CHRISTINE VANJAECKEL (NPI# 1144581125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144581125 |
| Entity Type | Individual |
| Full Name | CHRISTINE VANJAECKEL |
| Practice Address |
434 Hayward Ave N Oakdale MN 55128 |
| Mailing Address |
2524 Pillsbury Avenue S Minneapolis MN 55404 |
| Practice Telephone | 2017040163 |
| Mailing Telephone | 2017040163 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2018-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 10048 | MN | Other Service Providers |
| N | 174400000X | Specialist | SL010403 | PA | Other Service Providers |
| Street Address |
434 HAYWARD AVE N |
| City | OAKDALE |
| State | MN |
| Zip Code | 55128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596679 | Ikran Mohamed Warsame | Behavior Technician | 434 Hayward Ave N, Oakdale, MN 55128-5379 | 2020-10-22 |
| 1386243236 | Danielle Dalen | Behavior Technician | 434 Hayward Ave N, Oakdale, MN 55128-5379 | 2020-10-21 |
| 1972102093 | Grace Mason | Behavior Technician | 434 Hayward Ave N, Oakdale, MN 55128-5379 | 2020-10-20 |
| 1912505744 | David Grano | Behavior Technician | 434 Hayward Ave N, Oakdale, MN 55128-5379 | 2020-10-14 |
| 1013514645 | Katlyn Ziemann | Behavior Technician | 434 Hayward Ave N, Oakdale, MN 55128-5379 | 2020-10-06 |
| 1194322818 | Emmett Mark Curtis Dziuk | Behavior Technician | 434 Hayward Ave N, Oakdale, MN 55128-5379 | 2020-10-06 |
| 1659978823 | Emily Lenai Jensen | Behavior Technician | 434 Hayward Ave N, Oakdale, MN 55128-5379 | 2020-10-01 |
| 1801403423 | Margaret Hope Breuer | Behavior Technician | 434 Hayward Ave N, Oakdale, MN 55128-5379 | 2020-09-28 |
| 1275147183 | Kylie Hunter Hardman | Assistant Behavior Analyst | 434 Hayward Ave N, Oakdale, MN 55128-5379 | 2020-09-08 |
| 1588278857 | Melanie Julie Dinca | Behavior Technician | 434 Hayward Ave N, Oakdale, MN 55128-5379 | 2020-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578174181 | James Albert Nguyen | Pharmacist | 985 Geneva Ave, Oakdale, MN 55128 | 2020-08-17 |
| 1154895977 | Northstar Behavioral Health | Substance Abuse Rehabilitation Facility | 5713 Geneva Ave N, Oakdale, MN 55128 | 2019-01-15 |
| 1780131391 | Beth Reitzel | Social Worker | 7066 Stillwater Boulevard North, Oakdale, MN 55128 | 2016-09-01 |
| 1740645407 | Caring Hand LLC | Non-emergency Medical Transport (VAN) | 6703 13th St. Ct N Oakdale, Oakdale, MN 55128 | 2015-12-23 |
| 1689040453 | Hy Vee Inc | Pharmacy | 7180 10th Street N, Oakdale, MN 55128 | 2015-08-17 |
| 1902169550 | Susan Kay Milner | Pharmacist | 300 Clydesdale Trail, Target 2223, Medina, MN 55128 | 2012-06-19 |
| 1811122757 | Amy Ha Truong | Dentist | 6230 10th St N Ste 520, Oakdale, MN 55128 | 2009-05-21 |
| 1538329263 | Victoria Louise Brown-nyseth | Psychiatry & Neurology | 7755 3rd St N Ste 300, Oakdale, MN 55128 | 2008-06-16 |
| 1639292147 | Robert C. Dinga | Optometrist | 8344 3rd Street North, Oakdale, MN 55128 | 2007-04-09 |
| 1346383601 | Mix Pharmacy, LLC | Pharmacy | 1266 Helmo Ave N, Oakdale, MN 55128 | 2007-02-15 |
| Find all providers in zip 55128 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060632 | Samantha Kitson | Specialist | 4 Beverly Rd, Oakdale, NY 11769-1955 | 2018-10-30 |
| 1417480591 | Kristen Domingo | Specialist | 228 Matthews Rd, Oakdale, NY 11769-1845 | 2017-04-06 |
| 1366988008 | Dana Kearney | Specialist | 12 Mina Rd, Oakdale, NY 11769-1827 | 2017-01-18 |
| 1386026888 | Wmc Physician Practices LLC | Specialist | 400 Market Place Dr, Oakdale, PA 15071-4007 | 2015-06-22 |
| 1730569153 | Sharon Ruckdeschel | Specialist | 32 La Salle Place, Oakdale, NY 11769 | 2015-06-01 |
| 1134569940 | Michelle Irene Mchugh | Specialist | 105 Middlesex Ave, Oakdale, NY 11769-1951 | 2013-06-26 |
| 1356604763 | Andrea Marie Mancuso | Specialist | 4011 Wilshire Ln, Oakdale, NY 11769-1446 | 2012-06-20 |
| 1851544225 | Roberta Biancuzzo Staebler | Specialist | 69 Woody Ln, Oakdale, NY 11769-1537 | 2008-10-29 |
| 1447443924 | Nicole Marie Messier | Specialist | 4739 Wilshire Ln, Oakdale, NY 11769-1450 | 2007-08-20 |
| 1003940818 | David R Hescheles | Specialist | 273 Belvedere Dr, Oakdale, NY 11769-2209 | 2007-03-15 |
| Find all providers in OAKDALE | ||||
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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.