KATELIN SUPER (NPI# 1386168631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386168631 |
Entity Type | Individual |
Full Name | KATELIN SUPER |
Credential | APRN CNP |
Practice Address |
401 Carlson Pkwy Minnetonka MN 55305-5359 |
Mailing Address |
5320 W 23rd St Ste 130 Minneapolis MN 55416-1670 |
Practice Telephone | (952) 992-3581 |
Mailing Telephone | 9523453213 |
Enumeration Date | 2017-07-28 |
Last Update Date | 2019-06-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
PENDING | MN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
401 CARLSON PKWY |
City | MINNETONKA |
State | MN |
Zip Code | 55305-5359 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902894348 | Suzanne M Oliver | Nurse Practitioner | 401 Carlson Pkwy, Mail Route Cp320, Minnetonka, MN 55305-5359 | 2005-10-10 |
1609487941 | Sara Ann Linnerooth | Pharmacist | 401 Carlson Pkwy, Minnetonka, MN 55305-5359 | 2020-08-11 |
1720585326 | Amy Marie Ringwald | Nurse Practitioner | 401 Carlson Pkwy, Minnetonka, MN 55305-5359 | 2018-04-10 |
1295235521 | Nimo Osman Ahmed | Nurse Practitioner | 401 Carlson Pkwy, Minnetonka, MN 55305 | 2018-02-13 |
1295257202 | Bethany Joy Best | Nurse Practitioner | 401 Carlson Pkwy, Minnetonka, MN 55305-5359 | 2017-07-11 |
1740724525 | Alan Spiro | Internal Medicine | 401 Carlson Pkwy, Minnetonka, MN 55305-5359 | 2016-12-13 |
1962882696 | Kristin Stevens | Nurse Practitioner | 401 Carlson Pkwy, Mail Route Cp340, Minnetonka, MN 55305-5359 | 2015-06-08 |
1982004941 | Jennifer Vickers | Nurse Practitioner | 401 Carlson Pkwy, Mail Route Cp340, Minnetonka, MN 55305-5359 | 2014-08-27 |
1750655882 | Medica Health Management, LLC | Nurse Practitioner | 401 Carlson Pkwy, Minnetonka, MN 55305-5359 | 2012-03-07 |
1366694887 | Charles Joseph Fazio | Emergency Medicine | 401 Carlson Pkwy, Medica Cp433, Minnetonka, MN 55305-5359 | 2008-10-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
Find all providers in zip 55305 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609319631 | Jennifer Corrigan | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2016-11-22 |
1700334059 | Sarah Owens | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2016-09-15 |
1609245950 | Jennifer Rose Phillips | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2015-09-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467071084 | St. Catherine University School Based Health Clinic | Nurse Practitioner | 5045 Division Ave, White Bear Lake, MN 55110 | 2020-04-14 |
1669005948 | Kevin Charles Carlson | Nurse Practitioner | 19303 Sorrel Ct, Corcoran, MN 55340-4447 | 2020-02-14 |
1144862996 | Alade Lateef Hamza | Nurse Practitioner | 4808 85th Ave N Ste 300, Brooklyn Park, MN 55443-1816 | 2019-10-14 |
1114584869 | Tenzin Lhamo | Nurse Practitioner | 195 Windsor Ln, New Brighton, MN 55112-3366 | 2019-05-28 |
1255834859 | Ashley M Morehouse | Nurse Practitioner | 625 S 4th St Ste A, Le Sueur, MN 56058-2203 | 2018-03-10 |
1013457381 | Lydia Nyakonu Sherman | Nurse Practitioner | 606 24th Ave S #620, Minneapolis, MN 55454 | 2017-03-06 |
1912447780 | Zillah Mulubisha | Nurse Practitioner | Brooklyn Park Clinic, 7650 Zane Ave N, Minneapolis, MN 55443 | 2017-02-27 |
1245615194 | Jennifer Nelson | Nurse Practitioner | 480 Osborne Rd Ne Ste 220, Fridley, MN 55432-2866 | 2015-07-21 |
1912397142 | Solomon Africanus Wesseh Jr. | Nurse Practitioner | 10135 43rd Ct Ne, Saint Michael, MN 55376-3015 | 2015-01-26 |
1780084004 | Angela Rae Fox | Nurse Practitioner | 7383 Upper 157th St W, Apple Valley, MN 55124-5108 | 2014-08-25 |
Find all providers with the same taxonomy |
City | MINNETONKA |
Zip Code | 55305 |
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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.