DERM ON DEMAND LLC (NPI# 1225472046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225472046 |
| Entity Type | Organization |
| Organization Name | DERM ON DEMAND LLC |
| Practice Address |
7940 Main St N Maple Grove MN 55369-7169 |
| Practice Telephone | 7633506810 |
| Mailing Telephone | 7633506810 |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-06-03 |
| Authorized Official Name | MRS. RISA ANN ASMUS DORWEILER (OWNER/PROVIDER) |
| Authorized Official Telephone | 7633506810 |
| Authorized Official Credential | ANP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R1232822 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 187282600 | 05 |
| Street Address |
7940 MAIN ST N |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-7169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586108 | Emilia Weronika Wojciechowski | Nurse Practitioner | 8220 Yellowstone Ln N, Maple Grove, MN 55311-1603 | 2020-04-03 |
| 1023678679 | Allina Health System | Nurse Practitioner | 18755 70th Way N, Maple Grove, MN 55311-3515 | 2019-06-17 |
| 1902229404 | Aimee Heinen | Nurse Practitioner | 7382 Kirkwood Ct N, Maple Grove, MN 55369-5270 | 2014-02-04 |
| 1497288021 | Orina Machoka | Nurse Practitioner | 9550 Upland Ln N Ste 100, Maple Grove, MN 55369-4482 | 2017-04-11 |
| 1215200282 | Ellen Amie Karnwie-tuah | Nurse Practitioner | 9550 Upland Ln N Ste 100, Maple Grove, MN 55369-4482 | 2012-02-21 |
| 1467761890 | Susan Mentjes Wrobel | Nurse Practitioner | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369-4768 | 2010-10-04 |
| 1295054690 | Tara S Calmes-norgaard | Nurse Practitioner | 9550 Upland Ln N Ste 100, Maple Grove, MN 55369-4482 | 2010-05-25 |
| 1437484300 | Jeanne L Morizio | Nurse Practitioner | 9645 Grove Cir N Ste 200, Maple Grove, MN 55369 | 2009-10-12 |
| 1508199423 | Kelly R Ihry | Nurse Practitioner | 9825 Hospital Dr, #205, Maple Grove, MN 55369 | 2009-09-10 |
| 1477644235 | Evelyn F Nietfeld | Nurse Practitioner | 9645 Grove Cir N Ste 200, Maple Grove, MN 55369 | 2006-09-27 |
| Find all providers in MAPLE GROVE | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
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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.