MS. TABATHA L OBERT (NPI# 1457599714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457599714 |
| Entity Type | Individual |
| Full Name | MS. TABATHA L OBERT |
| Practice Address |
115 Lake St N Forest Lake MN 55025-2504 |
| Practice Telephone | 7636078473 |
| Mailing Telephone | 7636078473 |
| Enumeration Date | 2009-01-25 |
| Last Update Date | 2009-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
115 LAKE ST N |
| City | FOREST LAKE |
| State | MN |
| Zip Code | 55025-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790917573 | Mobility Matters and Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 115 Lake St N, Forest Lake, MN 55025-2504 | 2009-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043846173 | Persistence Physical Therapy LLC | Clinic/Center | 2009 W Broadway Ave, Ste 400 Pmb 131, Forest Lake, MN 55025 | 2020-03-20 |
| 1255973319 | Connie Rettig | Technician | 908 North Shore Drive, Forest Lake, MN 55025 | 2019-10-10 |
| 1003394479 | Malissa Ann Costanzo | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 844 8th Ave Se, Forest Lake, MN 55025 | 2018-07-30 |
| 1669754735 | Brent Alan Millard | Pharmacist | 1207 West Broadway Ave, Forest Lake, MN 55025 | 2011-09-15 |
| 1982842167 | Lakes Center for Youth and Families | Community/Behavioral Health | 20 N Lake Street, Suite 103, Forest Lake, MN 55025 | 2009-01-27 |
| 1487843355 | Paul Luke Mladnick | Marriage & Family Therapist | 1068 So Lake St, #109, Forest Lake, MN 55025 | 2007-10-17 |
| 1740477678 | Rita Lynn Scanlan | Occupational Therapist | 604 Ne 1st St, Birchwood Health Care Center, Forest Lake, MN 55025 | 2007-09-25 |
| 1114053113 | Senior Care Forest Lake, LLC | Skilled Nursing Facility | 604 N.e. First Street, Forest Lake, MN 55025 | 2007-02-26 |
| 1073672101 | Catharine B Ruther | Dentist | 956 West Broadway, Lakes Dental Clinic, Forest Lake, MN 55025 | 2006-12-06 |
| 1407914849 | Ervin George Savord | Dentist | 255 Highway 97, Suite 1b, Forest Lake, MN 55025 | 2006-12-05 |
| Find all providers in zip 55025 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295366029 | Randall Jay Sampson | Contractor | 24668 Hamlet Ave, Forest Lake, MN 55025-8781 | 2020-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534730 | Linda Kellee Erickson | Contractor | 3810 Rum River Dr, Anoka, MN 55303-1103 | 2020-10-07 |
| 1235742115 | Berger Built Construction Co. Inc. | Contractor | 217 Maple Street, Mahtomedi, MN 55115 | 2020-08-28 |
| 1225641426 | Ibrahim Mohamud | Contractor | 1906 Clinton Ave Apt 105, Minneapolis, MN 55404-2752 | 2020-08-26 |
| 1669092003 | Jms Custom Homes, LLC | Contractor | 6035 Culligan Way, Minnetonka, MN 55345-5918 | 2020-04-24 |
| 1730710401 | Ashley Schaefer | Contractor | 36073 Dolphin St Nw, Princeton, MN 55371-5274 | 2020-01-30 |
| 1710536123 | Gavin Quinn | Contractor | 11519 Arnold Palmer Dr, Blaine, MN 55449-5490 | 2019-09-09 |
| 1306490917 | Rosie Walker | Contractor | 1875 Dell St, White Bear Lake, MN 55110-5365 | 2019-07-31 |
| 1265096374 | Brett Tupy | Contractor | 7548 236th St E, Lakeville, MN 55044-9813 | 2019-04-24 |
| 1770045072 | Regina Kristine Toensing | Contractor | 6270 141st Ln Nw, Ramsey, MN 55303-5686 | 2019-04-04 |
| 1881152999 | Ryan Andrei Boyko | Contractor | 6555 Hillstrom Rd, Maple Plain, MN 55359-8749 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
| City | FOREST LAKE |
| Zip Code | 55025 |
Please comment or provide details below to improve the information on MS. TABATHA L OBERT.
| 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.