KATIE LYNN HEINS (NPI# 1366720260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366720260 |
| Entity Type | Individual |
| Full Name | KATIE LYNN HEINS |
| Credential | NP-C |
| Practice Address |
270 Main St N Suite 300 Stillwater MN 55082-6788 |
| Practice Telephone | 6513421039 |
| Practice Fax Number | 6513421428 |
| Mailing Telephone | 6513421039 |
| Mailing Fax Number | 6513421428 |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2020-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
CNP 3639 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MN LICENSE NUMBER | R1689653 | 01 |
| MN | APRN LICENSE | CNP 3639 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 270 Main St N, Suite 300, Stillwater, MN 550826788 | 6513421039 | 6513421428 |
| Street Address |
270 MAIN ST N SUITE 300 |
| City | STILLWATER |
| State | MN |
| Zip Code | 55082-6788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811971179 | Todd H Holm | Family Medicine | 270 Main St N, Stillwater, MN 55082-6785 | 2005-12-01 |
| 1881059707 | Anna Linde Gove Stanislawski | Nurse Practitioner | 270 Main St N, Ste. 300, Stillwater, MN 55082-6785 | 2015-12-18 |
| 1659761898 | Kourtny Long | Physician Assistant | 270 Main St N, #300, Stillwater, MN 55082-6785 | 2015-01-26 |
| 1801202270 | Stephanie Marie Goese | Nurse Practitioner | 270 Main St N, Stillwater, MN 55082-6785 | 2014-07-07 |
| 1306287685 | Kelli Jo Syltie Miller | Physician Assistant | 270 Main St N, Suite 300, Stillwater, MN 55082-6785 | 2013-07-15 |
| 1851647812 | Cheryl Vukmanich | Nurse Practitioner | 270 Main St N, Suite 300, Stillwater, MN 55082-6785 | 2012-07-27 |
| 1669751079 | Kelly Rae Hemmer | Nurse Practitioner | 270 Main St N, Ste 300, Stillwater, MN 55082-6788 | 2011-08-16 |
| 1851567192 | Preston Joshua Hatlestad | Family Medicine | 270 Main St N, Suite 300, Stillwater, MN 55082-6785 | 2008-05-06 |
| 1215110465 | Jennifer Siegle | Physician Assistant | 270 Main St N, Suite 300, Stillwater, MN 55082-6785 | 2007-12-11 |
| 1033213228 | Matthew James Logan | Family Medicine | 270 Main St N, Ste 300, Stillwater, MN 55082-6788 | 2006-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
| 1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
| 1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
| 1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
| 1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
| 1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| Find all providers in zip 55082 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871710293 | Elizabeth L. Babler-schrader | Nurse Practitioner | 1321 W 7th Ave, Stillwater, OK 74074-4360 | 2007-04-19 |
| 1932655420 | Tamara Lois Rakke | Nurse Practitioner | 270 Main St N Ste 300, Stillwater, MN 55082 | 2016-08-25 |
| 1801202270 | Stephanie Marie Goese | Nurse Practitioner | 270 Main St N, Stillwater, MN 55082-6785 | 2014-07-07 |
| 1851647812 | Cheryl Vukmanich | Nurse Practitioner | 270 Main St N, Suite 300, Stillwater, MN 55082-6785 | 2012-07-27 |
| 1073559340 | Katherine A Niemann | Nurse Practitioner | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639731821 | Thomas Bieniek | Nurse Practitioner | 1900 Centracare Cir Ste 1600, Saint Cloud, MN 56303-5000 | 2019-07-08 |
| 1649830225 | Kimberly Dawn Hanson | Nurse Practitioner | 1884 Randolph Ave, Saint Paul, MN 55105-1747 | 2019-06-17 |
| 1942762828 | Jodi Lynn Martin | Nurse Practitioner | 720 Washington Ave Se Ste 300, Minneapolis, MN 55414-2904 | 2019-04-01 |
| 1831661123 | Sheryl Jo Rudolf | Nurse Practitioner | 705 Pleasant Avenue, Park Rapids, MN 56470-1440 | 2018-12-26 |
| 1043730310 | Alexis Oluwasheun Bakare | Nurse Practitioner | 1101 Paul Pkwy Ne Apt 215, Blaine, MN 55434-3977 | 2017-06-27 |
| 1528500360 | Judy Pauletich | Nurse Practitioner | 1255 Mayhill Rd N, Maplewood, MN 55119-7158 | 2016-11-10 |
| 1437506417 | Zahra Roble | Nurse Practitioner | 1801 Nicolllet Ave S, Minneapolis, MN 55403 | 2016-05-19 |
| 1932569035 | David Makonde Ogato | Nurse Practitioner | 5325 W 74th St, Edina, MN 55439-2231 | 2016-03-02 |
| 1164896379 | Brooke Johnson | Nurse Practitioner | 12700 Whitewater Dr, Minnetonka, MN 55343-9438 | 2015-11-25 |
| 1962879916 | Carrie Rose Lucio | Nurse Practitioner | 807 Albert St N, Saint Paul, MN 55104-1302 | 2015-08-25 |
| Find all providers with the same taxonomy | ||||
| City | STILLWATER |
| Zip Code | 55082 |
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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.