DREW ALEXANDER HOLM (NPI# 1346768884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346768884 |
| Entity Type | Individual |
| Full Name | DREW ALEXANDER HOLM |
| Practice Address |
11850 Blackfoot St Nw Coon Rapids MN 55433-2578 |
| Mailing Address |
2550 University Ave W Ste 110n Saint Paul MN 55114-2001 |
| Practice Telephone | 6128846300 |
| Mailing Telephone | 6516025309 |
| Mailing Fax Number | 6516025309 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11850 BLACKFOOT ST NW |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-2578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255392353 | Robin R Uithoven | Nurse Practitioner | 11850 Blackfoot St Nw, Suite 100, Coon Rapids, MN 55433-2578 | 2006-03-29 |
| 1912458571 | Denise Rae Jones | Genetic Counselor, MS | 11850 Blackfoot St Nw, Suite 130, Coon Rapids, MN 55433-2578 | 2016-10-19 |
| 1356895759 | Hannah Wheaton | Physician Assistant | 11850 Blackfoot St Nw, Ste. 300, Coon Rapids, MN 55433-2578 | 2016-08-15 |
| 1457805020 | Amanda Michelle Peterson | Physician Assistant | 11850 Blackfoot St Nw, Ste 300, Coon Rapids, MN 55433-2578 | 2016-08-11 |
| 1861945693 | Maureen Carberry | Physician Assistant | 11850 Blackfoot St Nw, #300, Coon Rapids, MN 55433-2578 | 2016-07-28 |
| 1104163369 | Krista Marie Skoglund | Physician Assistant | 11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433-2578 | 2013-01-08 |
| 1255641791 | Derek Paul Doty | Chiropractor | 11850 Blackfoot St Nw, Ste. 405, Coon Rapids, MN 55433-2578 | 2010-10-18 |
| 1376856500 | Niloo Shanya Krueger | Surgery | 11850 Blackfoot St Nw, Coon Rapids, MN 55433-2578 | 2010-07-16 |
| 1699001180 | Rachel Lynn Stevens | Physician Assistant | 11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433-2578 | 2009-10-19 |
| 1912133752 | Lisa Hamilton | Surgery | 11850 Blackfoot St Nw, Suite 300, Coon Rapids, MN 55433-2578 | 2009-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730643701 | Christina Jones | Physician Assistant | 11850 Blackfoot St Nw Ste 270, Coon Rapids, MN 55433-2593 | 2019-01-24 |
| 1477981777 | Melissa Ferraz De Toledo | Physician Assistant | 9145 Springbrook Dr Nw Ste 300, Coon Rapids, MN 55433-5897 | 2013-10-23 |
| 1275901316 | Kathleen Sahli | Physician Assistant | 11850 Blackfoot St Nw Ste 100, Coon Rapids, MN 55433-2774 | 2015-09-07 |
| 1699001180 | Rachel Lynn Stevens | Physician Assistant | 11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433-2578 | 2009-10-19 |
| 1447583331 | Laura Elizabeth Heydt | Physician Assistant | 3887 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 | 2009-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969150 | Isaac Waalen | Physician Assistant | 5420 Circle Down, Minneapolis, MN 55416-1312 | 2020-03-28 |
| 1114492964 | Molly Goss | Physician Assistant | 1817 Sunset Dr, Northfield, MN 55057-3246 | 2018-10-09 |
| 1932600160 | Ellen Kathryn Freeman | Physician Assistant | 111 Hundertmark Rd Ste 480, Chaska, MN 55318-1485 | 2018-02-22 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1538545686 | Kathryn Jelle | Physician Assistant | 3931 Louisiana Ave S # 55426, St Louis Park, MN 55426-5000 | 2015-07-30 |
| 1831503267 | Karrah Oliver | Physician Assistant | 205 Roosevelt Ave W, Karlstad, MN 56732-4022 | 2014-06-13 |
| 1821423781 | Sarah L Davis | Physician Assistant | 6405 France Ave S Ste 200, Edina, MN 55435 | 2013-09-11 |
| 1003258690 | Jenny Rebecca Kluznik | Physician Assistant | 1619 Dayton Ave Ste 205, Saint Paul, MN 55104 | 2013-07-23 |
| Find all providers with the same taxonomy | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
Please comment or provide details below to improve the information on DREW ALEXANDER HOLM.
| 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.