KELSEY BERGSTROM ANKENY (NPI# 1134480254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134480254 |
| Entity Type | Individual |
| Full Name | KELSEY BERGSTROM ANKENY |
| Credential | M.D. |
| Practice Address |
4050 Coon Rapids Blvd Nw Coon Rapids MN 55433-2522 |
| Practice Telephone | 7632366000 |
| Mailing Telephone | 7632366000 |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2015-06-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 58882 | MN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4050 COON RAPIDS BLVD NW |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126238 | Adam Lee Gunder | Internal Medicine | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2005-07-05 |
| 1215547757 | Jeremy Lee Coudron | Nurse Practitioner | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-08-07 |
| 1851915177 | Naomi Benjamin | Clinical Nurse Specialist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-06-02 |
| 1912527920 | Dawn Hadley | Physical Therapy Assistant | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-04-20 |
| 1275153348 | Tyler Daniel Mathiason | Physical Therapist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-04-20 |
| 1003436346 | Jennifer Gordon Hakes | Physical Therapist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-04-16 |
| 1821617739 | Krista Michelle Holter | Speech-Language Pathologist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-04-10 |
| 1508485459 | Kristin Dianne Forsythe | Physical Therapist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-04-10 |
| 1134748338 | Denise Kay Kaehler | Physical Therapy Assistant | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-04-09 |
| 1942829148 | Kelsey Steinbrecher | Occupational Therapist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790886976 | Sandra L Iverson | Pediatrics | North Metro Pediatrics 10081 Dogwood Street Nw, Suite 100, Coon Rapids, MN 55448 | 2006-09-26 |
| 1467802066 | Alyssa Rose Wojciechowski | Pediatrics | 11475 Robinson Dr Nw, Coon Rapids, MN 55433 | 2016-06-15 |
| 1184036394 | Eta Barclay | Pediatrics | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2014-05-21 |
| 1780842385 | Jessica Dale Goreham-voss | Pediatrics | 4050 Coon Rapids Blvd Nw, Routing 51400, Coon Rapids, MN 55433-2522 | 2008-05-30 |
| 1902090566 | Charles Vincent Derubeis | Pediatrics | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2007-08-28 |
| 1538352091 | Stephanie Rose Meyer | Pediatrics | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2007-08-19 |
| 1154512598 | Justin Ryan Leitch | Pediatrics | 9055 Springbrook Dr Nw, Allina Medical Clinic - Coon Rapids, Coon Rapids, MN 55433-5841 | 2007-08-08 |
| 1689727679 | Jennifer T Keis | Pediatrics | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2007-01-21 |
| 1285707471 | Jennifer Lynn Martin-mckay | Pediatrics | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2006-11-16 |
| 1437193976 | Renea Brown | Pediatrics | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2006-06-15 |
| Find all providers in COON RAPIDS | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
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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.