JEAN BORGERDING PUPKES (NPI# 1437429651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437429651 |
| Entity Type | Individual |
| Full Name | JEAN BORGERDING PUPKES |
| Credential | CNS |
| Practice Address |
3435 W Broadway Ave Robbinsdale MN 55422-2969 |
| Practice Telephone | 7635207887 |
| Practice Fax Number | 7635201494 |
| Mailing Telephone | 7635207887 |
| Mailing Fax Number | 7635201494 |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SX0200X |
Clinical Nurse Specialist Specialization: Oncology |
R96744-4 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3435 W BROADWAY AVE |
| City | ROBBINSDALE |
| State | MN |
| Zip Code | 55422-2969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437148244 | Joy M Larsen Haidle | Genetic Counselor, MS | 3435 W Broadway Ave, Suite 1135, Robbinsdale, MN 55422-2922 | 2005-10-14 |
| 1245645472 | Kathryn Douglass | Genetic Counselor, MS | 3435 W Broadway Ave, Robbinsdale, MN 55422-2969 | 2014-06-26 |
| 1568800894 | Christine Marie Wiese | Nurse Practitioner | 3435 W Broadway Ave, Robbinsdale, MN 55422-2969 | 2013-06-09 |
| 1538411855 | Yazmin M. Clark | Nurse Practitioner | 3435 W Broadway Ave, Robbinsdale, MN 55422-2969 | 2012-10-10 |
| 1043580178 | Shirley Jean Kern | Clinical Nurse Specialist | 3435 W Broadway Ave, Robbinsdale, MN 55422-2969 | 2012-01-05 |
| 1508157652 | Ashley Marie Deckman | Genetic Counselor, MS | 3435 W Broadway Ave, Suite 1135, Robbinsdale, MN 55422-2969 | 2011-04-25 |
| 1699065946 | Robert John Schneidewend | Internal Medicine | 3435 W Broadway Ave, Robbinsdale, MN 55422 | 2011-04-07 |
| 1750670667 | Rena Shah | Internal Medicine | 3435 W Broadway Ave, Robbinsdale, MN 55422-2969 | 2011-03-31 |
| 1700185287 | Karen Marie Palmer | Dietitian, Registered | 3435 W Broadway Ave, North Memorial Outpatient Center, Robbinsdale, MN 55422-2969 | 2011-03-23 |
| 1093905259 | North Memorial Health Care | Pharmacy | 3435 W Broadway Ave, Suite 1135, Robbinsdale, MN 55422-2922 | 2007-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| Taxonomy Code | 364SX0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Oncology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043580178 | Shirley Jean Kern | Clinical Nurse Specialist | 3435 W Broadway Ave, Robbinsdale, MN 55422-2969 | 2012-01-05 |
| 1871816108 | Kathleen Marie Jablonski | Clinical Nurse Specialist | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2010-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568554434 | Erin C Lew | Clinical Nurse Specialist | 500 Osborne Road, Suite 215, Fridley, MN 55432 | 2006-09-29 |
| 1952310948 | Diane Ruth Kammer | Clinical Nurse Specialist | 1 Veterans Drive, Minneapolis, MN 55417 | 2006-08-07 |
| City | ROBBINSDALE |
| Zip Code | 55422 |
Please comment or provide details below to improve the information on JEAN BORGERDING PUPKES.
| 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.