KRISTAN LAM (NPI# 1386028181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386028181 |
| Entity Type | Individual |
| Full Name | KRISTAN LAM |
| Other Name | KRISTAN SERSHEN |
| Practice Address |
1390 University Ave W Saint Paul MN 55104-4001 |
| Mailing Address |
1200 Pleasant St Ste P-301a Des Moines IA 50309-1406 |
| Practice Telephone | 6512325412 |
| Mailing Telephone | 5152418265 |
| Mailing Fax Number | 5152413282 |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2019-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 9650 | MN | Speech, Language and Hearing Service Providers |
| N | 231H00000X | Audiologist | 078062 | IA | Speech, Language and Hearing Service Providers |
| N | 231H00000X | Audiologist | 078000 | IA | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1390 University Ave W, Saint Paul, MN 551044001 | 6512325412 |
| Street Address |
1390 UNIVERSITY AVE W |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508821463 | Rudy G Thell | Internal Medicine | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2006-04-20 |
| 1457810855 | Maureen Stormont Cannon | Audiologist | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2019-03-15 |
| 1053802835 | Alethea Schaffer | Physical Therapist | 1390 University Ave W, Saint Paul, MN 55104 | 2018-05-28 |
| 1780199026 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2017-12-08 |
| 1942743331 | Emily Wahl | Speech-Language Pathologist | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2016-12-02 |
| 1114363868 | Andrea N Larson | Pharmacist | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2013-05-21 |
| 1053755975 | Elizabeth Childs Cummings | Physical Therapist | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2013-04-22 |
| 1740534981 | Bridgid Jane Marzen | Physical Therapy Assistant | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2012-11-08 |
| 1407100761 | Corinna Harris | Physical Therapist | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2012-11-07 |
| 1972857225 | Barbara Brehmer | Physical Therapist | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2012-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396996336 | Jill Marie Beecher | Audiologist | 225 Smith Ave N # 225, Saint Paul, MN 55102-2533 | 2008-10-08 |
| 1457810855 | Maureen Stormont Cannon | Audiologist | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2019-03-15 |
| 1417476185 | Rebecca Horvath | Audiologist | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2017-09-14 |
| 1881110310 | Hannah Mareen Stafford | Audiologist | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108 | 2017-08-16 |
| 1467906982 | Anne Van Gaver | Audiologist | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2016-08-12 |
| 1871946459 | Rachel Zerby | Audiologist | 1021 Bandana Blvd E, Suite 100, Saint Paul, MN 55108-5113 | 2016-07-19 |
| 1518337294 | Rebecca Ann Younk | Audiologist | 393 Dunlap St N, Suite 115, Saint Paul, MN 55104-4200 | 2015-10-06 |
| 1649677097 | Rebecca Ann Maher | Audiologist | 345 N Smith Ave, Saint Paul, MN 55102-2346 | 2014-12-01 |
| 1023370004 | Matthew Groschen | Audiologist | 982 Thomas Ave, Saint Paul, MN 55104-2638 | 2012-06-14 |
| 1427345453 | Claire E Schleicher | Audiologist | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2011-06-28 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
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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.