COMMUNITY DIAGNOSTICS AND CONSULTATION, INC (NPI# 1295936946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295936946 |
| Entity Type | Organization |
| Organization Name | COMMUNITY DIAGNOSTICS AND CONSULTATION, INC |
| Practice Address |
5642 Halie Rd Duluth MN 55810-2166 |
| Practice Telephone | 2185917057 |
| Mailing Telephone | 2185917057 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. THERESA MARIE CARR (PRESIDENT) |
| Authorized Official Telephone | 2185917057 |
| Authorized Official Credential | MA, RN, CNS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
R110631-4 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5642 HALIE RD |
| City | DULUTH |
| State | MN |
| Zip Code | 55810-2166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477948537 | Julia Carr | Specialist/Technologist | 5642 Halie Rd, Duluth, MN 55810-2166 | 2015-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720541337 | Ltc Prescription Providers #2 | Pharmacy | 220 1/2 Third Avenue, Proctor, MN 55810 | 2019-04-10 |
| 1164757282 | Angela Marie Swanstrom | Registered Nurse | 9238 Meadow Street, Duluth, MN 55810 | 2009-10-07 |
| 1154584027 | Golden Oaks Advanced Assisted Living Plus - Proctor | Assisted Living Facility | 23 Waterview Dr, Proctor, MN 55810 | 2008-07-09 |
| 1285739490 | David Lawrence Bopp | Dentist | 225 Second St, Proctor, MN 55810 | 2006-09-13 |
| 1538571831 | Jessica M Downs | Registered Nurse | 4815 Burning Tree Rd, Duluth, MN 55810 | 2014-05-21 |
| 1245628742 | Andrea Mckay | Specialist/Technologist | 1226 2nd Ave, Proctor, MN 55810-1218 | 2015-01-06 |
| 1194002816 | Anita Caines | Dental Hygienist | 8104 Vinland St, Duluth, MN 55810-1402 | 2011-11-09 |
| 1619350436 | Rolen Cares, LLC | Nursing Care | 204 3rd Ave, Duluth, MN 55810-1617 | 2015-06-30 |
| 1962571810 | Ltc Prescription Providers Inc | Pharmacy | 220 3rd Ave, Proctor, MN 55810-1617 | 2006-11-07 |
| 1083012165 | Fcsl Proctor, LLC | Assisted Living Facility | 913 Old Highway 2, Proctor, MN 55810-1750 | 2014-12-05 |
| Find all providers in zip 55810 | ||||
| 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 |
|---|---|---|---|---|
| 1487872107 | Nadine Teresa Hoven | Clinical Nurse Specialist | 332 W Superior St Ste 300, Duluth, MN 55802-1844 | 2007-04-20 |
| 1821014598 | Regina Katherine Richards | Clinical Nurse Specialist | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-07-14 |
| 1558394551 | Alice Marjorie Skadsberg | Clinical Nurse Specialist | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932668795 | Interpersonal Psychotherapy Center | Clinical Nurse Specialist | 300 3rd Ave Se Ste 206, Rochester, MN 55904-4632 | 2019-03-19 |
| 1598065054 | Colleen Margaret Zimmer | Clinical Nurse Specialist | 1150 Montreal Ave Ste 107, Saint Paul, MN 55116-2393 | 2010-10-29 |
| 1275709222 | Suzanne M Lee | Clinical Nurse Specialist | 3361 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2624 | 2008-04-30 |
| 1568594497 | Beth Ann Good | Clinical Nurse Specialist | 145 2nd Ave Se, Cambridge, MN 55008 | 2007-03-09 |
| 1407992449 | Deborah Ann Pariso | Clinical Nurse Specialist | 1433 Highland Pkwy, Saint Paul, MN 55116-2240 | 2007-01-29 |
| 1033271077 | Kathryn Mary Collins | Clinical Nurse Specialist | 3900 55th St. Nw, Va Clinic, Rochester, MN 55901 | 2006-12-15 |
| 1679643522 | Sandra Faye Schleter | Clinical Nurse Specialist | 8085 Wayzata Blvd Suite 101, Bhsi LLC, Golden Valley, MN 55426-1456 | 2006-11-08 |
| 1700955648 | Charlotte Louise Stack | Clinical Nurse Specialist | 882 Sw 15th St., Forest Lake, MN 55025-1331 | 2006-11-07 |
| 1992895437 | Patrice Maria Hebert | Clinical Nurse Specialist | 1617 Skyline Drive, Rochester, MN 55902 | 2006-10-13 |
| 1285725291 | Kimberly M Wolf | Clinical Nurse Specialist | 701 Park Ave # O8, Minneapolis, MN 55415-1623 | 2006-09-27 |
| 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.