MARK WIITA (NPI# 1457739179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457739179 |
| Entity Type | Individual |
| Full Name | MARK WIITA |
| Credential | APRN, CNP |
| Practice Address |
1001 E Superior St Ste L401 Duluth MN 55802-2207 |
| Practice Telephone | 2182497960 |
| Practice Fax Number | 2182497997 |
| Mailing Telephone | 2182497960 |
| Mailing Fax Number | 2182497997 |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2019-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3981 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R210059-7 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4212 Grand Ave, Essentia Health West Duluth Clinic, Duluth, MN 55807 | 2187863500 | |
| 1010 4th St, Two Harbors, MN 556161200 | 2188347700 | 2188347727 |
| Street Address |
1001 E SUPERIOR ST STE L401 |
| City | DULUTH |
| State | MN |
| Zip Code | 55802-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891744140 | Kim L Wilde | Internal Medicine | 1001 E Superior St Ste L401, Duluth, MN 55802 | 2006-05-06 |
| 1265078968 | Jennifer Lynn Nelson | Nurse Practitioner | 1001 E Superior St Ste L401, Duluth, MN 55802-2207 | 2019-11-18 |
| 1629624531 | Sakina Zaheer | Pharmacist | 1001 E Superior St Ste L401, Duluth, MN 55802-2207 | 2019-08-15 |
| 1063992535 | Stephanie Rae Harnack | Nurse Practitioner | 1001 E Superior St Ste L401, Duluth, MN 55802-2207 | 2018-08-15 |
| 1437679859 | Courtney F Murphy-bakken | Pharmacist | 1001 E Superior St Ste L401, Duluth, MN 55802-2207 | 2017-06-27 |
| 1467803031 | Nicole Marie Wilke | Nurse Practitioner | 1001 E Superior St Ste L401, Duluth, MN 55802 | 2016-06-24 |
| 1548623085 | Kristina Kay Anderson | Internal Medicine | 1001 E Superior St Ste L401, Duluth, MN 55802 | 2016-04-01 |
| 1700243243 | Anna Rosenberg | Nurse Practitioner | 1001 E Superior St Ste L401, Duluth, MN 55802-2207 | 2016-01-27 |
| 1700261427 | Jessica Gerard | Nurse Practitioner | 1001 E Superior St Ste L401, Duluth, MN 55802-2207 | 2015-07-23 |
| 1144617283 | Steven James Finstad | Internal Medicine | 1001 E Superior St Ste L401, Duluth, MN 55802 | 2015-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
| 1134664311 | Amp Group, LLC | Counselor | 331 West Superior Street, Duluth, MN 55802 | 2016-12-27 |
| 1982151361 | Tiffany Riester | Counselor | 332 W Superior Street, Suite 300, Duluth, MN 55802 | 2016-09-02 |
| 1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
| 1437559051 | Natalie R Zwak | Dietitian, Registered | 26 E Superior St Ste 315, Duluth, MN 55802 | 2014-09-02 |
| 1447679279 | Valerie Lou Shelton | Registered Nurse | 118 E Superior St., Duluth, MN 55802 | 2014-04-09 |
| 1285063115 | Brian Bergstedt | Counselor | 332 West Superior Street, Suite 300, Duluth, MN 55802 | 2013-11-01 |
| 1508135948 | Karen Dee Turner | Counselor | 202 W. Superior Street, Suite 700, Duluth, MN 55802 | 2011-12-14 |
| 1497023410 | Jean Barrie Mcbride | Pharmacist | 1131 East Superior Street, Duluth, MN 55802 | 2011-12-05 |
| 1194092304 | Diane Murphy Winship | Pharmacist | 1331 Superior St, Duluth, MN 55802 | 2011-11-17 |
| Find all providers in zip 55802 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877723 | Camille Watson-clarke | Nurse Practitioner | 3650 Steve Reynolds Blvd Ste 316, Duluth, GA 30096-4506 | 2020-09-30 |
| 1568089340 | Emily Abernethy | Nurse Practitioner | 1001 E Superior St Ste 401, Duluth, MN 55802-2229 | 2020-06-29 |
| 1588159388 | Marilyne Jones | Nurse Practitioner | 3920 Club Dr Apt 724, Duluth, GA 30096-7101 | 2018-06-25 |
| 1225534977 | Philip Douglas Knese | Nurse Practitioner | 1012 E 2nd St Bldg A, Duluth, MN 55805-2200 | 2018-04-02 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1477964559 | Vincentia Asantewah Adjei | Nurse Practitioner | 6340 Sugarloaf Pkwy Ste 200, Duluth, GA 30097-4329 | 2014-05-12 |
| 1346473998 | Patricia A Trachte | Nurse Practitioner | 107 Ksc, Umd Quick Care, Duluth, MN 55812 | 2009-08-31 |
| 1992864821 | The College of St. Scholastica | Nurse Practitioner | Css 1200 Kenwood Avenue, Student Health Service, Duluth, MN 55811 | 2006-12-06 |
| 1508979253 | New Day Health | Nurse Practitioner | 1180 88th Ave. West, Suite 2, Duluth, MN 55808 | 2006-08-16 |
| 1770558751 | Thelma Berry Cummings | Nurse Practitioner | 3650 Steve Reynolds Boulevard, Kp Medical Center At Gwinnett, Duluth, GA 30086 | 2006-02-22 |
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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.