CRYSTAL LEE LOBE (NPI# 1174834709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174834709 |
| Entity Type | Individual |
| Full Name | CRYSTAL LEE LOBE |
| Other Name | CRYSTAL LEE PETTINELLI |
| Credential | CFNP |
| Practice Address |
5219 Saint John Dr Orr MN 55771-8232 |
| Practice Telephone | 2187573431 |
| Mailing Telephone | 2187573431 |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2015-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R179208-7 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5219 SAINT JOHN DR |
| City | ORR |
| State | MN |
| Zip Code | 55771-8232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750498218 | Bois Forte Reservation Tribal Council | Ambulance | 5219 Saint John Dr, Orr, MN 55771 | 2006-08-23 |
| 1497373070 | Melissa Hawk | Registered Nurse | 5219 Saint John Dr, Orr, MN 55771-8232 | 2020-07-09 |
| 1265058903 | Bois Forte Reservation Tribal Government | Pharmacy | 5219 Saint John Dr, Orr, MN 55771-8232 | 2020-06-18 |
| 1225536592 | Brandon Mark Anderson | Registered Nurse | 5219 Saint John Dr, Orr, MN 55771-8232 | 2018-01-31 |
| 1285153007 | Paul Rasmussen | Nurse Practitioner | 5219 Saint John Dr, Orr, MN 55771-8232 | 2017-09-13 |
| 1316482672 | Wendy Drift | Social Worker | 5219 Saint John Dr, Orr, MN 55771-8232 | 2016-12-22 |
| 1588735856 | Jane Marie Lawrenz | Psychologist | 5219 Saint John Dr, Orr, MN 55771-8232 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760494611 | Lance E Hardwig | Physician Assistant | 13071 Nett Lake Rd., Nett Lake, MN 55771 | 2006-08-12 |
| 1043468853 | Bois Forte Health Services | Case Management | 13071 Nett Lake Road, Nett Lake, MN 55771 | 2008-09-04 |
| 1437181179 | Charles R Helleloid | Family Medicine | 13071 Nett Lake Rd, Orr, MN 55771-8111 | 2006-07-06 |
| 1134308448 | Raymond Lawrence Hawk | Physician Assistant | 13071 Nett Lake Rd, Orr, MN 55771-8111 | 2007-11-02 |
| 1265512420 | Michael Todd Rowlette | Dentist | 13071 Nett Lake Rd, Orr, MN 55771-8111 | 2006-10-16 |
| 1932331725 | Arlene R Sipola | Adult Companion | 4420 Brandt Rd, Orr, MN 55771-8358 | 2009-08-13 |
| 1205937604 | Daniel J Lofgren | Psychologist | 10574 Willow River Rd, Orr, MN 55771-9055 | 2006-09-26 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285153007 | Paul Rasmussen | Nurse Practitioner | 5219 Saint John Dr, Orr, MN 55771-8232 | 2017-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466368 | Amalia Jo Folland Harvey | Nurse Practitioner | 19883 Evensong Ct, Farmington, MN 55024-8688 | 2020-10-29 |
| 1710586235 | Jackelyn Laura Peterson | Nurse Practitioner | 10101 Bren Rd E Unit 345, Minnetonka, MN 55343-0060 | 2020-10-26 |
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1861091704 | Morgan Rohl | Nurse Practitioner | 117 12th Ave Nw Apt 2, Rochester, MN 55901-2787 | 2020-10-21 |
| 1063010304 | Kalie R Mccauley | Nurse Practitioner | 11452 Brook Rd Nw, Elk River, MN 55330-8739 | 2020-10-09 |
| 1659978930 | Sarah Jean Mudge | Nurse Practitioner | 350 Harbor Dr, Duluth, MN 55802-2600 | 2020-10-08 |
| 1285231621 | Karlu Dorleh | Nurse Practitioner | 14151 Territorial Rd Unit 212, Maple Grove, MN 55369-5725 | 2020-10-08 |
| 1447857669 | Kimberly Dawn Bursch-tewalt | Nurse Practitioner | 11884 237th Ave Nw, Elk River, MN 55330-8255 | 2020-10-01 |
| 1639786312 | Peter Wahl | Nurse Practitioner | 4652 Lyndale Ave S, Minneapolis, MN 55419-5302 | 2020-09-28 |
| 1568078616 | Joanna Kay Rehm | Nurse Practitioner | 3025 Eagandale Pl Apt 338, Eagan, MN 55121-1236 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CRYSTAL LEE LOBE.
| 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.