MRS. JULIE MARIE KLEMOND (NPI# 1386146942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386146942 |
| Entity Type | Individual |
| Full Name | MRS. JULIE MARIE KLEMOND |
| Credential | DT |
| Practice Address |
2001 Bloomington Ave Minneapolis MN 55404-3074 |
| Mailing Address |
15608 Willowood Dr Minnetonka MN 55345-5532 |
| Practice Telephone | 6123013433 |
| Mailing Telephone | 6087692671 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 125J00000X | Dental Therapist | DT10P | MN | Dental Providers |
| Street Address |
2001 BLOOMINGTON AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-3074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184694101 | Marjore Irene Thompson | Social Worker | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 | 2006-01-23 |
| 1851991616 | Anneta Babikova Tangness | Registered Nurse | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 | 2020-10-29 |
| 1811549074 | Ann Josie Riggall | Dietitian, Registered | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 | 2019-07-09 |
| 1164086807 | Nima Ibrahim Odowa | Dentist | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 | 2019-04-29 |
| 1043720824 | Andrea Charlotte Davis | Nurse Practitioner | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 | 2017-10-05 |
| 1609398056 | Morgan Kelsey Stoa | Pharmacist | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 | 2017-07-07 |
| 1154876233 | Sadiya Bule | Registered Nurse | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 | 2016-08-18 |
| 1417400870 | Nancy Joseph-goldfarb | Social Worker | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 | 2016-08-02 |
| 1669821708 | Anna Vangsness | Social Worker | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 | 2016-06-09 |
| 1295194587 | Jara Rice | Nurse Practitioner | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 | 2016-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 125J00000X |
| Grouping | Dental Providers |
| Classification | Dental Therapist |
| A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations. |
| Notes: Source: Summarized from Minnesota Statute 150A.105. [7/1/2012: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003230137 | Janelle Jehn | Dental Therapist | 4342 4th Ave S, Minneapolis, MN 55409-2155 | 2014-02-10 |
| 1568074607 | Abdulkadir Egeh | Dental Therapist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2020-08-19 |
| 1033729033 | Annalise Wallerich | Dental Therapist | 2232 Hennepin Ave, Minneapolis, MN 55405-2737 | 2020-08-04 |
| 1679033252 | Sheli Kaye Parkison | Dental Therapist | 4243 4th Ave S, Minneapolis, MN 55409-2113 | 2019-03-21 |
| 1073013322 | Nicole Mathew | Dental Therapist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2018-02-13 |
| 1134637143 | Lucky Vang | Dental Therapist | 2228 E Lake St, Minneapolis, MN 55407-4321 | 2018-01-12 |
| 1891233748 | Jenny Meyers | Dental Therapist | 4243 4th Ave S, Minneapolis, MN 55409-2113 | 2017-02-10 |
| 1679962708 | Verny Martinez | Dental Therapist | 2232 Hennepin Ave, Minneapolis, MN 55405-2737 | 2015-01-13 |
| 1114315678 | Teresa Bushnell | Dental Therapist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2015-01-06 |
| 1124416789 | Trina Courtright | Dental Therapist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2015-01-06 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
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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.