KINGSLEY CLINIC OF MINNESOTA, PLLC (NPI# 1255939716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255939716 |
| Entity Type | Organization |
| Organization Name | KINGSLEY CLINIC OF MINNESOTA, PLLC |
| Practice Address |
333 Washington Ave N Ste 300 Minneapolis MN 55401-1353 |
| Practice Telephone | 6124531907 |
| Practice Fax Number | 6125004916 |
| Mailing Telephone | 6124531907 |
| Mailing Fax Number | 6125004916 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | JAMES KINGSLEY (OWNER) |
| Authorized Official Telephone | 6124531907 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
333 WASHINGTON AVE N STE 300 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55401-1353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265788459 | Minnesota Spine Associates | Pain Medicine | 333 Washington Ave N Ste 300, Minneapolis, MN 55401-1353 | 2012-07-25 |
| 1073121935 | Vital Mental Health Specialists LLC | Clinic/Center | 333 Washington Ave N Ste 300, Minneapolis, MN 55401-1353 | 2020-07-16 |
| 1073134284 | Pathway Virtu-health | Nurse Practitioner | 333 Washington Ave N Ste 300, Minneapolis, MN 55401-1353 | 2020-04-28 |
| 1598238776 | U of M Home Health LLC | Home Health | 333 Washington Ave N Ste 300, Minneapolis, MN 55401-1353 | 2019-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316410012 | Janessa Angelica Beebe | Counselor | Cornerstone Therapy and Recovery Center, 1600 University Avenue West Suite #203, St. Paul, MN 55401 | 2019-01-04 |
| 1144706094 | Adrienne Sharma | Psychologist | 708 North 1st Street, Suite #242, Minneapolis, MN 55401 | 2018-07-13 |
| 1023511904 | Angela Perriman Dogins | Nurse Practitioner | 100 Washington Avenue South, Suite 900, Minneaplois, MN 55401 | 2018-03-16 |
| 1962924472 | Accuquest Hearing Centers, LLC | Clinic/Center | 2620 Steward Ave., Suite 114, Wausau, WI 55401 | 2017-07-17 |
| 1699186932 | Ross Schilling | Chiropractor | 250 2nd Avenue South, 286, Minneapolis, MN 55401 | 2014-05-08 |
| 1548516974 | Minnesota International Middle School | Local Education Agency (LEA) | 227 12th Ave N, Minneapolis, MN 55401 | 2012-08-03 |
| 1194919316 | Lynn Spaw | Nurse Practitioner | 333 Washington Avenue S, Suite 5000, Minneapolis, MN 55401 | 2007-08-30 |
| 1811947500 | Daniel Warren Eurman | Radiology | 100 3rd Ave S Unit 1507, Minneapolis, MN 55401 | 2006-05-11 |
| 1215928015 | Virginia Karen Vaughn | Nurse Practitioner | Minuteclinic 333 Washington Ave. North, Suite 5000, Minneapolis, MN 55401 | 2005-10-31 |
| 1447550876 | Walter Lee Bailey | Neurological Surgery | 500 River St, Minneapolis, MN 55401 | 2010-11-02 |
| Find all providers in zip 55401 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423252 | Good Clinic Mn Pllc | Clinic/Center | 315 1st Ave Ne, Minneapolis, MN 55413-5001 | 2020-09-30 |
| 1477934818 | North Memorial Health Care | Clinic/Center | 651 Nicollet Mall Ste 277, Minneapolis, MN 55402-1631 | 2015-06-11 |
| 1861621542 | Mitchell Pincus | Clinic/Center | 5120 France Ave S, Apt 203, Minneapolis, MN 55410-2022 | 2009-07-02 |
| 1558408161 | University of Minnesota Physicians | Clinic/Center | 2020 East 28th Street, Smiley's Clinic, Minneapolis, MN 55407 | 2007-01-31 |
| 1831601152 | House of Opportunity | Clinic/Center | 1813 S 6th St Ste 101, Minneapolis, MN 55454-1208 | 2017-10-26 |
| 1922510445 | Metro Social Services | Clinic/Center | 1813 S 6th St Ste 101, Minneapolis, MN 55454-1208 | 2017-10-25 |
| 1710428347 | Allina Health System | Clinic/Center | 9300 Noble Pkwy N, Minneapolis, MN 55443-5500 | 2017-03-15 |
| 1982158044 | Medical Care Innovation, P.C. | Clinic/Center | 1 General Mills Blvd, Quad Med, Minneapolis, MN 55426-1347 | 2016-08-06 |
| 1730586819 | University of Minnesota Physicians | Clinic/Center | 814 South 3rd St, Minneapolis, MN 55415 | 2014-12-04 |
| 1174945620 | Uptown Urgent Care, Inc. | Clinic/Center | 312 W Lake St Ste 100, Minneapolis, MN 55408-4899 | 2014-01-16 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55401 |
Please comment or provide details below to improve the information on KINGSLEY CLINIC OF MINNESOTA, PLLC.
| 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.