KASSIE SCOTT (NPI# 1447618095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447618095 |
Entity Type | Individual |
Full Name | KASSIE SCOTT |
Other Name | KASSIE SCOTT |
Credential | M.D.T. |
Practice Address |
2251 Connecticut Ave S Sartell MN 56377-2486 |
Mailing Address |
968 Woodhill Drive Roseville MN 55113 |
Practice Telephone | 3202535824 |
Mailing Telephone | 2183686546 |
Enumeration Date | 2016-02-10 |
Last Update Date | 2016-02-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 125J00000X | Dental Therapist | DT61 | MN | Dental Providers |
Street Address |
2251 CONNECTICUT AVE S |
City | SARTELL |
State | MN |
Zip Code | 56377-2486 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538165881 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 2251 Connecticut Ave S, Suite 3600, Sartell, MN 56377-4772 | 2005-06-22 |
1154920189 | Sartell Pediatrics, P.a. | Pediatrics | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2020-10-21 |
1164052718 | Callie Sahr | Nurse Practitioner | 2251 Connecticut Ave S, Sartell, MN 56377-2583 | 2020-01-23 |
1518500578 | Teia Rose Wolter | Physician Assistant | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2019-10-22 |
1336790179 | Benjamin James Hageman | Physician Assistant | 2251 Connecticut Ave S, Sartell, MN 56377-2583 | 2019-09-23 |
1386195659 | Chelsea Victoria Domeier | Physician Assistant | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2016-10-20 |
1700334851 | Amanda Walters | Physician Assistant | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2016-09-19 |
1861844482 | Brittany Joy Gordon | Nurse Practitioner | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2016-07-07 |
1033582259 | Lauren Milovitch-sera | Physical Therapist | 2251 Connecticut Ave S, Suite 3600, Sartell, MN 56377-2486 | 2015-11-10 |
1053798827 | Rachel Raab | Nurse Practitioner | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2015-04-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235783515 | Chae Norman | Massage Therapist | 303 4th Ave S, Suite C, Sartell, MN 56377 | 2019-07-25 |
1497317259 | Stephanie Maria Schaefer | Behavioral Analyst | 1133 Mockingbird Loop, Sartell, MN 56377 | 2019-07-02 |
1538722848 | Madison Toughill | Behavior Technician | 205 14th Ave E, Sartell, MN 56377 | 2019-04-22 |
1902388671 | Julie Ann Helms | Counselor | 101 Dehler Dr., Sartell, MN 56377 | 2018-08-30 |
1104337617 | Louis Chester Winskowski IIi | Orthotist | 50 14th Ave E Suite 114, Sartell, MN 56377 | 2017-10-24 |
1962958611 | Centracare Clinic | Exclusive Provider Organization | 166 19th Street S, Suite 202, Sartell, MN 56377 | 2016-08-31 |
1295197846 | Mindful Healing & Training | Counselor | 1417 15th Street South, Sartell, MN 56377 | 2016-03-23 |
1710342894 | Saint Cloud Hospital St. Benedict's Senior Community | Skilled Nursing Facility | 990 19th St. S., Sartell, MN 56377 | 2015-12-16 |
1932452661 | David Peter Pogatchnik | Pharmacist | 2251 Connecticut Ave. South, Health Partners Central Minnesota Clinics (pharmacy), Sartell, MN 56377 | 2012-10-18 |
1669759866 | Lakewood Health System | Clinic/Center | 161 19th St S Ste 106, Sartell, MN 56377 | 2011-11-16 |
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Taxonomy Code | 125J00000X |
Grouping | Dental Providers |
Classification | Dental Therapist |
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations. |
Notes: Source: Summarized from Minnesota Statute 150A.105. [7/1/2012: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487264446 | Amber Nichelle Irby | Dental Therapist | 903 W Center St #130, Rochester, MN 55902 | 2020-08-05 |
1558835942 | Jennifer Iacobelli | Dental Therapist | 13899 Highway 13 South Frontage Road, Savage, MN 55378 | 2019-01-18 |
1992288781 | Katie Ask | Dental Therapist | 13889 Highway 13 S, Frontage Rd, Savage, MN 55378 | 2018-09-08 |
1487154092 | Sunny Moon | Dental Therapist | 10584 France Ave S, Bloomington, MN 55431-3538 | 2018-02-20 |
1326548454 | Julie Bonham | Dental Therapist | 803 3rd St. Se, Suite 330, Little Falls, MN 56345 | 2018-02-15 |
1376077974 | Saritha Gajawada | Dental Therapist | 15354 Plumstone Dr, Eden Prairie, MN 55347-2061 | 2017-04-20 |
1649644063 | Brittany Gronland | Dental Therapist | 25730 Smithtown Rd, Excelsior, MN 55331-8592 | 2015-11-23 |
1124405857 | Jenna Susanne Marquardt | Dental Therapist | 209 South 1st Street, Montevideo, MN 56265 | 2015-05-01 |
1558751495 | Weston Mark Schmidt | Dental Therapist | 411 East Howard St., Jacobson Family Dentistry PC, Hibbing, MN 55746 | 2015-01-30 |
1003230137 | Janelle Jehn | Dental Therapist | 4342 4th Ave S, Minneapolis, MN 55409-2155 | 2014-02-10 |
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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.