CARISSA JO KILMER (NPI# 1336535244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336535244 |
| Entity Type | Individual |
| Full Name | CARISSA JO KILMER |
| Practice Address |
1200 Kenwood Ave Duluth MN 55811-4199 |
| Practice Telephone | 2187236002 |
| Mailing Telephone | 2187236000 |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1200 KENWOOD AVE |
| City | DULUTH |
| State | MN |
| Zip Code | 55811-4199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205820859 | Todd Neuharth | Specialist/Technologist | 1200 Kenwood Ave, College of St. Scholastica, Duluth, MN 55811-4199 | 2005-09-08 |
| 1659911204 | Mary Beny Becerril-gonzalez | Specialist/Technologist | 1200 Kenwood Ave, Duluth, MN 55811-4199 | 2020-01-12 |
| 1558909036 | Ryan Anthony Johnson | Specialist/Technologist | 1200 Kenwood Ave, Duluth, MN 55811-4199 | 2019-12-16 |
| 1821636374 | Nicholas Joseph Economou | Student in an Organized Health Care Education/Training Program | 1200 Kenwood Ave, Duluth, MN 55811-4199 | 2019-12-16 |
| 1326609595 | Monique Duplessis | Specialist/Technologist | 1200 Kenwood Ave, Duluth, MN 55811-4199 | 2019-06-27 |
| 1235790403 | Colton Herring | Specialist/Technologist | 1200 Kenwood Ave, Duluth, MN 55811-4199 | 2019-06-27 |
| 1144881319 | Kennedy Mae Appleton | Specialist/Technologist | 1200 Kenwood Ave, Duluth, MN 55811-4199 | 2019-06-27 |
| 1053972224 | Cecelia Barnes | Specialist/Technologist | 1200 Kenwood Ave, Duluth, MN 55811-4199 | 2019-06-27 |
| 1780245951 | Babajide Ifonlaja | Student in an Organized Health Care Education/Training Program | 1200 Kenwood Ave, Duluth, MN 55811-4199 | 2019-06-27 |
| 1508427782 | Jake Edward Carroll | Specialist/Technologist | 1200 Kenwood Ave, Duluth, MN 55811-4199 | 2019-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417515339 | Kyle Olson-merrick | Dentist | 320 W Myrtle St, Ste 100, Duluth, MN 55811 | 2019-06-05 |
| 1184288979 | Pdg, P.a. | Clinic/Center | 4891 Miller Truck Hwy., Suite 100, Hermantown, MN 55811 | 2019-04-26 |
| 1528589843 | Breanna Joy Greenly | Counselor | 4720 Burning Tree Road, Birch Tree Center, Duluth, MN 55811 | 2017-06-28 |
| 1396102398 | Debbie Christian | Registered Nurse | 4815 Burning Tree Rd Suite 100, Duluth, MN 55811 | 2016-01-21 |
| 1831556935 | Megan Marie Paris | Psychologist | 715 East Central Entrance, Duluth, MN 55811 | 2016-01-20 |
| 1740666908 | Angela Fedo | Physical Therapy Assistant | 2101 Trinity Rd, Duluth, MN 55811 | 2015-08-10 |
| 1649657479 | Kayla Stephenson | Specialist/Technologist | 5024 Morris Thomas Road, Hermantown, MN 55811 | 2015-04-30 |
| 1073918843 | Northern Lives Inc. | Assisted Living Facility | 4014 Trinity Road, Duluth, MN 55811 | 2014-10-23 |
| 1114326238 | Donald Hermanson | Specialist/Technologist | 801 Boulder Drive, Apt. 202, Duluth, MN 55811 | 2014-08-14 |
| 1679990857 | Jodie Little | Pharmacist | 801 W. Central Entrance, Shopko Pharmacy 2114, Duluth, MN 55811 | 2014-03-25 |
| Find all providers in zip 55811 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154921047 | Liesa Clare Erickson | Student in an Organized Health Care Education/Training Program | 100 Elizabeth St Apt 416, Duluth, MN 55803-2643 | 2020-10-29 |
| 1669087516 | Nurin Ghazzawi | Student in an Organized Health Care Education/Training Program | 1953 Valley Ridge Ln, Duluth, GA 30096-6024 | 2020-09-08 |
| 1447873567 | Elena Marie Lushine | Student in an Organized Health Care Education/Training Program | 4601 Gladstone St, Duluth, MN 55804-2319 | 2020-05-22 |
| 1831719459 | Jennifer Anne Senn | Student in an Organized Health Care Education/Training Program | 2213 W 6th St, Duluth, MN 55806-1513 | 2020-04-23 |
| 1306479852 | Kevin Nevonen | Student in an Organized Health Care Education/Training Program | 2348 Drexel Rd, Duluth, MN 55804-3215 | 2020-02-12 |
| 1073073193 | Quinton Cobb | Student in an Organized Health Care Education/Training Program | 2430 Castlemaine Ct, Duluth, GA 30097-7359 | 2019-03-24 |
| 1093299828 | Gabriela Beatriz Rodriguez | Student in an Organized Health Care Education/Training Program | 2250 Satellite Blvd Ste 175, Duluth, GA 30097-4920 | 2018-09-18 |
| 1033606595 | Daniel James Larson | Student in an Organized Health Care Education/Training Program | 4701 1st Ave S, Duluth, MN 55803-1308 | 2018-04-19 |
| 1891221594 | Cosmina Cristea | Student in an Organized Health Care Education/Training Program | 1335 Herrington Rd, Apt 3228, Duluth, GA 30096-4683 | 2017-05-02 |
| 1962934216 | Kirsten Henk | Student in an Organized Health Care Education/Training Program | 418 N 15th Ave E, Apt 1, Duluth, MN 55812-1225 | 2017-03-28 |
| Find all providers in DULUTH | ||||
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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.