MADONNA KATHRYN MCDERMOTT (NPI# 1184740664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184740664 |
| Entity Type | Individual |
| Full Name | MADONNA KATHRYN MCDERMOTT |
| Credential | CNP |
| Practice Address |
2115 Summit Ave Mail Box 5056 Saint Paul MN 55105-1048 |
| Mailing Address |
1567 Dunlap St N Saint Paul MN 55108-2215 |
| Practice Telephone | 6519626750 |
| Mailing Telephone | 6514873707 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R-122604-5 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2115 SUMMIT AVE MAIL BOX 5056 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55105-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568422244 | Amy Gilbertson | Specialist/Technologist | 2115 Summit Ave, Ste 5003, Saint Paul, MN 55105-1048 | 2006-03-25 |
| 1497113377 | Robert Zelesnikar | Specialist/Technologist | 2115 Summit Ave, Arc 117e, Saint Paul, MN 55105-1048 | 2016-02-05 |
| 1255549267 | Sarah K Armstrong | Psychologist | 2115 Summit Ave, Mail 4040, Saint Paul, MN 55105-1048 | 2007-05-21 |
| 1881819886 | Student Health Service University of St. Thomas | Clinic/Center | 2115 Summit Ave, Mailbox #5056, Saint Paul, MN 55105-1048 | 2007-04-16 |
| 1225156227 | Gail Ann Conzemius | Registered Nurse | 2115 Summit Ave, #5056, Saint Paul, MN 55105-1096 | 2007-03-27 |
| 1881764876 | Shannon Marie Ristau | Student in an Organized Health Care Education/Training Program | 2115 Summit Ave, Loras Hall 406, Saint Paul, MN 55105-1048 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704020 | Grand Avenue Smiles | Dentist | 1845 Grand Avenue, St. Paul, MN 55105 | 2019-08-09 |
| 1205304839 | Michelle Marie Loken Price | Acupuncturist | 877 Lincoln Ave, Saint Paul, MN 55105 | 2018-11-13 |
| 1326566936 | Becky Lynn Lawyer | Counselor | 1704 Palace Ave, St Paul, MN 55105 | 2017-09-04 |
| 1679020226 | Internal Revolution Counseling and Consulting, L.L.C. | Psychologist | 1123 Grand Avenue, Suite 201, Saint Paul, MN 55105 | 2016-09-01 |
| 1487059689 | Jennifer Mason | Lactation Consultant, Non-RN | 1382 Summit Ave, Saint Paul, MN 55105 | 2014-10-30 |
| 1679818850 | Marc Lane Wolfson | Registered Nurse | 1148 Grand Avenue, St. Paul, MN 55105 | 2012-11-29 |
| 1457602781 | Charting Your Success | Social Worker | 2050 St Clair Avenue, Suite 1e, St Paul, MN 55105 | 2012-09-26 |
| 1871867549 | Stacia Hanson Ma Lp LLC | Psychologist | 889 Grand Avenue, Suite 203, St Paul, MN 55105 | 2012-02-28 |
| 1265718142 | Caitlin Marie Young | Midwife | 968 Grand Ave., St. Paul, MN 55105 | 2011-10-24 |
| 1659512622 | Wellness Cooperative LLC | Chiropractor | 976 Grand Ave., St. Paul, MN 55105 | 2009-03-20 |
| Find all providers in zip 55105 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649830225 | Kimberly Dawn Hanson | Nurse Practitioner | 1884 Randolph Ave, Saint Paul, MN 55105-1747 | 2019-06-17 |
| 1962879916 | Carrie Rose Lucio | Nurse Practitioner | 807 Albert St N, Saint Paul, MN 55104-1302 | 2015-08-25 |
| 1639302276 | Laurel Gail Ostrow | Nurse Practitioner | 1368 Simpson St, Saint Paul, MN 55108-2427 | 2009-08-31 |
| 1801085436 | Kathryn Ann Mcnaul | Nurse Practitioner | 1600 Grand Ave, Winton Health Services, Saint Paul, MN 55105-1801 | 2007-10-19 |
| 1396747143 | Colleen Rae Caspers | Nurse Practitioner | 2550 University Ave W, Suite 423 South, Saint Paul, MN 55114-1052 | 2005-08-11 |
| 1902805146 | Kristi R Swarthwood | Nurse Practitioner | 225 Smith Ave N, Suite 400, Saint Paul, MN 55102-2533 | 2005-07-19 |
| 1881164804 | Jo Walker | Nurse Practitioner | 1055 Westgate Dr, Saint Paul, MN 55114-1065 | 2018-12-03 |
| 1689159360 | Morgan Llewellyn Mcdonald Weinert | Nurse Practitioner | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2018-09-28 |
| 1831677780 | Deanna Marie Heine | Nurse Practitioner | 1700 University Ave W Fl 1, Saint Paul, MN 55104-3727 | 2018-08-02 |
| 1386141554 | Binta Fatmata Barry | Nurse Practitioner | 255 Smith Ave N Ste 100, Saint Paul, MN 55102 | 2018-04-12 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55105 |
Please comment or provide details below to improve the information on MADONNA KATHRYN MCDERMOTT.
| 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.