ALISON O'MEARA


Address: 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769
Phone: 7637806699

ALISON O'MEARA (NPI# 1376012831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376012831
Entity Type Individual
Full Name ALISON O'MEARA
Credential APRN-CNP
Practice Address 9825 Hospital Dr Ste 105
Maple Grove
MN 55369-4769
Practice Telephone 7637806699
Practice Fax Number 7634200500
Mailing Telephone 7637806699
Mailing Fax Number 7634200500
Enumeration Date 2018-11-14
Last Update Date 2019-07-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 2082592 MN Nursing Service Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
6256 MN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1700 Highway 25 N Ste 120, Buffalo, MN 553131930 7637806699 7634200500
480 Osborne Rd Ne Ste 100, Fridley, MN 554322781 7637806699 7634200500
2600 39th Ave Ne, Minneapolis, MN 554214379 7637806699 7634200500
11855 Ulysses St Ne Ste 210, Blaine, MN 554344181 7637806699 7634200500
5700 Bottineau Blvd Ste 100, Crystal, MN 554293184 7637806699 7634200500
3366 Oakdale Ave N Ste 200, Robbinsdale, MN 554222962 7637806699 7634200500
1495 County Road 101 N, Plymouth, MN 554473078 7637806699 7634200500

Office Location

Street Address 9825 HOSPITAL DR STE 105
City MAPLE GROVE
State MN
Zip Code 55369-4769

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194705566 Jonathan C Gipson Surgery 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 2006-01-20
1033753546 Kelsey Kostreba Physician Assistant 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 2019-10-29
1477053361 Jessica N Schindler Physician Assistant 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 2018-02-16
1831530617 Ryan Ernest Chupp Surgery 9825 Hospital Dr Ste 105, Maple Grove, MN 55369 2013-07-09
1437417763 Munyaradzi Chimukangara Surgery 9825 Hospital Dr Ste 105, Maple Grove, MN 55369 2012-04-24
1275761827 Rachel Maureen Tay Surgery 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 2009-06-22
1407003205 Sarah Lippert Surgery 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 2008-08-22
1992960207 Kourtney Lynn Kemp Surgery 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 2008-07-25
1164695581 Corey J Stennes Surgery 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 2008-04-07
1558532606 Kamrun Jenabzadeh Surgery 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 2008-03-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376144188 Bonnie Rose Theis Counselor 24 3rd Ave Ne, Unit B, Osseo, MN 55369 2020-11-06
1356976328 Kirollos Samir Hanna Pharmacist 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 2020-03-10
1396395463 Susan Osborne Technician 9240 Orchid Lane, Maple Grove, MN 55369 2019-09-19
1710537196 Janis Langsdale Technician 11070 108 Avenue North, Maple Grove, MN 55369 2019-09-17
1043724552 Tracey Wahlquist Speech-Language Pathologist 11100 86th Ave N, Maple Grove, MN 55369 2017-11-20
1154860005 Kayla Uptagrafft Specialist/Technologist 9555 Upland Lane Norh, Maple Grove, MN 55369 2017-02-13
1750823324 Jennifer Ranallo Social Worker 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 2016-11-13
1558723999 Debra Grace Boersma Advanced Practice Midwife 9825 Hospital Dr#205, Maple Grove, MN 55369 2016-03-24
1396129433 Maple Grove Smiles Dentistry, PC Dentist 12775 Elm Creek Blvd N, Maple Grove, MN 55369 2015-07-18
1558755900 Krista Newman Counselor 24 3rd St Nw, Unit B, Osseo, MN 55369 2015-03-24
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619587193 Sadiya Abdirahman Esse Nurse Practitioner 1690 Silver Lake Rd Nw, New Brighton, MN 55112-1788 2020-08-09
1881226512 Abby Marie Zenner Nurse Practitioner 1771 Countryside Dr, Shakopee, MN 55379-4451 2020-02-11
1174019038 Adedayo Temitope Dosumu Nurse Practitioner 816 50th Ave Nw, Rochester, MN 55901-6554 2018-07-03
1407223159 Carla Sue Christenson Nurse Practitioner 3400 W. 66th St, Edina, MN 55435 2015-08-28
1538573449 Rebecca Anne Lenz Nurse Practitioner 1172 Randolph Ave Apt 8, Saint Paul, MN 55105-2987 2014-06-18
1083027536 Mueni C Mualuko Nurse Practitioner 2220 Riverside Ave # Ms 26602g, Geriatrics Department Ms 26602g/ 2220 Riverside Ave, Minneapolis, MN 55454-1321 2014-06-03
1659623999 Joy Laansma Nurse Practitioner 3366 Oakdale Avenue North, Suite 551, Robbinsdale, MN 55422-2948 2012-10-10
1720337694 Zhonghua Xie Nurse Practitioner 1202 5th Grant Blvd W, Wabasha, MN 55981-1115 2012-09-06
1487937892 Jonathan Deforest Olson Nurse Practitioner 30 W 22nd St, #204, Minneapolis, MN 55404-2428 2011-09-21
1548577224 Lorene Ann Gray Nurse Practitioner 6465 W Shadow Lake Dr, Lino Lakes, MN 55014-1982 2010-09-02
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Competitor

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City MAPLE GROVE
Zip Code 55369

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Dataset Information

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.

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