MARY M ERICKSON (NPI# 1255332029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255332029 |
| Entity Type | Individual |
| Full Name | MARY M ERICKSON |
| Credential | RNC PNP MPH |
| Practice Address |
Children's Primary Clinic - Stpl 347 North Smith Avenue St Paul MN 55102 |
| Mailing Address |
Children's Health Care 2910 Centre Pointe Drive 35-121a Roseville MN 55113 |
| Practice Telephone | 6512206789 |
| Practice Fax Number | 6512206807 |
| Mailing Telephone | 6518552327 |
| Mailing Fax Number | 6518552310 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R073480-0 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215346416 | Mary Erickson | Physical Therapist | 7505 Country Club Dive, Golden Valley, MN 55427 | 2014-08-13 |
| 1326306010 | Mary D Erickson | Counselor | 5223 21st Ave Ne, Seattle, WA 98105-3334 | 2012-05-01 |
| 1629243720 | Mary Erickson | Speech-Language Pathologist | 10089 Brandsteade Ct, Union, KY 41091-8669 | 2008-04-29 |
| 1700939386 | Mary Wanda Erickson | Occupational Therapist | 506 Roeder Cir, 88th Rrc Surgeon's Office, Fort Snelling, MN 55111-4017 | 2007-01-18 |
| 1962881235 | Mary Eloise Erickson | Internal Medicine | 701 Park Ave, Minneapolis, MN 55415-1623 | 2015-05-20 |
| 1033389499 | Mary Erickson | Speech-Language Pathologist | 1217 W Houston Ave, Mcallen, TX 78501-5012 | 2008-03-01 |
| 1619156387 | Mary Lou Erickson | Registered Nurse | 625 5th St, Santa Rosa, CA 95404-4428 | 2007-10-30 |
| 1104046796 | Mary Caroline Erickson | Marriage & Family Therapist | 3245 Fairview Ave E, Suite 310, Seattle, WA 98102-3053 | 2007-04-26 |
| 1033270616 | Mary J Erickson | Emergency Medicine | 1 Childrens Plz, Dayton, OH 45404-1898 | 2006-12-13 |
| 1740375468 | Mary Erickson | Nurse Practitioner | 1315 Macom Dr, Suite 005, Naperville, IL 60564-9358 | 2006-10-04 |
| Street Address |
CHILDREN'S PRIMARY CLINIC - STPL 347 NORTH SMITH AVENUE |
| City | ST PAUL |
| State | MN |
| Zip Code | 55102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346241114 | Virginia M Mccarthy | Nurse Practitioner | Children's Primary Clinic - Stpl, 347 North Smith Avenue, St Paul, MN 55102 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033470638 | Karla Lynn Hurtley | Nurse Practitioner | Children's Health Care, 345 North Smith Ave, St Paul, MN 55102 | 2012-05-31 |
| 1275503583 | Amy R Wein | Nurse Practitioner | 347 N Smith Ave, Childrens Specialty Clinic Hematology Oncology Stpl, St Paul, MN 55102 | 2006-01-26 |
| 1346241114 | Virginia M Mccarthy | Nurse Practitioner | Children's Primary Clinic - Stpl, 347 North Smith Avenue, St Paul, MN 55102 | 2005-08-03 |
| 1699731422 | Michele M Welte | Nurse Practitioner | 347 North Smith Avenue, Childrens Specialty Clinic Nicu, St Paul, MN 55102 | 2006-04-21 |
| 1114988664 | Lynn M Taival | Nurse Practitioner | 347 North Smith Avenue, Childrens Specialty Clinic Nicu Follow Up Clinic, St Paul, MN 55102 | 2006-03-31 |
| 1871553883 | Kimberly A Jacobson | Nurse Practitioner | 347 North Smith Avenue, Childrens Specialty Clinic Hematology Oncology Stpl, St Paul, MN 55102 | 2006-03-24 |
| 1427018472 | Kimberly A Martinez | Nurse Practitioner | 347 North Smith Avenue, 401 Midwest Childrens Resource Center, St Paul, MN 55102 | 2006-03-24 |
| 1013976554 | Nancy Entgelmeier | Nurse Practitioner | 347 N Smith Ave, Childrens Specialty Clinic Feeding Clinic Stpl Mpls, St Paul, MN 55102 | 2006-03-22 |
| 1871552323 | Laurel D Edinburgh | Nurse Practitioner | 347 North Smith Avenue, #401, Midwest Childrens Resource Center, St Paul, MN 55102 | 2006-03-22 |
| 1437125556 | Patricia A Stinchfield | Nurse Practitioner | 347 N Smith Ave, Childrens Specialty Clinic Infectious Diseases Stpl, St Paul, MN 55102 | 2006-02-28 |
| Find all providers in ST PAUL | ||||
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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.