020-08-28 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1609488964 | Heather Mantsch | Nurse Practitioner | 1900 Silver Lake Rd Nw Ste 100, New Brighton, MN 55112-1786 | 2020-08-18 |
| 1326659210 | Monsurat Oluwa-okougbo | Nurse Practitioner | 1565 11th Ave, Newport, MN 55055-1650 | 2020-08-13 |
| 1629687124 | Justin Robert Wirth | Nurse Practitioner | 4801 Veterans Dr # 111, Saint Cloud, MN 56303-2015 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
| City | INTERNATIONAL FALLS |
| Zip Code | 56649 |
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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.