SANDRA MARY OEHLKE (NPI# 1164442638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164442638 |
| Entity Type | Individual |
| Full Name | SANDRA MARY OEHLKE |
| Credential | C.P.N.P. |
| Practice Address |
2795 Pilot Knob Rd Suite 300 Eagan MN 55121-1176 |
| Mailing Address |
4689 Glenbrook Ave N Oakdale MN 55128-2321 |
| Practice Telephone | 6513799999 |
| Practice Fax Number | 6513799900 |
| Mailing Telephone | 6128638563 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
20020486 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 13837 | 05 | |
| MEDICA | 1202377 | 01 | |
| MN | BCBS | 321J30E | 01 |
| MN | UCARE | 142732 | 01 |
| SELECT CARE | 2273311 | 01 | |
| BLUE CROSS BLUE SHIELD | 312J3OE | 01 | |
| MN | MEDICA | 1202377 | 01 |
| HEALTH PARTNERS | HP37239 | 01 | |
| PREFERRED ONE | 968421032508 | 01 |
| Street Address |
2795 PILOT KNOB RD SUITE 300 |
| City | EAGAN |
| State | MN |
| Zip Code | 55121-1176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982235180 | Ciera Shanaye Keyes | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2020-01-28 |
| 1922647833 | Emanga Ekinde | Pharmacist | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-12-26 |
| 1124666961 | Amber Lynn Kaye | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-12-11 |
| 1134778442 | Marissa Ann Finucane | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-09-09 |
| 1821645425 | Rhiannon Nicole Tofaha | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-08-20 |
| 1417513680 | Catherine Nicole Jenkins | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-05-14 |
| 1629634936 | Michele Christen Mask | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-05-13 |
| 1457817207 | Christine Garcia | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-02-18 |
| 1972067866 | Mindi Steffens | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-01-25 |
| 1871062430 | James Kreutzer | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2018-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
| 1154986479 | Elp Right Living Health LLC | Assisted Living Facility | 3035 Eagandale Pl #101, Eagan, MN 55121 | 2019-05-02 |
| 1467908699 | Hy Vee Inc | Pharmacy | 1500 Central Park Commons Drive, Eagan, MN 55121 | 2016-08-28 |
| 1962861005 | Lakeline Transportation LLC | Non-emergency Medical Transport (VAN) | 1416 Shoreline Dr, Eagan, MN 55121 | 2016-02-17 |
| 1467838615 | John Berchem | Physical Therapist | 1284 Coporate Center Drive, #500, Eagan, MN 55121 | 2015-08-10 |
| 1730426099 | Carole P Cohen | Occupational Therapist | 880 Blue Gentian Road, Ste # 190, Eagan, MN 55121 | 2013-01-07 |
| 1407102882 | Emergency Physicians Professional Association | Clinic/Center | 3010 Denmark Avenue, Eagan, MN 55121 | 2012-08-03 |
| 1851692289 | Eagan Family Chiropractic & Massage | Chiropractor | 1260 Yankee Doodle Road, Suite 100, Eagan, MN 55121 | 2010-11-17 |
| 1780805218 | Bridget Marie Mcconnell | Social Worker | 680 O'neill Drive, Eagan, MN 55121 | 2007-05-01 |
| Find all providers in zip 55121 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144208075 | Ellen A Connolly-eckhoff | Nurse Practitioner | 1885 Plaza Dr, Eagan, MN 55122-2612 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518587120 | Amanda Joy Dominik | Nurse Practitioner | 4411 Arden View Ct, Arden Hills, MN 55112-1944 | 2020-04-23 |
| 1881245504 | Hailey Prescott | Nurse Practitioner | 2450 Riverside Avenue Se, Minneapolis, Mn, MN 55454-1400 | 2019-09-24 |
| 1598317570 | Elisabeth Palmquist | Nurse Practitioner | 12000 Elm Creek Blvd N Ste 250, Maple Grove, MN 55369-7164 | 2019-07-10 |
| 1538644562 | Angela Ashton | Nurse Practitioner | 345 Smith Ave N Ste 404, Saint Paul, MN 55102-2346 | 2018-09-25 |
| 1558865295 | Meghan Kerry Deyo | Nurse Practitioner | 1804 7th St W Ste 200, Saint Paul, MN 55116-2300 | 2018-03-19 |
| 1336642131 | Caitlin Anna Lingbeck | Nurse Practitioner | 14001 Ridgedale Dr #100, Minnetonka, MN 55305-1781 | 2018-03-18 |
| 1740799246 | Maya Bastian | Nurse Practitioner | 12220 Travois Rd, Eden Prairie, MN 55347-4241 | 2017-09-27 |
| 1821523028 | Robin Marie Parker | Nurse Practitioner | 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 | 2017-04-25 |
| 1538691043 | Jenifer Flegel | Nurse Practitioner | 963 Robert St S, West Saint Paul, MN 55118-1446 | 2017-04-03 |
| 1154796811 | Megan Stark | Nurse Practitioner | 2805 Campus Dr Ste 235, Plymouth, MN 55441-2678 | 2015-12-07 |
| Find all providers with the same taxonomy | ||||
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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.