MR. MATTHEW ALAN KLIMEK (NPI# 1124501515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124501515 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW ALAN KLIMEK |
| Credential | NP |
| Practice Address |
225 Smith Ave N Ste 400 Saint Paul MN 55102-2568 |
| Practice Telephone | 6512412780 |
| Practice Fax Number | 6512412785 |
| Mailing Telephone | 6512412780 |
| Mailing Fax Number | 6512412785 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 6138 | MN | Nursing Service Providers |
| Street Address |
225 SMITH AVE N STE 400 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-2568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083697825 | Richard Jay Brody | Internal Medicine | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2005-11-25 |
| 1780209486 | Megan Kipfer | Nurse Practitioner | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2020-06-09 |
| 1659836070 | Jessica L Mahoney | Nurse Practitioner | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2019-02-11 |
| 1427552686 | Brittany Lynn Butts | Physician Assistant | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2018-03-22 |
| 1598212839 | Rachel M Thompson | Physician Assistant | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2016-09-02 |
| 1659827111 | Caitlin Ann Rau | Physician Assistant | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2016-08-25 |
| 1649723107 | Bridget Blake | Physician Assistant | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2016-08-01 |
| 1568809986 | Takeshi Onizuka | Internal Medicine | 225 Smith Ave N Ste 400, Saint Paul, MN 55102 | 2013-05-24 |
| 1184988032 | Kalie Yang Kebed | Internal Medicine | 225 Smith Ave N Ste 400, Saint Paul, MN 55102 | 2012-06-26 |
| 1962778050 | Kathleen Carlson | Internal Medicine | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2012-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306322235 | Rayneisha Varner | Licensed Practical Nurse | 1081 Jenks Ave, Saint Paul, MN 55106-3309 | 2018-07-13 |
| 1386028934 | Abigail Weingarten | Licensed Practical Nurse | 1322 Alton St Apt 115, Saint Paul, MN 55116-3116 | 2015-07-14 |
| 1538566898 | Roy Henline | Licensed Practical Nurse | 7981 Sunnyside Rd, Saint Paul, MN 55112-5939 | 2014-12-01 |
| 1295147981 | Lauri Elizabeth Goetz | Licensed Practical Nurse | 2092 Case Ave E, Saint Paul, MN 55119 | 2014-05-29 |
| 1659535201 | Steven Charles Oakley | Licensed Practical Nurse | 24 Saint Albans St S Apt 3, Saint Paul, MN 55105-3471 | 2008-07-14 |
| 1083876841 | Vida Joy Letourneau | Licensed Practical Nurse | 347 Ramsey St, Unit A, Saint Paul, MN 55102-2323 | 2008-07-01 |
| 1073720751 | Mary Ellen Brandt | Licensed Practical Nurse | 1418 Woodbridge St, Saint Paul, MN 55117-4413 | 2007-05-16 |
| 1639207723 | Mary Abimbola Aderinkomi | Licensed Practical Nurse | 1953 University Ave W, Saint Paul, MN 55104-3427 | 2007-03-01 |
| 1306472956 | Roshelle Lynn Chavez | Licensed Practical Nurse | 856 University Ave W, Saint Paul, MN 55104-4807 | 2020-03-16 |
| 1174005144 | Devin Newton | Licensed Practical Nurse | 856 University Ave W, Saint Paul, MN 55104-4807 | 2018-09-05 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
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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.