CAROLYN ANN YAVAROW (NPI# 1346622644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346622644 |
| Entity Type | Individual |
| Full Name | CAROLYN ANN YAVAROW |
| Credential | CNP |
| Practice Address |
166 19th St S Suite 101 Sartell MN 56377-4654 |
| Practice Telephone | 3202307788 |
| Practice Fax Number | 3202307789 |
| Mailing Telephone | 3202307788 |
| Mailing Fax Number | 3202307789 |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP3918 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
166 19TH ST S SUITE 101 |
| City | SARTELL |
| State | MN |
| Zip Code | 56377-4654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972580454 | Ramon P Sotto | Physical Medicine & Rehabilitation | 166 19th St S, Suite 101, Sartell, MN 56377-4654 | 2005-12-27 |
| 1083161814 | St. Cloud Hospital | Counselor | 166 19th St S, Suite 201, Sartell, MN 56377-4654 | 2016-09-09 |
| 1619314184 | William Andrew Wallington | Nurse Practitioner | 166 19th St S, Suite 101, Sartell, MN 56377-4654 | 2013-05-23 |
| 1366755415 | Stephen D Vang | Physician Assistant | 166 19th St S, Suite 101, Sartell, MN 56377-4654 | 2010-07-19 |
| 1942434436 | Jeffrey Ross Anderson | Anesthesiology | 166 19th St S, Suite 101, Sartell, MN 56377-4654 | 2009-05-12 |
| 1528207156 | Carl John Fedyszyn | Family Medicine | 166 19th St S, Suite #201, Sartell, MN 56377-4654 | 2009-02-04 |
| 1558536755 | Barbara Ann Weber | Clinical Nurse Specialist | 166 19th St S, Suite 101, Sartell, MN 56377-4654 | 2008-04-28 |
| 1679751804 | Northern Star Therapy Ltd | Durable Medical Equipment & Medical Supplies | 166 19th St S, Suite 202, Sartell, MN 56377-4654 | 2008-02-11 |
| 1205037538 | Ryan Patrick Wippler | Radiology | 166 19th St S, Suite 100, Sartell, MN 56377-4654 | 2007-05-31 |
| 1093841678 | Ranjan Dey | Anesthesiology | 166 19th St S, Suite 101, Sartell, MN 56377-4654 | 2007-02-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783515 | Chae Norman | Massage Therapist | 303 4th Ave S, Suite C, Sartell, MN 56377 | 2019-07-25 |
| 1497317259 | Stephanie Maria Schaefer | Behavioral Analyst | 1133 Mockingbird Loop, Sartell, MN 56377 | 2019-07-02 |
| 1538722848 | Madison Toughill | Behavior Technician | 205 14th Ave E, Sartell, MN 56377 | 2019-04-22 |
| 1902388671 | Julie Ann Helms | Counselor | 101 Dehler Dr., Sartell, MN 56377 | 2018-08-30 |
| 1104337617 | Louis Chester Winskowski IIi | Orthotist | 50 14th Ave E Suite 114, Sartell, MN 56377 | 2017-10-24 |
| 1962958611 | Centracare Clinic | Exclusive Provider Organization | 166 19th Street S, Suite 202, Sartell, MN 56377 | 2016-08-31 |
| 1295197846 | Mindful Healing & Training | Counselor | 1417 15th Street South, Sartell, MN 56377 | 2016-03-23 |
| 1710342894 | Saint Cloud Hospital St. Benedict's Senior Community | Skilled Nursing Facility | 990 19th St. S., Sartell, MN 56377 | 2015-12-16 |
| 1932452661 | David Peter Pogatchnik | Pharmacist | 2251 Connecticut Ave. South, Health Partners Central Minnesota Clinics (pharmacy), Sartell, MN 56377 | 2012-10-18 |
| 1669759866 | Lakewood Health System | Clinic/Center | 161 19th St S Ste 106, Sartell, MN 56377 | 2011-11-16 |
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| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888536 | Kasi Zack | Nurse Practitioner | 2301 Connecticut Ave S, Sartell, MN 56377-2474 | 2020-10-13 |
| 1407499023 | Bernadette T Warnert | Nurse Practitioner | 2301 Connecticut Ave S, Sartell, MN 56377-2474 | 2019-10-27 |
| 1730620261 | Nicole Lynn Fuchs | Nurse Practitioner | 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377-2475 | 2017-03-16 |
| 1790233922 | Eric Michael Greene | Nurse Practitioner | 100 2nd St S, Sartell, MN 56377-1977 | 2016-09-16 |
| 1053798827 | Rachel Raab | Nurse Practitioner | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2015-04-30 |
| 1962830026 | Carissa Arens | Nurse Practitioner | 2301 Connecticut Ave S, Sartell, MN 56377-2474 | 2013-10-28 |
| 1518242064 | Jean Anderson | Nurse Practitioner | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2011-10-17 |
| 1225310873 | Patrick John Moser | Nurse Practitioner | 1725 Pine Cone Rd S, Sartell, MN 56377-0030 | 2011-09-09 |
| 1568755767 | Jonathan Verlin Scheer | Nurse Practitioner | 100 2nd St S, Sartell, MN 56377-1977 | 2011-05-20 |
| 1093946022 | Tami J Huberty | Nurse Practitioner | 2251 Connecticut Avenue S, Hp Central Mn Clinics, Sartell, MN 56377-2486 | 2009-08-07 |
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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.