NICHOLAS DANIEL GABRIELSON (NPI# 1215234000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215234000 |
| Entity Type | Individual |
| Full Name | NICHOLAS DANIEL GABRIELSON |
| Credential | CSA |
| Practice Address |
1216 2nd St Sw Mary Brigh Building 02 Rochester MN 55902-1906 |
| Mailing Address |
5087 Cannon Ln Nw Rochester MN 55901-8376 |
| Practice Telephone | 5072555977 |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2011-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1216 2ND ST SW MARY BRIGH BUILDING 02 |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55902-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184601809 | Michelle L Magarity | Pharmacist | 1216 2nd St Sw, Rochester, MN 55902-1906 | 2005-12-22 |
| 1750998183 | Megan Toney | Student in an Organized Health Care Education/Training Program | 1216 2nd St Sw, Rochester, MN 55902-1906 | 2020-09-29 |
| 1013522911 | Samantha Christine Spanbauer | Registered Nurse | 1216 2nd St Sw, Rochester, MN 55902-1970 | 2020-09-09 |
| 1538773551 | Stephanie Marie White | Nurse Practitioner | 1216 2nd St Sw, Rochester, MN 55902-1906 | 2020-09-08 |
| 1861004194 | Jinlan Wang | Registered Nurse | 1216 2nd St Sw, Rochester, MN 55902-1906 | 2020-08-18 |
| 1588282545 | Rachel Oludiji | Nurse Practitioner | 1216 2nd St Sw, Rochester, MN 55902-1906 | 2020-07-07 |
| 1609405851 | Susan M Batt | Respiratory Therapist, Registered | 1216 2nd St Sw, Rochester, MN 55902-1906 | 2020-04-08 |
| 1902435688 | Katie Mosher | Respiratory Therapist, Certified | 1216 2nd St Sw, Rochester, MN 55902-1906 | 2020-04-05 |
| 1407487523 | Amanda Graham | Social Worker | 1216 2nd St Sw, Rochester, MN 55902-1906 | 2020-01-28 |
| 1306483763 | Morgan Alise Warner | Dietitian, Registered | 1216 2nd St Sw, Rochester, MN 55902-1906 | 2019-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264446 | Amber Nichelle Irby | Dental Therapist | 903 W Center St #130, Rochester, MN 55902 | 2020-08-05 |
| 1720584337 | John E Herman Home and Treatment Facility, LLC | Psychiatric Residential Treatment Facility | 351 14th Ave Sw, Rochester, MN 55902 | 2018-04-03 |
| 1912442898 | Esperanza Torres | Dental Hygienist | 903 West Center Street, Suite 130, United Way Bldg, Rochester, MN 55902 | 2016-12-30 |
| 1578971149 | Alduz Inri Surio Cabasa | Student in an Organized Health Care Education/Training Program | 609 1st Street Sw, Unit 102, Rochester, MN 55902 | 2014-07-28 |
| 1679901854 | Julie Erickson | Dental Hygienist | United Way Building Suite #208, Rochester, MN 55902 | 2013-10-24 |
| 1619313590 | Mercedes K Schulz | Dental Hygienist | 13394th Ave Sw, Rochester, MN 55902 | 2013-05-17 |
| 1093087389 | Sarah Jean Dennison | Clinic/Center | 930 West Center Street, Suite 208 United Way Bldg, Rochester, MN 55902 | 2012-02-01 |
| 1467732156 | Angela Elizabeth Peters | Registered Nurse | 1450 2nd Avenue Sw, Rochester, MN 55902 | 2011-08-25 |
| 1528350071 | Emily Zahasky Kraft | Pharmacist | 204 1st Street Sw, Rochester, MN 55902 | 2011-05-03 |
| 1093021982 | Sherry Dawn Boutcher | Dental Hygienist | 903 West Center Street Suite 208, United Way Building, Rochester, MN 55902 | 2010-08-30 |
| Find all providers in zip 55902 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518411107 | Michelle Ann Swider | Physician Assistant | 1425 Portland Ave Ste 220, Rochester, NY 14621-3011 | 2016-08-11 |
| 1124423355 | Amanda Schnorf | Physician Assistant | 2824 W Ridge Rd, Rochester, NY 14626-1639 | 2014-10-30 |
| 1679989479 | Jacob William Raifstanger | Physician Assistant | 2655 Ridgeway Ave Ste 460, Rochester, NY 14626-4296 | 2014-07-01 |
| 1225385305 | Katie Elizabeth Kenny | Physician Assistant | 1555 Long Pond Rd Fl 1, Rochester, NY 14626-4122 | 2012-08-08 |
| 1558683904 | Oswaldo Serge | Physician Assistant | 4036 3rd St Nw, Rochester, MN 55901-7564 | 2010-02-25 |
| 1417288945 | Amanda Kay Johnson | Physician Assistant | 201 W Center St Ei-01 Surgical Assistant, Rochester, MN 55902-3003 | 2010-01-22 |
| 1033322797 | Joan Marie Wobig | Physician Assistant | 5426 15th St Se, Rochester, MN 55904-6719 | 2007-05-08 |
| 1871705749 | Beverley Myers | Physician Assistant | 4730 17th St Se, Rochester, MN 55904-6680 | 2007-05-04 |
| 1831310739 | Brenda Gerdts | Physician Assistant | 4838 Scenic View Dr Sw, Rochester, MN 55902-1527 | 2007-05-01 |
| 1558419739 | Kathryn Ann Ciurca | Physician Assistant | 868 Clover St, Rochester, NY 14610-3232 | 2007-01-06 |
| Find all providers in ROCHESTER | ||||
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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.