ANNA SEDERBERG (NPI# 1396100954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396100954 |
Entity Type | Individual |
Full Name | ANNA SEDERBERG |
Practice Address |
12800 Industrial Park Blvd Suite 200 Plymouth MN 55441-3974 |
Practice Telephone | 7634120722 |
Enumeration Date | 2015-12-28 |
Last Update Date | 2015-12-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
01789 | MN | Behavioral Health & Social Service Providers |
Street Address |
12800 INDUSTRIAL PARK BLVD SUITE 200 |
City | PLYMOUTH |
State | MN |
Zip Code | 55441-3974 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659366532 | Shirley Ann Fors | Audiologist | 12800 Industrial Park Blvd, #105, Plymouth, MN 55441-3974 | 2005-09-15 |
1528593134 | Holly Robinson | Social Worker | 12800 Industrial Park Blvd, 200, Plymouth, MN 55441-3974 | 2017-04-21 |
1639336407 | Hearing Help Audiology Clinic Inc | Audiologist | 12800 Industrial Park Blvd, #105, Plymouth, MN 55441-3974 | 2008-05-20 |
1801062963 | Good Samaritan Transportation | Non-emergency Medical Transport (VAN) | 12800 Industrial Park Blvd, Ste 150d, Plymouth, MN 55441-3974 | 2008-05-07 |
1982893251 | Homecare Assist, Inc. | Home Health | 12800 Industrial Park Blvd, Suite 250, Plymouth, MN 55441-3974 | 2007-10-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
Find all providers in zip 55441 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730701095 | Leah Kathryn West | Counselor | 409 Plymouth Rd Ste 125, Plymouth, MI 48170-4080 | 2020-05-09 |
1124575691 | Catherine Lynn Campbell | Counselor | 429 W Ann Arbor Trl, Plymouth, MI 48170-1625 | 2016-09-01 |
1255885539 | Angela Wessels | Counselor | 433 E Mill St Ste A, Plymouth, WI 53073-1851 | 2016-08-04 |
1245686922 | Lisa M. Constance | Counselor | 41081 Ann Arbor Rd E, Plymouth, MI 48170-4478 | 2016-05-11 |
1457712515 | Karley Jorgensen | Counselor | 9800 Rockford Rd Ste 100, Plymouth, MN 55442-2930 | 2016-03-16 |
1790142057 | Guideau & Associates LLC | Counselor | 42191 Ann Arbor Rd E, Plymouth, MI 48170-4370 | 2016-01-18 |
1760856900 | Navigating Life | Counselor | 48449 Beaver Creek Dr, Plymouth, MI 48170-3373 | 2015-11-28 |
1780090258 | Transformational Services LLC | Counselor | 9409 N Haggerty Rd, Plymouth, MI 48170 | 2014-07-06 |
1285074039 | Bethany Christian Services of Minnesota | Counselor | 3131 Fernbrook Ln N Ste 204, Plymouth, MN 55447-5337 | 2013-06-26 |
1568734010 | Pamela Jean Haase | Counselor | 632 N Mill St, The Upper Room, Plymouth, MI 48170-1422 | 2012-01-30 |
Find all providers in PLYMOUTH |
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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.