PARK NICOLLET HEALTH CARE PRODUCTS (NPI# 1487105995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487105995 |
| Entity Type | Organization |
| Organization Name | PARK NICOLLET HEALTH CARE PRODUCTS |
| Practice Address |
1455 Saint Francis Ave Shakopee MN 55379-3374 |
| Mailing Address |
3800 Park Nicollet Blvd Zone 3 St Louis Park MN 55416 |
| Practice Telephone | 9529937644 |
| Practice Fax Number | 9529930562 |
| Mailing Telephone | 9529936832 |
| Mailing Fax Number | 9529930562 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |
| Authorized Official Name | CATHERINE F LENAGH (VP, CFO) |
| Authorized Official Telephone | 9529933108 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARK NICOLLET |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | MN | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376048728 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 921 Greeley St S # 19101a, Stillwater, MN 55082-5935 | 2018-03-28 |
| 1780103408 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 400 Wabasha Street Suite 260, St. Paul, MN 55102-1109 | 2017-09-13 |
| 1346598810 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 13688 Rogers Drive, Rogers, MN 55374-4916 | 2012-08-15 |
| 1235695594 | Park Nicollet Health Care Products | Eyewear Supplier (Equipment, not the service) | 8401 Golden Valley Rd, Golden Valley, MN 55427-4486 | 2019-02-12 |
| 1003311457 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2018-03-28 |
| 1487159836 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 927 Churchill St W, Stillwater, MN 55082-6605 | 2018-03-28 |
| 1881100089 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 700 5th St S, Hopkins, MN 55343-7764 | 2017-12-26 |
| 1114438546 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 411 Stageline Rd, Hudson, WI 54016-7848 | 2017-10-12 |
| 1144749862 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 155 Radio Drive, Woodbury, MN 55125-2040 | 2017-09-13 |
| 1629597331 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2017-09-13 |
| Street Address |
1455 SAINT FRANCIS AVE |
| City | SHAKOPEE |
| State | MN |
| Zip Code | 55379-3374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598743718 | Karyn E Barry | Nurse Anesthetist, Certified Registered | 1455 Saint Francis Ave, Anesthesiology, Shakopee, MN 55379-3374 | 2006-01-06 |
| 1922639392 | Sapana Shakya | Nurse Practitioner | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2020-02-04 |
| 1942845789 | Kaitlin Clawson | Occupational Therapist | 1455 Saint Francis Ave, Shakopee, MN 55379 | 2019-11-15 |
| 1336795418 | Jillian Marie Entinger | Occupational Therapist | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2019-08-14 |
| 1588218135 | Matthias Samuel Oawster | Physical Therapist | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2019-07-31 |
| 1366928301 | Jennifer Margaret Pearson | Physical Therapist | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2018-07-12 |
| 1588011431 | Catherine Ladner | Speech-Language Pathologist | 1455 Saint Francis Ave, St. Francis Rehabilitation Slp, Shakopee, MN 55379-3374 | 2016-05-20 |
| 1780030387 | Mark Hanson | Counselor | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2016-05-12 |
| 1992167449 | Eric Y Chen | Emergency Medicine | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2016-03-23 |
| 1093104093 | Sarah Hallman | Advanced Practice Midwife | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2015-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1154988236 | Benedictine Living Community of Shakopee LLC | Assisted Living Facility | 1705 Windermere Way, Shakopee, MN 55379 | 2019-05-23 |
| 1346741394 | Expressions In Motion LLC | Speech-Language Pathologist | 1221 East 4th Ave., Shakopee, MN 55379 | 2018-02-26 |
| 1124529334 | A.m Dental Professionals P.a | Clinic/Center | 1036 1st Ave E, Shakopee, MN 55379 | 2018-02-22 |
| 1538522024 | Jesse Sylvester | Chiropractor | 1275 Ramsey Street South, #600, Shakopee, MN 55379 | 2016-04-01 |
| 1376903963 | Dakota Best Transportation LLC | Non-emergency Medical Transport (VAN) | 449 Dakota Street Apt 2, Shakopee, MN 55379 | 2016-02-25 |
| 1568856631 | Tatyana Mishkin Gleyzer | Nurse Practitioner | 1010 West Sixth Avenue, Shakopee, MN 55379 | 2015-03-26 |
| 1245634039 | Kalli Ledel | Pharmacist | 1198 Vierling Dr, Cub Pharmacy, Shakopee, MN 55379 | 2014-10-22 |
| 1487992913 | Jennifer Elizabeth Boyd | Nurse Practitioner | Pediatrics 1415 St Francis Ave, Park Nicollet Clinic-shakopee, Shakopee, MN 55379 | 2013-01-17 |
| 1013253798 | Acts Therapy LLC | Counselor | 8170 Old Carriage Court North, 215, Shakopee, MN 55379 | 2012-12-27 |
| Find all providers in zip 55379 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700054038 | Liberty Oxygen and Home Care, Inc | Durable Medical Equipment & Medical Supplies | 1667 17th Ave E Ste 102, Shakopee, MN 55379-4433 | 2008-02-20 |
| 1710005830 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 4050 Dean Lake Blvd, Shakopee, MN 55379 | 2007-03-27 |
| 1598787285 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 1685 17th Ave E, Shakopee, MN 55379-4407 | 2006-07-24 |
| 1538186937 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 8101 Old Carriage Ct, Shakopee, MN 55379-3155 | 2006-07-16 |
| 1629095021 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 8201 Old Carriage Ct, Shakopee, MN 55379-3154 | 2006-07-16 |
| 1245507201 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2011-11-18 |
| 1073837134 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 1515 Saint Francis Ave, Shakopee, MN 55379-3387 | 2010-03-18 |
| 1548400039 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 1601 Saint Francis Ave, Suite 200, Shakopee, MN 55379-3383 | 2009-02-24 |
| 1780852459 | Silverman Orthopaedics, PC | Durable Medical Equipment & Medical Supplies | 1601 Saint Francis Ave, Ste 200, Shakopee, MN 55379 | 2008-02-15 |
| 1891973434 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 1601 Saint Francis Ave, Shakopee, MN 55379-3383 | 2008-02-06 |
| Find all providers in SHAKOPEE | ||||
Please comment or provide details below to improve the information on PARK NICOLLET HEALTH CARE PRODUCTS.
| 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.