ST CROIX PSYCHIATRIC SERVICES, PLLC (NPI# 1144567546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144567546 |
Entity Type | Organization |
Organization Name | ST CROIX PSYCHIATRIC SERVICES, PLLC |
Practice Address |
700 Quality Ln N Lakeland MN 55043-9624 |
Mailing Address |
Po Box 252 Lakeland MN 55043-0252 |
Practice Telephone | 6122510074 |
Practice Fax Number | 8557582853 |
Mailing Telephone | 6122510074 |
Mailing Fax Number | 8557582853 |
Enumeration Date | 2013-01-07 |
Last Update Date | 2013-01-07 |
Authorized Official Name | KARALEE ANN LUBBERS LABRECHE (OWNER) |
Authorized Official Telephone | 6122510074 |
Authorized Official Credential | DNP, RN, CNS, CN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
700 QUALITY LN N |
City | LAKELAND |
State | MN |
Zip Code | 55043-9624 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750854741 | Debra Sue Chmieleski | Counselor | 16383 Upper 22 Nd Street South, St. Croix Beach, MN 55043 | 2019-01-02 |
1306096433 | David Duane Millard | Physical Therapist | 16051 Quality Court, Lakeland, MN 55043 | 2008-09-25 |
1174795009 | Adena LLC | Home Health | 78 St. Croix Trail S, Suite 120, Lakeland, MN 55043 | 2008-04-01 |
1265499743 | John Edward Sweeney | Dentist | 44 South St Croix Trail, Suite 100, Lakeland, MN 55043 | 2006-04-27 |
1225200439 | Daniel D Porter | Chiropractor | 326 Saint Croix Trail South, Lakeland, MN 55043-0294 | 2008-03-27 |
1629208558 | John Burton Young Jr. | Otolaryngology | 2787 Itasca Ave., St. Mary's Pt., MN 55043-0325 | 2009-07-27 |
1730278276 | Tamara Quinlan Caulder | Chiropractor | 44 Saint Croix Trl S, Suite 200, Lakeland, MN 55043-8404 | 2006-10-12 |
1932547692 | Robin Lee Fate | Counselor | 44 Saint Croix Trl S, St. Croix Business Center, Suite 155, Lakeland, MN 55043-8404 | 2013-06-04 |
1912169087 | Afton Chiropractic Clinic | Chiropractor | 44 Saint Croix Trl S, Suite 200, Lakeland, MN 55043-8404 | 2008-06-30 |
1306040381 | Afton Chiropractic Clinic Pa | Acupuncturist | 44 Saint Croix Trl S, Suite 200, Lakeland, MN 55043-8404 | 2007-06-13 |
Find all providers in zip 55043 |
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 |
---|---|---|---|---|
1477058691 | Newlight Psychiatric Services | Nurse Practitioner | 5302 S Florida Ave Ste 203, Lakeland, FL 33813-4910 | 2018-03-28 |
1700326006 | Sherry Marsden | Nurse Practitioner | 1825 Gilmore Ave, Lakeland, FL 33805-3017 | 2017-03-06 |
1942688403 | Alicia N Carden | Nurse Practitioner | 1835 Gilmore Ave, Lakeland, FL 33805 | 2015-05-15 |
1487903605 | Sharon Margaret Jacob | Nurse Practitioner | 1831 Gilmore Ave, Lakeland, FL 33805 | 2012-09-04 |
1659558096 | Lorinda E Roberts | Nurse Practitioner | 1835 Gilmore Ave, Lakeland, FL 33805-3017 | 2008-01-29 |
1275748162 | Debbie Y Stevens | Nurse Practitioner | 1324 Lakeland Hills Blvd, - Inpatient Psychiatry, Lakeland, FL 33805-4543 | 2007-05-14 |
1134227085 | Deborah Lasebny | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2006-09-21 |
1295757490 | Elizabeth Ann Martin | Nurse Practitioner | 1835 Gilmore Ave, Lakeland, FL 33805-3017 | 2006-07-24 |
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 |
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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.