KASSIE SCOTT


Address: 2251 Connecticut Ave S, Sartell, MN 56377-2486
Phone: 3202535824

KASSIE SCOTT (NPI# 1447618095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 125J00000X Dental Therapist DT61 MN Dental Providers

Office Location

Street Address 2251 CONNECTICUT AVE S
City SARTELL
State MN
Zip Code 56377-2486

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 125J00000X
Grouping Dental Providers
Classification Dental Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and state

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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Competitor

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City SARTELL
Zip Code 56377

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Dataset Information

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.

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