ANGELA PEDERSON (NPI# 1376861146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376861146 |
| Entity Type | Individual |
| Full Name | ANGELA PEDERSON |
| Credential | MT |
| Practice Address |
800 Washington Ave N Suite 202 Minneapolis MN 55401-1330 |
| Practice Telephone | 6124552920 |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
800 WASHINGTON AVE N SUITE 202 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55401-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023180643 | Dhruvesh Jayantkumar Patel | Chiropractor | 800 Washington Ave N, Suite 103, Minneapolis, MN 55401-1330 | 2006-11-15 |
| 1598215568 | Robert Crane | Acupuncturist | 800 Washington Ave N, Suite 190, Minneapolis, MN 55401-1330 | 2016-10-13 |
| 1366889453 | Amp Chiropractic | Clinic/Center | 800 Washington Ave N, Minneapolis, MN 55401-1330 | 2013-05-29 |
| 1528386398 | Heather Bryant | Massage Therapist | 800 Washington Ave N, Suite 202, Minneapolis, MN 55401-1330 | 2010-05-04 |
| 1205074390 | Morningstar Homecare, Plc | Clinic/Center | 800 Washington Ave N, Suite 201, Minneapolis, MN 55401-1330 | 2009-01-27 |
| 1003054438 | Morningstar Wellness Center, Ltd | Clinic/Center | 800 Washington Ave N, Suite 202, Minneapolis, MN 55401-1330 | 2009-01-22 |
| 1255546065 | Sheldon Pinsky | Social Worker | 800 Washington Ave N, Suite 103, Minneapolis, MN 55401-1330 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316410012 | Janessa Angelica Beebe | Counselor | Cornerstone Therapy and Recovery Center, 1600 University Avenue West Suite #203, St. Paul, MN 55401 | 2019-01-04 |
| 1144706094 | Adrienne Sharma | Psychologist | 708 North 1st Street, Suite #242, Minneapolis, MN 55401 | 2018-07-13 |
| 1023511904 | Angela Perriman Dogins | Nurse Practitioner | 100 Washington Avenue South, Suite 900, Minneaplois, MN 55401 | 2018-03-16 |
| 1962924472 | Accuquest Hearing Centers, LLC | Clinic/Center | 2620 Steward Ave., Suite 114, Wausau, WI 55401 | 2017-07-17 |
| 1699186932 | Ross Schilling | Chiropractor | 250 2nd Avenue South, 286, Minneapolis, MN 55401 | 2014-05-08 |
| 1548516974 | Minnesota International Middle School | Local Education Agency (LEA) | 227 12th Ave N, Minneapolis, MN 55401 | 2012-08-03 |
| 1194919316 | Lynn Spaw | Nurse Practitioner | 333 Washington Avenue S, Suite 5000, Minneapolis, MN 55401 | 2007-08-30 |
| 1811947500 | Daniel Warren Eurman | Radiology | 100 3rd Ave S Unit 1507, Minneapolis, MN 55401 | 2006-05-11 |
| 1215928015 | Virginia Karen Vaughn | Nurse Practitioner | Minuteclinic 333 Washington Ave. North, Suite 5000, Minneapolis, MN 55401 | 2005-10-31 |
| 1447550876 | Walter Lee Bailey | Neurological Surgery | 500 River St, Minneapolis, MN 55401 | 2010-11-02 |
| Find all providers in zip 55401 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009185 | Miesha Nicole Lewis | Massage Therapist | 3759 Thomas Ave N, Minneapolis, MN 55412-1840 | 2020-09-30 |
| 1588271928 | Cyarra Monique Swanson | Massage Therapist | 2708 Blaisdell Ave Apt B, Minneapolis, MN 55408-1524 | 2020-09-29 |
| 1902411648 | Dakota Lee Hain | Massage Therapist | 1121 Jackson St Ne Ste 119, Minneapolis, MN 55413-1597 | 2020-09-10 |
| 1881225142 | Mighty Massage Inc | Massage Therapist | 2514 Polk St Ne # 2, Minneapolis, MN 55418-3730 | 2020-01-27 |
| 1568006005 | Alex Guillien | Massage Therapist | 34 13th Ave Ne Ste 109, Minneapolis, MN 55413-1007 | 2019-10-28 |
| 1093356883 | Montae Bailey | Massage Therapist | 1324 Quincy St Ne, Minneapolis, MN 55413-1541 | 2019-10-02 |
| 1689227845 | Reka Laeger-hagemeister | Massage Therapist | 4325 Nicollet Ave # 2, Minneapolis, MN 55409-2032 | 2019-07-17 |
| 1104488774 | Kari Jo Haugen | Massage Therapist | 3708 E 34th St, Minneapolis, MN 55406-2702 | 2019-07-03 |
| 1710472535 | Zulema L Leyva | Massage Therapist | 34 13th Ave Ne Ste B002c, Minneapolis, MN 55413-1091 | 2018-06-25 |
| 1881188597 | Lydia Joy Allison | Massage Therapist | 2933 29th Ave. S., Minneapolis, MN 55406 | 2018-06-15 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55401 |
Please comment or provide details below to improve the information on ANGELA PEDERSON.
| 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.