KIMBERLY M WOLF (NPI# 1285725291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285725291 |
| Entity Type | Individual |
| Full Name | KIMBERLY M WOLF |
| Credential | PHD, PMHCNS-BC APRN |
| Practice Address |
701 Park Ave # O8 Minneapolis MN 55415-1623 |
| Mailing Address |
701 Park Ave Minneapolis MN 55415-1623 |
| Practice Telephone | 6128732291 |
| Practice Fax Number | 6129044477 |
| Mailing Telephone | 6128732291 |
| Mailing Fax Number | 6129044477 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2018-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
R1558205 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
0012 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3100 W Lake St Ste 210, Minneapolis, MN 554164597 | 6129256033 | 6122170662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285628610 | Kimberly Sue Wolf | Nurse Practitioner | 703 S Highway 377, Aubrey, TX 76227-5534 | 2005-08-31 |
| 1730729286 | Kimberly Marie Wolf | Speech-Language Pathologist | 1519 S Grace St, Lombard, IL 60148-4649 | 2020-01-13 |
| 1588172886 | Kimberly Anne Wolf | Occupational Therapist | 2850 S Industrial Hwy Ste 75, Ann Arbor, MI 48104-6796 | 2018-01-21 |
| 1114298528 | Kimberly Ann Wolf | Internal Medicine | 2 Meridian Blvd, Wyomissing, PA 19610-3202 | 2012-01-16 |
| 1447571831 | Kimberly Marie Wolf | Counselor | 734 10th Ave, San Diego, CA 92101-6502 | 2010-06-20 |
| 1326363581 | Kimberly Joanna Wolf | Pediatrics | 2201 Courage Dr, Fairfield, CA 94533-6733 | 2010-03-31 |
| Street Address |
701 PARK AVE # O8 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55415-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205265915 | Elise Anderson-ehrman | Physician Assistant | 701 Park Ave # O8, Minneapolis, MN 55415-1623 | 2013-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547643 | Kevin Reininger | Pharmacist | 730 S 8th St., Pharmacy Department, Minneapolis, MN 55415 | 2020-04-24 |
| 1124674551 | Andrew Michael Baker | Pathology | Hennepin County Medical Examiner, 530 Chicago Ave, Minneapolis, MN 55415 | 2019-08-12 |
| 1598326951 | Monazza Iqbal Chaudhry | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center 701 Park Avenue, Minneapolis, MN 55415 | 2019-06-26 |
| 1760947196 | Brandon Haas | Pharmacist | 701 Park Ave Rll, Minneapolis, MN 55415 | 2019-02-11 |
| 1710474192 | Andrea Kramer | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center Emergency Medicine, 701 Park Avenue, Minneapolis, MN 55415 | 2018-04-20 |
| 1750888640 | Alexandra Rose Coward | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center - General Surgery, 701 Park Avenue, Minneapolis, MN 55415 | 2018-04-09 |
| 1194235861 | Gretchen Jane Vanderlinden-wang | Social Worker | Hennepin County Medical Center Adult Psychiatry Clinic, 701 Park Avenue, Shapiro Building, Suite S1.110, Minneapolis, MN 55415 | 2017-10-06 |
| 1720501117 | Dominique Lacha Jones | Advanced Practice Midwife | 716 South 7th Street, Purple Building Level 5, Minneapolis, MN 55415 | 2017-07-18 |
| 1669905618 | Joseph Douglas Steffens | Internal Medicine | 701 Park Avenue, Internal Medicine Residency Program, Hennepin County Medical Center, Minneapolis, MN 55415 | 2017-04-06 |
| 1215469689 | Michael Reitz | Student in an Organized Health Care Education/Training Program | 701 Park Avenue, B5.118, Minneapolis, MN 55415 | 2017-04-03 |
| Find all providers in zip 55415 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194049585 | Elaine Hope Darst | Clinical Nurse Specialist | 615 1st Ave Ne, Suite 310, Minneapolis, MN 55413-2447 | 2010-03-15 |
| 1376873331 | Cretilli and Associates, Pa | Clinical Nurse Specialist | 5430 Edgewater Blvd, Minneapolis, MN 55417-2604 | 2010-01-13 |
| 1356671010 | Vicki Jo Dean-gramlich | Clinical Nurse Specialist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2009-12-31 |
| 1134371321 | Jennifer Marie Wolfe | Clinical Nurse Specialist | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2008-10-21 |
| 1215151402 | Merrie Jean Kaas | Clinical Nurse Specialist | 615 1st Ave Ne, Suite 310, Minneapolis, MN 55413-2447 | 2007-04-12 |
| 1104947241 | Louise Marie Mcnamara | Clinical Nurse Specialist | 615 1st Ave Ne, Suite 310, Minneapolis, MN 55413-2447 | 2007-04-03 |
| 1588780068 | Marlene Grace Buskirk | Clinical Nurse Specialist | 615 1st Ave Ne, Suite 310, Minneapolis, MN 55413-2447 | 2007-03-22 |
| 1811098486 | Renee Diane Koemptgen | Clinical Nurse Specialist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2006-09-26 |
| 1184724056 | Lori Kay Baier | Clinical Nurse Specialist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2006-09-22 |
| 1700984770 | Denise Dehn Farr | Clinical Nurse Specialist | 1 Veterans Dr, Route 116a, Minneapolis, MN 55417-2309 | 2006-09-21 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55415 |
Please comment or provide details below to improve the information on KIMBERLY M WOLF.
| 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.