SUZANNE DETLEFSON (NPI# 1184965444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184965444 |
| Entity Type | Individual |
| Full Name | SUZANNE DETLEFSON |
| Practice Address |
905 Maplecrest Dr Minnetrista MN 55364-8935 |
| Mailing Address |
15349 Floret Way Apple Valley MN 55124-3129 |
| Practice Telephone | 6129243030 |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
905 MAPLECREST DR |
| City | MINNETRISTA |
| State | MN |
| Zip Code | 55364-8935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992594 | Mary Kaye Guenther | Physical Therapy Assistant | 6670 Game Farm Rd, Mound, MN 55364 | 2018-05-18 |
| 1558893008 | Kirsten Eaton | Student in an Organized Health Care Education/Training Program | 945 Forest Arms Lanes, Mound, MN 55364 | 2017-04-03 |
| 1619322450 | Heidi Durant | Counselor | 2973 Hazelwood Lane, Mound, MN 55364 | 2016-04-29 |
| 1255720603 | Amanda S Myers | Speech-Language Pathologist | 940 Bayside Ln, Minnetrista, MN 55364 | 2015-01-22 |
| 1538447644 | Mary Bernadette Philp | Dentist | 5205 Shoreline Drive, Mound, MN 55364 | 2011-07-25 |
| 1659600088 | Thomas David Mazer | Anesthesiology | 560 North Arm Drive, Orono, MN 55364 | 2009-12-14 |
| 1205913282 | Robert A Lauer | Dentist | 5585 Shoreline Blvd, Mound, MN 55364 | 2006-11-01 |
| 1750470068 | Stephanie Lynn Miner | Dentist | West Lakes Dentistry, 5205 Shoreline Drive, Mound, MN 55364 | 2006-10-12 |
| 1194120519 | Stable Living LLC | Counselor | 6344 Rambler Ln, Mound, MN 55364-1043 | 2014-10-28 |
| 1386800977 | Debra Karen Kullberg | Marriage & Family Therapist | 1567 Bluebird Ln, Mound, MN 55364-1109 | 2008-08-02 |
| Find all providers in zip 55364 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609476324 | Ferdus Aden | Technician, Other | 7026 W 133rd Ct, Savage, MN 55378-4436 | 2020-10-30 |
| 1710584610 | Crystal Yang | Technician, Other | 1540 Etna St, Saint Paul, MN 55106-1420 | 2020-10-04 |
| 1457967895 | Lisa Eisenbacher | Technician, Other | 731 Bielenberg Dr Ste 102-103, Woodbury, MN 55125-1700 | 2020-09-21 |
| 1265045157 | Abigail Johnson | Technician, Other | 6300 W Old Shakopee Rd, Bloomington, MN 55438-2654 | 2020-08-28 |
| 1003438037 | Shannon Marie Hacka | Technician, Other | 1011 Meadowlands Dr Ste 1&2, Saint Paul, MN 55127-2339 | 2020-05-13 |
| 1457972598 | Brittin Kemp | Technician, Other | 10450 185th St W Ste 100, Lakeville, MN 55044-6696 | 2020-04-29 |
| 1184243826 | Desira Wright | Technician, Other | 320 Old Territorial Rd Ne Apt 4, Chatfield, MN 55923-1610 | 2020-04-13 |
| 1982234571 | Kennedy Rosella Tonn | Technician, Other | 1011 Meadowlands Dr, Saint Paul, MN 55127-2339 | 2020-01-22 |
| 1043850399 | Tiffany Wilschek | Technician, Other | 1470 Industrial Drive Nw, Rochester, MN 55901-0614 | 2020-01-14 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
| City | MINNETRISTA |
| Zip Code | 55364 |
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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.