RACHEL FLYGARE (NPI# 1477053155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477053155 |
Entity Type | Individual |
Full Name | RACHEL FLYGARE |
Credential | BS LADC |
Practice Address |
1406 6th Avenue North St. Cloud MN 56303 |
Practice Telephone | 3202512700 |
Practice Fax Number | 3206567009 |
Mailing Telephone | 3202512700 |
Mailing Fax Number | 3206567009 |
Enumeration Date | 2018-02-19 |
Last Update Date | 2018-02-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
302731 | MN | Behavioral Health & Social Service Providers |
Street Address |
1406 6TH AVENUE NORTH |
City | ST. CLOUD |
State | MN |
Zip Code | 56303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922500594 | Teresa Mary Rock | Counselor | 1406 6th Avenue North, St. Cloud, MN 56303 | 2018-02-28 |
1790225787 | Kristine Lawrence | Physical Therapist | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2017-02-24 |
1821489311 | Sandra Paulette Elwood | Registered Nurse | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1900 | 2015-02-05 |
1174869648 | Matthew Carl Mcclure | Psychiatry & Neurology | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2013-01-02 |
1619221140 | Angela Marie Williams Schroden | Counselor | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2012-11-06 |
1003187899 | Monica Marie Guggenberger | Marriage & Family Therapist | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2012-01-25 |
1407148588 | Ryan Michael Engdahl | Psychologist | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2011-05-09 |
1386947653 | Jessica Rose Vander Weyst | Psychologist | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2010-12-08 |
1346543725 | Rebecca Irene Rogholt | Clinical Nurse Specialist | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2010-12-07 |
1588965065 | Katie Beth Boecker | Social Worker | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303 | 2010-11-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
Find all providers in zip 56303 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770088866 | Angela Marie Zenzen | Counselor | St. Cloud Hospital 1406 6th Avenue North, St. Cloud, MN 56303-1901 | 2018-03-29 |
1356479182 | Ramon Roman Jr. | Counselor | 3640 Doe Run Dr., St. Cloud, FL 34772 | 2007-03-01 |
1922500594 | Teresa Mary Rock | Counselor | 1406 6th Avenue North, St. Cloud, MN 56303 | 2018-02-28 |
1619221140 | Angela Marie Williams Schroden | Counselor | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2012-11-06 |
1891044483 | Charity Kay Haugen | Counselor | 1321 13th St N, St. Cloud, MN 56303 | 2012-08-29 |
1235430273 | Terry Thomas Farber | Counselor | 1406 6th Avenue North, St. Cloud Hospital- Recovery Plus, St. Cloud, MN 56303-1901 | 2010-11-08 |
1629269626 | Mary Kaye Tacker | Counselor | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2007-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386456 | Alexandra Lloyd Conroy | Counselor | 3227 Lake Shore Boulevard, Minnetonka, MN 55391 | 2020-11-07 |
1134720212 | Rachel Renee Przekwas | Counselor | 216 Center St W Ste 101, Roseau, MN 56751-1494 | 2020-11-04 |
1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
1215537477 | Hannah Mae Kidder | Counselor | 1605 Welcome Ave N, Golden Valley, MN 55422-4429 | 2020-10-27 |
1649879339 | Jordan Lowe | Counselor | 4615 Grand Ave Ste 300, Duluth, MN 55807-2749 | 2020-10-22 |
1417556762 | Jacob R Poppinga | Counselor | 13045 Falcon Dr Ste 7404th, Baxter, MN 56425-4201 | 2020-10-19 |
1598362014 | Jeremy Krekula | Counselor | 102 Main St N Ste 100, Stewartville, MN 55976-2608 | 2020-10-07 |
1235736786 | Catherine Ann Jaksha | Counselor | 1180 Cushing Cir Apt 217, Saint Paul, MN 55108-5016 | 2020-10-07 |
1952908881 | Sutton Outpatient Services, LLC | Counselor | 1700 Livingston Ave Ste 120, West St Paul, MN 55118-5938 | 2020-10-05 |
1750998423 | Recovery Alliance Duluth | Counselor | 206 W 4th St Ste 203, Duluth, MN 55806-2659 | 2020-09-28 |
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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.