SHARON MARIE KOEP DICKEY (NPI# 1184618688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184618688 |
| Entity Type | Individual |
| Full Name | SHARON MARIE KOEP DICKEY |
| Other Name | SHARON MARIE KOEP |
| Credential | MSN |
| Practice Address |
19425 Evans St Nw Elk River MN 55330-1074 |
| Practice Telephone | 7633897686 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2015-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R0962504 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 326462300 | 05 |
| Street Address |
19425 EVANS ST NW |
| City | ELK RIVER |
| State | MN |
| Zip Code | 55330-1074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730647728 | Paige Muenchow | Nurse Practitioner | 19425 Evans St Nw, Elk River, MN 55330-1074 | 2019-03-08 |
| 1801307400 | Samantha Steve | Pharmacist | 19425 Evans St Nw, Elk River, MN 55330-1074 | 2017-10-23 |
| 1326400086 | Lulu Guo | Family Medicine | 19425 Evans St Nw, Elk River, MN 55330-1074 | 2016-03-22 |
| 1932542305 | Rebecca Ann Jungers | Physician Assistant | 19425 Evans St Nw, Elk River, MN 55330-1074 | 2013-04-16 |
| 1164791182 | Kinnari Patel | Pharmacist | 19425 Evans St Nw, Elk River, MN 55330-1074 | 2011-12-20 |
| 1003045568 | Ryan R Froelich | Pharmacist | 19425 Evans St Nw, Elk River, MN 55330-1074 | 2009-07-06 |
| 1871652362 | Fairview Clinics | Clinic/Center | 19425 Evans St Nw, Elk River, MN 55330-1074 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504139 | Jacob Stevens | Pharmacist | 19216 Freeport Ave, Cub Pharmacy, Elk River, MN 55330 | 2020-07-01 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1346888609 | Katie Eberley | Counselor | 9425 Quantrelle Ave, Otsego, MN 55330 | 2019-12-18 |
| 1649839986 | Jodi Marie Pikula | Massage Therapist | 710 Dodge Ave, Suite C, Elk River, MN 55330 | 2019-06-11 |
| 1144793878 | Northern Cities Therapy, Inc. | Counselor | 19230 Evans St Nw Ste 100, Elk River, MN 55330 | 2019-01-04 |
| 1144715236 | Jennifer Kay Dahlseid | Chiropractor | 200 5th St Nw Ste J, Elk River, MN 55330 | 2018-06-29 |
| 1124542089 | Megan Majsterski Lazere | Counselor | 9245 Quantrelle Avenue, Otsego, MN 55330 | 2017-08-01 |
| 1134674237 | Rescare Minnesota | Community Based Residential Treatment Facility, Mental Illness | 633 Upland Ave Nw, Elk River, MN 55330 | 2016-08-18 |
| 1356894927 | Allison Benz | Counselor | 9245 Quantrelle Ave, Otsego, MN 55330 | 2016-07-29 |
| 1447615141 | Laura Stevenson | Speech-Language Pathologist | 15990 90th St., Otsego, MN 55330 | 2015-12-22 |
| Find all providers in zip 55330 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010304 | Kalie R Mccauley | Nurse Practitioner | 11452 Brook Rd Nw, Elk River, MN 55330-8739 | 2020-10-09 |
| 1447857669 | Kimberly Dawn Bursch-tewalt | Nurse Practitioner | 11884 237th Ave Nw, Elk River, MN 55330-8255 | 2020-10-01 |
| 1679977698 | Melissa Marie Lachowitzer | Nurse Practitioner | 13848 213th Ave Nw, Elk River, MN 55330-4680 | 2014-10-20 |
| 1932501681 | Eucharia Uche | Nurse Practitioner | 13530 214th Ln Nw, Elk River, MN 55330-4672 | 2014-09-24 |
| 1518989052 | Laura Lee Gile | Nurse Practitioner | 530 3rd St Nw Ste 101, Elk River, MN 55330 | 2006-07-24 |
| 1093268393 | Kelly Vevea | Nurse Practitioner | 290 Main St Nw, Elk River, MN 55330-1270 | 2016-08-03 |
| 1043668494 | Elizabeth Mclean | Nurse Practitioner | 290 Main St Nw, Elk River, MN 55330-1270 | 2016-05-26 |
| 1821455478 | Janell Katie Hussain | Nurse Practitioner | 13880 Business Center Dr Nw, Elk River, MN 55330-1692 | 2016-01-26 |
| 1710319066 | Jennifer Lynn Filips | Nurse Practitioner | 14181 Business Center Dr Nw, Elk River, MN 55330-4654 | 2013-08-08 |
| 1528028677 | Donelle Lynn King | Nurse Practitioner | 530 3rd St Nw, Elk River, MN 55330 | 2006-03-24 |
| Find all providers in ELK RIVER | ||||
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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.