TARGET CLINIC MINNESOTA (NPI# 1407282809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407282809 |
| Entity Type | Organization |
| Organization Name | TARGET CLINIC MINNESOTA |
| Practice Address |
1650 New Brighton Blvd Minneapolis MN 55413-1643 |
| Mailing Address |
Po Box 9066 Belfast ME 04915-9066 |
| Practice Telephone | 6127817033 |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2013-09-18 |
| Authorized Official Name | PAUL TEUFER (CREDENTIALING CONTACT) |
| Authorized Official Telephone | 6127616395 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R16914-2 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1650 NEW BRIGHTON BLVD |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55413-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295757979 | Grand St Paul Cvs LLC | Pharmacy | 1650 New Brighton Blvd, Minneapolis, MN 55413-1643 | 2006-07-24 |
| 1073140851 | Walid Jose Jamaleddin | Pharmacist | 1650 New Brighton Blvd, Minneapolis, MN 55413-1643 | 2020-03-24 |
| 1376084335 | Lisa Nowell | Physician Assistant | 1650 New Brighton Blvd, Minneapolis, MN 55413-1643 | 2017-03-10 |
| 1457750937 | Melissa Ann Gulden- Maleson | Nurse Practitioner | 1650 New Brighton Blvd, Minneapolis, MN 55413-1643 | 2014-08-20 |
| 1275940389 | Tiffany Messenbrink | Pharmacist | 1650 New Brighton Blvd, Minneapolis, MN 55413-1643 | 2014-07-21 |
| 1255687323 | Alisabeth Yang | Pharmacist | 1650 New Brighton Blvd, T-1095, Minneapolis, MN 55413-1643 | 2012-07-26 |
| 1851689780 | Megan Adelman | Pharmacist | 1650 New Brighton Blvd, T1095, Minneapolis, MN 55413-1643 | 2011-07-12 |
| 1457646317 | Janet K Timmerman | Pharmacist | 1650 New Brighton Blvd, T-1095, Minneapolis, MN 55413-1643 | 2011-06-17 |
| 1508151150 | Tori Marie Grier | Pharmacist | 1650 New Brighton Blvd, T-1095, Minneapolis, MN 55413-1643 | 2011-06-11 |
| 1578858338 | Scott Alan Gast | Pharmacist | 1650 New Brighton Blvd, T-1095, Minneapolis, MN 55413-1643 | 2011-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295372274 | Alysia R Schwartz | Counselor | 2155 E Hennepin Ave, Minneapolis, MN 55413 | 2019-12-09 |
| 1427609304 | Lingguang Liu | Acupuncturist | 2021 East Hennepin Ave, Suite 412, Minneapolis, MN 55413 | 2019-09-23 |
| 1437708617 | Dream Home Health Care Inc | Home Health | 2021 E Hennepin Ave, Ste 190, Minneapolis, MN 55413 | 2019-09-10 |
| 1831746536 | Aline Care | Case Management | 1730 New Brighton Blvd Ste 300, Minneapolis, MN 55413 | 2019-08-19 |
| 1073171534 | Relate Nutrition & Therapy | Dietitian, Registered | 79 13th Ave Ne, Suite 103b, Minneapolis, MN 55413 | 2019-05-30 |
| 1740703461 | Emily Rudert | Counselor | 5407 Excelsior Blvd Suite A, B, & E, St. Louis Park, MN 55413 | 2017-07-25 |
| 1316305485 | Capital Transportation LLC | Non-emergency Medical Transport (VAN) | 34 13th Ave Ne #b004, Minneapolis, MN 55413 | 2016-02-04 |
| 1861819989 | Traditionally Healthy | Chiropractor | 1211 Jackson St Ne, Suite 121, Minneapolis, MN 55413 | 2014-03-26 |
| 1588000871 | Aztec's Transportation and Home-care LLC | Non-emergency Medical Transport (VAN) | 843 Summer St Ne #2, Minneapolis, MN 55413 | 2013-05-14 |
| 1114285418 | Best Care Transportation | Non-emergency Medical Transport (VAN) | 2021 E Hennepin Ave Ste. 187, Minneapolis, MN 55413 | 2012-04-25 |
| Find all providers in zip 55413 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803970 | Kelsey Olson | Nurse Practitioner | 2450 Riverside Ave Fl 9, Minneapolis, MN 55454-1450 | 2020-08-28 |
| 1396373932 | Hayley Starr Gifford | Nurse Practitioner | 33 105th Ave Nw, Minneapolis, MN 55448-5044 | 2020-03-30 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1831646108 | Ingrid Estephan | Nurse Practitioner | 2929 21st Ave S Apt 301, Minneapolis, MN 55407-4515 | 2016-09-05 |
| 1730532631 | Allina Health System | Nurse Practitioner | 913 E 26th St Ste 305, Minneapolis, MN 55404-4515 | 2016-07-15 |
| 1619376860 | Amy Cooley | Nurse Practitioner | 800 E 28th St # H2100, Minneapolis, MN 55407 | 2014-08-13 |
| 1710265368 | Kimberly Dawn Moore | Nurse Practitioner | 814 South 3rd Street, Minneapolis, MN 55415 | 2011-08-01 |
| 1164700878 | Katherine Casey Martin Caughel | Nurse Practitioner | Hcmc, 701 Park Ave, Surgery Department, P-5, Minneapolis, MN 55415-1623 | 2011-07-29 |
| 1386951358 | Jody Michelle Schoenecker | Nurse Practitioner | 615 1st Ave Ne Ste 310, Minneapolis, MN 55413-2419 | 2010-09-10 |
| 1043543093 | Therese Mary Maas | Nurse Practitioner | 909 Fulton St Se Ste 300, Minneapolis, MN 55455 | 2009-09-09 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55413 |
Please comment or provide details below to improve the information on TARGET CLINIC MINNESOTA.
| 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.