DR. PENNY SUE GIESBRECHT (NPI# 1396830758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396830758 |
| Entity Type | Individual |
| Full Name | DR. PENNY SUE GIESBRECHT |
| Credential | PSY.D., L.P. |
| Practice Address |
521 Tanglewood Drive Shoreview MN 55126 |
| Mailing Address |
410 Harriet Circle Shoreview MN 55126 |
| Practice Telephone | 6514860122 |
| Practice Fax Number | 6514818661 |
| Mailing Telephone | 6514860122 |
| Mailing Fax Number | 6514818661 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP3788 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 925015800 | 05 | |
| MN | BCBS | 50Q60GI | 01 |
| MN | UCARE | 115244 | 01 |
| MN | HEALTH PARTNERS | 57730 | 01 |
| MN | 792462 | 792462 | 01 |
| Street Address |
521 TANGLEWOOD DRIVE |
| City | SHOREVIEW |
| State | MN |
| Zip Code | 55126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164635975 | John Alan Stoltzfus | Psychologist | 521 Tanglewood Drive, Shoreview, MN 55126 | 2007-05-08 |
| 1679649602 | Thomas Michael Graske | Psychologist | 521 Tanglewood Drive, Shoreview, MN 55126-2016 | 2006-11-28 |
| 1366527707 | Susan Lienemann Buesing | Marriage & Family Therapist | 521 Tanglewood Drive, Shoreview, MN 55126-2016 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174184964 | Natural Smiles Dental Care | Clinic/Center | 3434 Lexington Ave. N, Suite 700, Shoreview, MN 55126 | 2019-06-24 |
| 1588194740 | Michael Simons | Hearing Instrument Specialist | 1007 Tiller Lane, Shoreview, MN 55126 | 2017-06-19 |
| 1902255441 | Latarsha Nicole Bronaugh | Counselor | 3490 Lexington Ave North, Suite 205, Shoreview, MN 55126 | 2016-06-06 |
| 1265809479 | Emily Elizabeth Bade | Social Worker | 3490 Lexington Ave. N, Suite 205, Shoreview, MN 55126 | 2015-08-24 |
| 1669857520 | Laurel Ann Walsh | Marriage & Family Therapist | 3490 Lexington Ave. N., Suite 205, Shoreview, MN 55126 | 2015-07-21 |
| 1598150930 | Nova Bhs | Psychologist | 521 Tanglewood Dr., Shoreview, MN 55126 | 2015-04-02 |
| 1144570714 | Healthstat Arkansas/pace Ind.- St. Paul | Preventive Medicine | 3737 Lexington Ave. N, St. Paul, MN 55126 | 2012-09-11 |
| 1679843619 | Shoreview Dental Associates | Dentist | 4700 Lexington Avenue N, Suite D, Shoreview, MN 55126 | 2012-01-09 |
| 1700039575 | Jacqueline Elizabeth Hoppenrath | Audiologist | 4570 Churchill St Ste 130, Shoreview, MN 55126 | 2008-10-24 |
| 1164545935 | Lucia Jane Lein | Chiropractor | 1000 W. County Rd. E, 210, Shoreview, MN 55126 | 2007-04-09 |
| Find all providers in zip 55126 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992114326 | Jeanette Lorraine Guillaume Marshall | Psychologist | 470 Highway 96 W Ste 280, Shoreview, MN 55126-3217 | 2014-08-11 |
| 1134288962 | Sherry Berde | Psychologist | 3570 Lexington Ave N Ste 100, Shoreview, MN 55126-8058 | 2006-12-07 |
| 1417220104 | Treehouse Psychology, Pllc | Psychologist | 500 Highway 96 W, Suite 400, Shoreview, MN 55126-1944 | 2012-02-11 |
| 1801036272 | Vaughn R Jefferson Psyd Mdiv Lp LLC | Psychologist | 1030 West County Road E, Ste 260, Shoreview, MN 55126 | 2009-02-25 |
| 1780715417 | Celeste Rose Yanisch | Psychologist | 3570 Lexington Ave N, Suite 100, Shoreview, MN 55126-8049 | 2007-03-07 |
| 1699811752 | Penny Giesbrecht, Psyd Lp Pa | Psychologist | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2007-01-29 |
| 1497812283 | Elaine Moore | Psychologist | 3490 Lexington Ave N, Shoreview, MN 55126-8074 | 2007-01-02 |
| 1285791921 | Murray Reed | Psychologist | 3490 Lexington Ave N, Shoreview, MN 55126-8074 | 2007-01-02 |
| 1811059959 | Nancy Gail Ludwig | Psychologist | 3570 Lexington Ave N, Suite 100, Shoreview, MN 55126-8049 | 2006-12-14 |
| 1558454793 | Lawrence William Foley | Psychologist | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2006-10-02 |
| Find all providers in SHOREVIEW | ||||
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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.