MARK OLIVER KRAGENBRING (NPI# 1225348352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225348352 |
| Entity Type | Individual |
| Full Name | MARK OLIVER KRAGENBRING |
| Credential | RN |
| Practice Address |
5501 Shady Oaks Rd Atwater MN 56209-9365 |
| Practice Telephone | 3209748266 |
| Mailing Telephone | 3209748266 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R1279678 | MN | Nursing Service Providers |
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
R1279678 | MN | Nursing Service Providers |
| Street Address |
5501 SHADY OAKS RD |
| City | ATWATER |
| State | MN |
| Zip Code | 56209-9365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336359900 | Presbyterian Family Foundation | Intermediate Care Facility, Mentally Retarded | 110 5th St N, Atwater, MN 56209 | 2007-05-23 |
| 1033295910 | City of Atwater | Ambulance | 107 2nd Ave, Atwater, MN 56209 | 2006-10-31 |
| 1407937956 | Woodland Centers | Clinic/Center | 202 3rd St Sw, Atwater, MN 56209 | 2006-10-18 |
| 1831165976 | Stephen C Olsen | Family Medicine | 126 N 4th St, Atwater, MN 56209 | 2006-02-28 |
| 1801210224 | Lucas Dean Krug | Chiropractor | 112 S 4th St, Atwater, MN 56209-0083 | 2014-02-05 |
| 1710277595 | Tanya Marie Turnock | Licensed Practical Nurse | 510 2nd St S, Atwater, MN 56209-1015 | 2011-04-13 |
| 1184221475 | Lauran Hellbusch | Physical Therapist | 108 Ramsey Ave W, Atwater, MN 56209-1085 | 2020-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221475 | Lauran Hellbusch | Physical Therapist | 108 Ramsey Ave W, Atwater, MN 56209-1085 | 2020-10-08 |
| 1306453311 | Emma Lorene Mcknight | Behavior Technician | 664 E Clinton Ave, Atwater, CA 95301-4552 | 2020-09-24 |
| 1770105173 | Jody Michelle Runyon | Speech-Language Pathologist | 1826 Elk Ridge Ct, Atwater, CA 95301-4916 | 2020-05-08 |
| 1700406816 | Carrie Ann Perry | Speech-Language Pathologist | 1583 Augusta Ln, Atwater, CA 95301-4901 | 2020-04-18 |
| 1861011751 | Chelsea Kathleen Wells | Counselor | 2311 Redwood Ave, Atwater, CA 95301-2856 | 2020-04-11 |
| 1275166290 | Belinda Casillas | Pharmacist | 1790 Buhach Rd, Atwater, CA 95301-9332 | 2020-02-18 |
| 1336779339 | Noah T Smith | In Home Supportive Care | 788 Horning Rd, Atwater, OH 44201-9790 | 2020-01-19 |
| 1134765977 | Stephen Hillyer | Non-emergency Medical Transport (VAN) | 257 E Bellevue Rd Ste 255, Atwater, CA 95301-2304 | 2019-11-26 |
| 1629614656 | Geniece Fernon Knight | Technician | 2916 Happy Valley Ct, Atwater, CA 95301-9461 | 2019-11-25 |
| 1992354401 | Adilene Quintero Zamora | Case Manager/Care Coordinator | 1690 Sierra Madre Dr, Atwater, CA 95301-4237 | 2019-09-06 |
| Find all providers in ATWATER | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689292369 | Elaina Railey | Registered Nurse | 16765 Joplin Way, Lakeville, MN 55044-5682 | 2020-07-09 |
| 1912566530 | Eli Sedo | Registered Nurse | 1440 Spartan Ave, Albert Lea, MN 56007-1328 | 2019-06-07 |
| 1780880781 | Christine Maren Anderson | Registered Nurse | 2550 University Ave W., Suite 229n, St Paul, MN 55114-2290 | 2007-06-26 |
| 1093379059 | Lubasi Kamuti Sr. | Registered Nurse | 726 2nd St Ne, Minneapolis, MN 55413-1662 | 2019-04-25 |
| 1316445455 | Northern Waters Clinic, Pllc | Registered Nurse | 4899 Miller Trunk Hwy Ste 208, Hermantown, MN 55811-1582 | 2018-01-23 |
| 1740663798 | Jordan P Hobbs | Registered Nurse | 124 Elton Hills Ln Nw, Rochester, MN 55901-3577 | 2015-07-08 |
| 1245206291 | Debra S Lalley | Registered Nurse | 1406 6th Ave N, St Cloud Hospital Behavioral Health Clinic, St Cloud, MN 56303 | 2006-02-28 |
| 1780661389 | Dixie Shelton | Registered Nurse | 11010 Prairie Lakes Dr, Suite 250, Eden Prairie, MN 55344-3884 | 2005-12-27 |
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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.