ABIGAIL HOUSE TIERNEY (NPI# 1437523248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437523248 |
| Entity Type | Individual |
| Full Name | ABIGAIL HOUSE TIERNEY |
| Credential | PA |
| Practice Address |
1875 Woodwinds Dr Woodbury MN 55125-2298 |
| Mailing Address |
4263 Brigadoon Dr Shoreview MN 55126-3111 |
| Practice Telephone | 6512326880 |
| Mailing Telephone | 6512536852 |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2016-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1875 WOODWINDS DR |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-2298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386644250 | Kerry L Sheehy | Family Medicine | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2005-07-21 |
| 1447784186 | Meghan Lavelle | Registered Nurse | 1875 Woodwinds Dr, Suite 230, Woodbury, MN 55125-2298 | 2017-04-19 |
| 1760923155 | Megan Green | Dietitian, Registered | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2017-03-17 |
| 1164898953 | Promise Amajiri | Nurse Practitioner | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2015-08-15 |
| 1164898250 | Forefront Dermatology, S.c. | Dermatology | 1875 Woodwinds Dr, Suite 240, Woodbury, MN 55125 | 2015-08-12 |
| 1154743920 | Eileen Michelle Hernandez | Massage Therapist | 1875 Woodwinds Dr, Suite 100, Woodbury, MN 55125-2298 | 2014-01-14 |
| 1871870543 | St. Croix Orthopaedics, P.a. | Durable Medical Equipment & Medical Supplies | 1875 Woodwinds Dr, Ste. 200, Woodbury, MN 55125-2298 | 2011-11-09 |
| 1497042659 | Sarah Marie Holmgren | Advanced Practice Midwife | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2011-07-07 |
| 1700170487 | Stephanie Lynn Flater Luepke | Audiologist | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2011-05-31 |
| 1326337668 | Katie Lynn Kline | Pharmacist | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2011-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013496892 | Daniel Louis Fazzino | Physician Assistant | 76 Barnhill Rd, Woodbury, CT 06798-2219 | 2018-08-12 |
| 1871789123 | Alissa Paul | Physician Assistant | 449 Commerce Dr, Woodbury, MN 55125-4872 | 2007-09-20 |
| 1457460743 | Anthony F Orlando | Physician Assistant | 608 N Broad St, Suite 100, Woodbury, NJ 08096-1794 | 2006-08-30 |
| 1992746242 | Susan Tamagni | Physician Assistant | 159 S Broad St, Woodbury, NJ 08096-2410 | 2006-06-09 |
| 1396149910 | Matthew Voit | Physician Assistant | 509 N Broad St, Woodbury, NJ 08096-1617 | 2014-10-09 |
| 1588086821 | Krystina Zeliff | Physician Assistant | 875 Mantua Pike, Woodbury, NJ 08096 | 2014-01-06 |
| 1326312430 | Brian W. Boockoff | Physician Assistant | 414 Tatum St, Woodbury, NJ 08096-3499 | 2012-03-07 |
| 1790068989 | Leslie Ann Davis | Physician Assistant | 45 Crossways Park Dr W, Woodbury, NY 11797-2037 | 2011-09-23 |
| 1467733816 | Andrea M Bolesta | Physician Assistant | 509 N Broad St, Woodbury, NJ 08096-1617 | 2011-08-30 |
| 1679897060 | Jacqueline Marjorie Lichtenstein | Physician Assistant | 45 Crossways Park Dr W, Woodbury, NY 11797-2037 | 2010-03-15 |
| Find all providers in WOODBURY | ||||
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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.