ANN KOLAR CHINNAKOTLA (NPI# 1447259395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447259395 |
Entity Type | Individual |
Full Name | ANN KOLAR CHINNAKOTLA |
Credential | FNP |
Practice Address |
3900 Park Nicollet Blvd 3rd Floor Urology St Louis Park MN 55416-2503 |
Practice Telephone | 9529933190 |
Mailing Telephone | 9529933190 |
Enumeration Date | 2005-07-21 |
Last Update Date | 2013-04-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R199048-1 | MN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
704855 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 168455701 | 05 |
Street Address |
3900 PARK NICOLLET BLVD 3RD FLOOR UROLOGY |
City | ST LOUIS PARK |
State | MN |
Zip Code | 55416-2503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073980454 | Teresa Slepicka | Optometrist | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2015-09-01 |
1194113217 | Park Nicollet Methodist Hospital | General Acute Care Hospital | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2014-12-23 |
1164837373 | Erin Marie Sinkoff | Optometrist | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2505 | 2014-06-25 |
1477827236 | Christine Kroll | Optometrist | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2012-02-26 |
1306170808 | Jason Davis | Physician Assistant | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2009-09-30 |
1972837706 | Laura J Heinmiller | Ophthalmology | 3900 Park Nicollet Blvd, Suite 230, St Louis Park, MN 55416-2503 | 2009-09-26 |
1134389463 | Hans S Grinager | Ophthalmology | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2008-06-10 |
1407974561 | Jonathan Pribila | Ophthalmology | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2007-03-27 |
1487668919 | David Warren Pederson | Podiatrist | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2006-07-28 |
1851346753 | Paul S Vietzen | Surgery | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2006-05-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
Find all providers in zip 55416 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124636063 | Kellie Lynn Leblanc | Nurse Practitioner | 3151 Hillsboro Ave S, St Louis Park, MN 55426-2930 | 2020-07-16 |
1861471666 | Jennifer L Mears | Nurse Practitioner | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2006-01-11 |
1467440784 | Leann Clarksean | Nurse Practitioner | 5320 W 23rd St Ste 130, St Louis Park, MN 55416-1670 | 2005-10-11 |
1629611033 | Johanna Clara Ayers | Nurse Practitioner | 4656 Excelsior Blvd, St Louis Park, MN 55416-4938 | 2019-10-18 |
1790290195 | Kathryn Caye Mcgovern | Nurse Practitioner | 4656 Excelsior Blvd, St Louis Park, MN 55416-4938 | 2017-12-06 |
1912422718 | Kathleen Therese Guinee Holman | Nurse Practitioner | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2017-08-14 |
1619497476 | Laura I. Lenz | Nurse Practitioner | 3850 Park Nicollet Blvd, St Louis Park, MN 55416 | 2017-06-22 |
1871013037 | Lorraine Marie Richards | Nurse Practitioner | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2017-06-20 |
1023552924 | Tiffany Rae Krebsbach | Nurse Practitioner | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2016-12-12 |
1568848331 | Shannon Lee Hoversten | Nurse Practitioner | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2015-08-04 |
Find all providers in ST LOUIS PARK |
City | ST LOUIS PARK |
Zip Code | 55416 |
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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.