EMILY KAYE REIBERT (NPI# 1255895124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255895124 |
| Entity Type | Individual |
| Full Name | EMILY KAYE REIBERT |
| Practice Address |
115 Drew Ave Se Madelia MN 56062-1873 |
| Practice Telephone | 5075290436 |
| Mailing Telephone | 5076428742 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | H10571 | MN | Dental Providers |
| Y | 125J00000X | Dental Therapist | DT115 | MN | Dental Providers |
| Street Address |
115 DREW AVE SE |
| City | MADELIA |
| State | MN |
| Zip Code | 56062-1873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477558302 | Viktoria Larson Davis | Optometrist | 115 Drew Ave Se, Ste 201, Madelia, MN 56062-1841 | 2005-06-16 |
| 1821652710 | Haley Lea Reed | Dental Hygienist | 115 Drew Ave Se, Madelia, MN 56062-1873 | 2019-04-25 |
| 1093027526 | Gavin Eye Consulting Pllc | Ophthalmology | 115 Drew Ave Se, Suite 201, Madelia, MN 56062-1873 | 2010-07-13 |
| 1407000490 | Jodi Lynn Hager | Dental Hygienist | 115 Drew Ave Se, Suite 202, Madelia, MN 56062-1873 | 2008-11-04 |
| 1831223833 | Stephen C Marquard | Dentist | 115 Drew Ave Se, Ste 202, Madelia, MN 56062-1870 | 2007-03-14 |
| 1003978693 | David Bruzek | Dentist | 115 Drew Ave Se, Madelia, MN 56062-1841 | 2006-12-14 |
| 1962563874 | Teresa Evelyn Johnson | Dentist | 115 Drew Ave Se, Madelia, MN 56062-1841 | 2006-12-13 |
| 1518028091 | Apple Tree Dental | Dentist | 115 Drew Ave Se, Madelia, MN 56062-1841 | 2006-12-12 |
| 1881678373 | James R Eiselt | Family Medicine | 115 Drew Ave Se, Madelia, MN 56062-1841 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124405451 | Tammy Ulmen | Marriage & Family Therapist | 105 Center Ave N, Madelia, MN 56062 | 2015-05-06 |
| 1902981590 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 226 Drew Avenue Se, Madelia, MN 56062 | 2006-10-25 |
| 1841693389 | Dennis Wanzek | Pharmacist | 622 1st St Sw, Madelia, MN 56062-1214 | 2014-09-29 |
| 1376006262 | Kyndra Jo Meyer | Registered Nurse | 12 Gilbert Ave Sw, Madelia, MN 56062-1244 | 2019-04-09 |
| 1114012069 | Scott Michael Kirchner | Chiropractor | 24 Center Ave N, Madelia, MN 56062-1428 | 2006-10-04 |
| 1568994226 | Stepping Stones Mental Health Center, LLC | Community/Behavioral Health | 105 Center Ave N, Madelia, MN 56062-1429 | 2017-03-31 |
| 1295104032 | Mary Lehman | Pharmacist | 9 E Main St, Madelia, MN 56062-1435 | 2015-09-23 |
| 1265815765 | Lewis Family Drug, LLC | Pharmacy | 9 E Main St, Madelia, MN 56062-1435 | 2015-07-01 |
| 1073528667 | Wanzek Pharmacy Inc | Pharmacy | 12 W Main St, Madelia, MN 56062-1438 | 2006-07-30 |
| 1073711545 | City of Madelia | Ambulance | 116 W Main St, Madelia, MN 56062-1440 | 2007-07-06 |
| Find all providers in zip 56062 | ||||
| Taxonomy Code | 125J00000X |
| Grouping | Dental Providers |
| Classification | Dental Therapist |
| A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations. |
| Notes: Source: Summarized from Minnesota Statute 150A.105. [7/1/2012: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264446 | Amber Nichelle Irby | Dental Therapist | 903 W Center St #130, Rochester, MN 55902 | 2020-08-05 |
| 1558835942 | Jennifer Iacobelli | Dental Therapist | 13899 Highway 13 South Frontage Road, Savage, MN 55378 | 2019-01-18 |
| 1992288781 | Katie Ask | Dental Therapist | 13889 Highway 13 S, Frontage Rd, Savage, MN 55378 | 2018-09-08 |
| 1487154092 | Sunny Moon | Dental Therapist | 10584 France Ave S, Bloomington, MN 55431-3538 | 2018-02-20 |
| 1326548454 | Julie Bonham | Dental Therapist | 803 3rd St. Se, Suite 330, Little Falls, MN 56345 | 2018-02-15 |
| 1376077974 | Saritha Gajawada | Dental Therapist | 15354 Plumstone Dr, Eden Prairie, MN 55347-2061 | 2017-04-20 |
| 1649644063 | Brittany Gronland | Dental Therapist | 25730 Smithtown Rd, Excelsior, MN 55331-8592 | 2015-11-23 |
| 1124405857 | Jenna Susanne Marquardt | Dental Therapist | 209 South 1st Street, Montevideo, MN 56265 | 2015-05-01 |
| 1558751495 | Weston Mark Schmidt | Dental Therapist | 411 East Howard St., Jacobson Family Dentistry PC, Hibbing, MN 55746 | 2015-01-30 |
| 1003230137 | Janelle Jehn | Dental Therapist | 4342 4th Ave S, Minneapolis, MN 55409-2155 | 2014-02-10 |
| Find all providers with the same taxonomy | ||||
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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.