ERIN ELIZABETH LALLEY (NPI# 1245664630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245664630 |
| Entity Type | Individual |
| Full Name | ERIN ELIZABETH LALLEY |
| Credential | NP |
| Practice Address |
6500 Excelsior Blvd Suite 4-820 Saint Louis Park MN 55426-4702 |
| Practice Telephone | 9529933240 |
| Practice Fax Number | 9529932640 |
| Mailing Telephone | 9529933240 |
| Mailing Fax Number | 9529932640 |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2017-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
215809-5 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6500 EXCELSIOR BLVD SUITE 4-820 |
| City | SAINT LOUIS PARK |
| State | MN |
| Zip Code | 55426-4702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588014831 | Jessica Gore | Speech-Language Pathologist | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2016-06-17 |
| 1831535558 | Adrianne Rose Mallen | Obstetrics & Gynecology | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2013-05-21 |
| 1447696760 | Gerri Lee Clements | Advanced Practice Midwife | 6500 Excelsior Blvd, Hvc 5th Floor, Saint Louis Park, MN 55426-4702 | 2013-05-14 |
| 1003196148 | Chelsey Marie Peters | Occupational Therapist | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2011-08-21 |
| 1164757035 | Jennifer M Neist | Registered Nurse | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2009-10-12 |
| 1144490400 | Andrea Marie Kinzer | Occupational Therapist | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2008-03-03 |
| 1306068150 | David Brokl | Internal Medicine | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2007-05-02 |
| 1659494342 | Jason Christopher Carvalho | Pathology | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2007-04-09 |
| 1053439497 | Tina Patricia Lavin | Speech-Language Pathologist | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2007-03-26 |
| 1609912740 | Mariana J Canoniero | Internal Medicine | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2007-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235493677 | Adina L Peck | Nurse Practitioner | 3931 Louisiana Ave S, Saint Louis Park, MN 55426-4375 | 2012-06-29 |
| 1609144187 | Kristen M. Bleninger-sundar | Nurse Practitioner | 5775 Wayzata Boulevard, Suite 600, Saint Louis Park, MN 55416-2687 | 2011-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639731821 | Thomas Bieniek | Nurse Practitioner | 1900 Centracare Cir Ste 1600, Saint Cloud, MN 56303-5000 | 2019-07-08 |
| 1649830225 | Kimberly Dawn Hanson | Nurse Practitioner | 1884 Randolph Ave, Saint Paul, MN 55105-1747 | 2019-06-17 |
| 1942762828 | Jodi Lynn Martin | Nurse Practitioner | 720 Washington Ave Se Ste 300, Minneapolis, MN 55414-2904 | 2019-04-01 |
| 1831661123 | Sheryl Jo Rudolf | Nurse Practitioner | 705 Pleasant Avenue, Park Rapids, MN 56470-1440 | 2018-12-26 |
| 1043730310 | Alexis Oluwasheun Bakare | Nurse Practitioner | 1101 Paul Pkwy Ne Apt 215, Blaine, MN 55434-3977 | 2017-06-27 |
| 1528500360 | Judy Pauletich | Nurse Practitioner | 1255 Mayhill Rd N, Maplewood, MN 55119-7158 | 2016-11-10 |
| 1437506417 | Zahra Roble | Nurse Practitioner | 1801 Nicolllet Ave S, Minneapolis, MN 55403 | 2016-05-19 |
| 1932569035 | David Makonde Ogato | Nurse Practitioner | 5325 W 74th St, Edina, MN 55439-2231 | 2016-03-02 |
| 1164896379 | Brooke Johnson | Nurse Practitioner | 12700 Whitewater Dr, Minnetonka, MN 55343-9438 | 2015-11-25 |
| 1962879916 | Carrie Rose Lucio | Nurse Practitioner | 807 Albert St N, Saint Paul, MN 55104-1302 | 2015-08-25 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS PARK |
| Zip Code | 55426 |
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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.