STEPHANIE AUGUSTIN (NPI# 1447772934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447772934 |
Entity Type | Individual |
Full Name | STEPHANIE AUGUSTIN |
Credential | CNP |
Practice Address |
6452 City West Pkwy Eden Prairie MN 55344-3245 |
Mailing Address |
13735 54th Ave N Plymouth MN 55446-1153 |
Practice Telephone | 9529990333 |
Mailing Telephone | 7634394697 |
Enumeration Date | 2017-07-17 |
Last Update Date | 2017-07-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 2075295 | MN | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5268 | MN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265054787 | Stephanie Amanda Augustin | Registered Nurse | 1007 Quentin Rd, Brooklyn, NY 11223-2341 | 2020-05-07 |
1134761646 | Stephanie Augustin | Registered Nurse | 5645 Main St, Flushing, NY 11355-5045 | 2019-10-16 |
1164802344 | Stephanie Augustin | Behavioral Analyst | 51 Lafayette Ave, Lynbrook, NY 11563-1740 | 2015-06-03 |
Street Address |
6452 CITY WEST PKWY |
City | EDEN PRAIRIE |
State | MN |
Zip Code | 55344-3245 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578551636 | Robert John Zajac | Pediatrics | 6452 City West Pkwy, Eden Prairie, MN 55344-3245 | 2005-10-12 |
1407466436 | Amy Pedersen | Nurse Practitioner | 6452 City West Pkwy, Eden Prairie, MN 55344-3245 | 2020-08-04 |
1952928723 | Leah Marie Tasso | Nurse Practitioner | 6452 City West Pkwy, Eden Prairie, MN 55344-3245 | 2020-06-28 |
1134760903 | Nichole Kathleen Sorteberg | Nurse Practitioner | 6452 City West Pkwy, Eden Prairie, MN 55344-3245 | 2019-10-03 |
1285295626 | Quincee Lynn Macgibbon | Nurse Practitioner | 6452 City West Pkwy, Eden Prairie, MN 55344-3245 | 2019-06-26 |
1740776707 | Stacy Adair Woodard | Nurse Practitioner | 6452 City West Pkwy, Eden Prairie, MN 55344-3245 | 2018-07-02 |
1801304696 | Cynthia Lee Voigt | Nurse Practitioner | 6452 City West Pkwy, Eden Prairie, MN 55344 | 2018-01-16 |
1497277438 | Katie Ann Eagle | Nurse Practitioner | 6452 City West Pkwy, Eden Prairie, MN 55344-3245 | 2017-07-12 |
1760816045 | New Kingdom Pediatrics LLC | Clinic/Center | 6452 City West Pkwy, Eden Prairie, MN 55344-3245 | 2013-08-22 |
1144534140 | Katie L Seremet | Nurse Practitioner | 6452 City West Pkwy, Eden Prairie, MN 55344-3245 | 2010-08-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366000572 | Hekima Care Inc. | Case Management | 8725 Columbine Rd Unit 46026, Eden Prairie, MN 55344 | 2019-06-03 |
1528537768 | Smile Eden Prairie | Dentist | 6600 City W. Pkwy #315, Eden Prairie, MN 55344 | 2018-11-16 |
1215439781 | Angelo Scherer | Counselor | 11010 Prairie Lakes Drive Suite 350, Eden Prairie, MN 55344 | 2018-03-01 |
1497272678 | Matthew Lynn | Occupational Therapist | 431 Prairie Center Drive, Eden Prairie, MN 55344 | 2017-08-28 |
1184178956 | Eric R Barrett | Audiologist | Starkey Center for Excellence, 6700 Washington Ave S, Eden Prairie, MN 55344 | 2016-08-10 |
1609218676 | Nations Care Link | Nurse Practitioner | 11000 Praire Lakes Dr, Suite 600, Eden Praire, MN 55344 | 2013-07-19 |
1497020390 | Alixa Rx LLC | Pharmacy | 10132 West 76th St, Eden Prairie, MN 55344 | 2012-03-12 |
1831467331 | Eagle Ridge Academy | Local Education Agency (LEA) | 7255 Flying Cloud Drive, Eden Prairie, MN 55344 | 2011-12-12 |
1205154739 | Eden Prairie School District 272 | Local Education Agency (LEA) | 8100 School Road, Eden Prairie, MN 55344 | 2010-05-07 |
1992030613 | Spinal Health | Chiropractor | 12100 Singletree Ln #129, Eden Prairie, MN 55344 | 2009-10-14 |
Find all providers in zip 55344 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285865659 | Suzanne K Leland | Nurse Practitioner | 8251 Columbine Rd, Eden Prairie, MN 55344-7610 | 2009-08-04 |
1477160968 | Katherine Eells | Nurse Practitioner | 11000 Optum Cir, Eden Prairie, MN 55344-2503 | 2020-09-28 |
1407466436 | Amy Pedersen | Nurse Practitioner | 6452 City West Pkwy, Eden Prairie, MN 55344-3245 | 2020-08-04 |
1952928723 | Leah Marie Tasso | Nurse Practitioner | 6452 City West Pkwy, Eden Prairie, MN 55344-3245 | 2020-06-28 |
1285295626 | Quincee Lynn Macgibbon | Nurse Practitioner | 6452 City West Pkwy, Eden Prairie, MN 55344-3245 | 2019-06-26 |
1427544873 | Matthew Lucas Lorenz | Nurse Practitioner | 830 Prairie Center Dr, Eden Prairie, MN 55344-7301 | 2018-07-09 |
1740776707 | Stacy Adair Woodard | Nurse Practitioner | 6452 City West Pkwy, Eden Prairie, MN 55344-3245 | 2018-07-02 |
1801304696 | Cynthia Lee Voigt | Nurse Practitioner | 6452 City West Pkwy, Eden Prairie, MN 55344 | 2018-01-16 |
1235540014 | Ann Molitor | Nurse Practitioner | 830 Prairie Center Dr, Eden Prairie, MN 55344-7301 | 2014-05-14 |
1790115996 | Vasumathi Nallusamy | Nurse Practitioner | 8225 Flying Cloud Dr, Eden Prairie, MN 55344-5315 | 2013-11-25 |
Find all providers in EDEN PRAIRIE |
City | EDEN PRAIRIE |
Zip Code | 55344 |
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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.