AUTUMN KOETZ (NPI# 1447816327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447816327 |
| Entity Type | Individual |
| Full Name | AUTUMN KOETZ |
| Practice Address |
891 Belsly Blvd Moorhead MN 56560-5055 |
| Practice Telephone | 2182874338 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
891 BELSLY BLVD |
| City | MOORHEAD |
| State | MN |
| Zip Code | 56560-5055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508804543 | Rita Lall | Psychologist | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2006-06-03 |
| 1619575065 | Faith Durham | Specialist | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2020-10-16 |
| 1184222853 | Cassidy Schafer | Specialist | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2020-10-14 |
| 1093313777 | Brady Amundson | Specialist | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2020-10-14 |
| 1588262752 | Aida Zeba | Specialist | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2020-10-11 |
| 1801494125 | Erika Weaver | Specialist | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2020-10-09 |
| 1023615887 | Jennifer Ann Johnson | Specialist | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2020-10-05 |
| 1356954432 | Sonam Lama | Specialist | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2020-08-28 |
| 1396356655 | Morgan Nordheim | Specialist | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2020-08-11 |
| 1356950703 | Mckenzie Lehmann | Specialist | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2020-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298859 | Anna Mckay Fox | Pharmacist | 4000 28th Avenue S, Moorhead, MN 56560 | 2019-08-01 |
| 1972019727 | Michael Wayne Hilliard | Specialist/Technologist | 649 17th St S, Moorhead, MN 56560 | 2017-12-15 |
| 1508217183 | Kristen Johnson | Nurse Practitioner | 801 Belsly Boulevard, Moorhead, MN 56560 | 2016-06-25 |
| 1861877052 | Midwest Mental Health Clinic | Nurse Practitioner | 819 30th Ave S Office 206 Suite B, Moorhead, MN 56560 | 2015-07-29 |
| 1083037709 | Drake Counseling Services, Inc. | Clinic/Center | 715 11th Street North, Suite 204, Moorhead, MN 56560 | 2014-01-31 |
| 1710310917 | Lamar Terrell Hill | Social Worker | 420 Center Ave Ste 102, Moorhead, MN 56560 | 2013-08-12 |
| 1982956140 | Lilac Homes Corporation | Assisted Living Facility | 2615 Parkview Dr, Moorhead, MN 56560 | 2012-10-11 |
| 1487918462 | Paige Joy Hanson | Massage Therapist | 805 14th St. So., Msum Wellness Center, Moorhead, MN 56560 | 2012-06-25 |
| 1972809408 | Cslm, LLC | Assisted Living Facility | 2401 South 11th Street, Moorhead, MN 56560 | 2011-02-01 |
| 1972814846 | Paul Michael Fluto | Pharmacist | 3000 Hwy 10 East, Mooehead, MN 56560 | 2010-06-25 |
| Find all providers in zip 56560 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093354417 | Megan Roller | Technician, Other | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2020-01-02 |
| 1063058337 | John Kennedy | Technician, Other | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2019-11-21 |
| 1750937017 | Jacqueline Landis | Technician, Other | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2019-08-13 |
| 1558913723 | Cierra Schoer | Technician, Other | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2019-07-09 |
| 1235790775 | Jariguez Collier | Technician, Other | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2019-06-25 |
| 1093376519 | Taylor Devall | Technician, Other | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2019-06-25 |
| 1588224380 | Ellie Macfarlane | Technician, Other | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2019-06-14 |
| 1720643034 | Madison Marchus | Technician, Other | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2019-05-02 |
| 1477117307 | Olivia Friesner | Technician, Other | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2019-04-25 |
| 1578020418 | Elizabeth Pelton | Technician, Other | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2019-02-27 |
| Find all providers in MOORHEAD | ||||
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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.