ETHAN HAMILTON


Address: 800 E 28th St, Minneapolis, MN 55407-3723
Phone: 6128634000

ETHAN HAMILTON (NPI# 1275024341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275024341
Entity Type Individual
Full Name ETHAN HAMILTON
Credential CNP
Practice Address 800 E 28th St
Minneapolis
MN 55407-3723
Mailing Address 800 E 28th St
Minneapolis
MN 55407-3799
Practice Telephone 6128634000
Enumeration Date 2018-05-24
Last Update Date 2019-02-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
1640188 CO Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
6446 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 800 E 28TH ST
City MINNEAPOLIS
State MN
Zip Code 55407-3723

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053314765 Judy Garza Specialist 800 E 28th St, Minneapolis, MN 55407-3723 2005-05-27
1568069060 Brooke Evensen Occupational Therapist 800 E 28th St, Minneapolis, MN 55407-3723 2020-10-07
1558968172 Taiya Brown Dietitian, Registered 800 E 28th St, Minneapolis, MN 55407-3723 2020-10-06
1003413188 Brandy Kozitza Physical Medicine & Rehabilitation 800 E 28th St, Minneapolis, MN 55407-3723 2020-10-02
1215554522 Andrea Edwards Genetic Counselor, MS 800 E 28th St, Minneapolis, MN 55407-3723 2020-07-02
1740804350 Danielle Krimmer Registered Nurse 800 E 28th St, Minneapolis, MN 55407-3799 2020-05-31
1225650005 Kimberly Homan Speech-Language Pathologist 800 E 28th St, Minneapolis, MN 55407-3723 2020-05-14
1568084630 J&j Services, Inc Durable Medical Equipment & Medical Supplies 800 E 28th St, Minneapolis, MN 55407-3723 2020-05-12
1760011837 Kayla Calhoun Physical Therapist 800 E 28th St, Minneapolis, MN 55407-3799 2020-04-02
1831727874 Steven Thomas Schull Student in an Organized Health Care Education/Training Program 800 E 28th St, Minneapolis, MN 55407-3799 2020-03-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720644057 Amana Home Care Home Health 2833 13th Ave S Suite 118, Minneapolis, MN 55407 2019-05-13
1356802979 Aaron Randy Pickrel Student in an Organized Health Care Education/Training Program 2800 Chicago Avenue, #250, Minneapolis, MN 55407 2019-03-27
1053881631 Naimo Abdisalam Registered Nurse 1229 East Lake Street, Minneapolis, MN 55407 2018-11-27
1437639614 Kelly Usitalo Nurse Practitioner 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 2018-08-17
1952880346 Allison Hall Internal Medicine Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 2018-08-07
1780176370 Rebekah Sand Physical Therapist 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 2018-05-31
1417448663 Vivian T.c. Liu Student in an Organized Health Care Education/Training Program 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 2018-05-23
1053802397 Isuroon Counselor 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 2018-05-22
1154811404 Mohamed Mukhtar Ali Dentist 4700 Cedar Ave S, Minneapolis, MN 55407 2018-05-12
1396254280 Erin Elizabeth Casper Registered Nurse 3621 Oakland Ave, Minneapolis, MN 55407 2017-09-25
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285234435 Hawa Warsame Ali Nurse Practitioner 2650 Portland Ave, Minneapolis, MN 55407-1011 2020-10-27
1164540043 Susan Sachs Steinberg Nurse Practitioner 410 Church Street S.e.-university of Minnesota, Mental Health Clinic-4th Floor, Minneapolis, MN 55455 2007-03-27
1528673779 Hulda M Mosiori Nurse Practitioner 1801 Nicollet Ave, Minneapolis, MN 55403-3791 2020-09-14
1811507338 Tiffany Sims Nurse Practitioner 100 Washington Ave S Ste 900, Minneapolis, MN 55401-2455 2020-08-10
1992355028 Tolulope Emmanuel Adediwura Nurse Practitioner 701 Park Ave, Minneapolis, MN 55415-1623 2019-09-20
1235787409 Tolu Okuneye Nurse Practitioner 1801 Nicollet Ave, Minneapolis, MN 55403-3791 2019-08-29
1407400898 Catherine Rachael Pearson Nurse Practitioner 701 Park Ave, Minneapolis, MN 55415-1623 2019-07-24
1659923688 Kristin Alecia Verhoeven Nurse Practitioner 2450 Riverside Ave, Minneapolis, MN 55454-1450 2019-07-10
1578029757 Melodie Anne Kabanuk Dohm Nurse Practitioner 1315 E 24th St Ste 1, Minneapolis, MN 55404-3959 2019-02-13
1902370620 Elinor Florence Chase-andresen Nurse Practitioner 2450 Riverside Ave, Minneapolis, MN 55454-1450 2019-01-15
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Competitor

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City MINNEAPOLIS
Zip Code 55407

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Dataset Information

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.

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