DR. LISA THANH TIEU (NPI# 1265869606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265869606 |
| Entity Type | Individual |
| Full Name | DR. LISA THANH TIEU |
| Credential | DNP, CNP |
| Practice Address |
5100 Gamble Dr Suite 100 St Louis Park MN 55416-1521 |
| Mailing Address |
9700 Waterstone Pl Apt 208a Minnetonka MN 55305-5539 |
| Practice Telephone | 9525412500 |
| Practice Fax Number | 9525412539 |
| Mailing Telephone | 6128037618 |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2014-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
215505-0 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5100 GAMBLE DR SUITE 100 |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851364392 | Julie A Chavez | Dentist | 5100 Gamble Dr, Suite 125, St Louis Park, MN 55416-1521 | 2006-02-07 |
| 1841589736 | Michael William Davis | Orthopaedic Surgery | 5100 Gamble Dr, Suite 540, St Louis Park, MN 55416-1521 | 2011-03-31 |
| 1730311887 | Erik L. Haltson | Physician Assistant | 5100 Gamble Dr, Suite 100, St Louis Park, MN 55416-1521 | 2009-08-21 |
| 1699901140 | Northern Star Oral and Maxillofacial Surgery Pllc | Clinic/Center | 5100 Gamble Dr, Suite 125, St Louis Park, MN 55416-1585 | 2009-06-10 |
| 1720277627 | Thomas Litman | Specialist | 5100 Gamble Dr, Suite 540, St Louis Park, MN 55416-1521 | 2007-10-17 |
| 1053466128 | Group Health Plan Inc | Dentist | 5100 Gamble Dr, Ste 100, St Louis Park, MN 55416-1521 | 2007-01-25 |
| 1144331257 | Terese A Lalomia | Dentist | 5100 Gamble Dr, Ste 100, St Louis Park, MN 55416 | 2006-08-31 |
| 1710098819 | Thomas L Kollodge | Dentist | 5100 Gamble Dr, Suite 100, St Louis Park, MN 55416 | 2006-08-31 |
| 1407824709 | Michael Y Hu | Surgery | 5100 Gamble Dr, Suite 100, St Louis Park, MN 55416-1582 | 2006-03-10 |
| 1073589123 | Jennifer Rae Eggers | Physician Assistant | 5100 Gamble Dr, Suite 100, St Louis Park, MN 55416-1521 | 2006-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124636063 | Kellie Lynn Leblanc | Nurse Practitioner | 3151 Hillsboro Ave S, St Louis Park, MN 55426-2930 | 2020-07-16 |
| 1861471666 | Jennifer L Mears | Nurse Practitioner | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2006-01-11 |
| 1467440784 | Leann Clarksean | Nurse Practitioner | 5320 W 23rd St Ste 130, St Louis Park, MN 55416-1670 | 2005-10-11 |
| 1447259395 | Ann Kolar Chinnakotla | Nurse Practitioner | 3900 Park Nicollet Blvd, 3rd Floor Urology, St Louis Park, MN 55416-2503 | 2005-07-21 |
| 1629611033 | Johanna Clara Ayers | Nurse Practitioner | 4656 Excelsior Blvd, St Louis Park, MN 55416-4938 | 2019-10-18 |
| 1790290195 | Kathryn Caye Mcgovern | Nurse Practitioner | 4656 Excelsior Blvd, St Louis Park, MN 55416-4938 | 2017-12-06 |
| 1912422718 | Kathleen Therese Guinee Holman | Nurse Practitioner | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2017-08-14 |
| 1619497476 | Laura I. Lenz | Nurse Practitioner | 3850 Park Nicollet Blvd, St Louis Park, MN 55416 | 2017-06-22 |
| 1871013037 | Lorraine Marie Richards | Nurse Practitioner | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2017-06-20 |
| 1023552924 | Tiffany Rae Krebsbach | Nurse Practitioner | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2016-12-12 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
Please comment or provide details below to improve the information on DR. LISA THANH TIEU.
| 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.