TIMOTHY LEDERMANN (NPI# 1487981759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487981759 |
| Entity Type | Individual |
| Full Name | TIMOTHY LEDERMANN |
| Credential | LADC |
| Practice Address |
23616 Us Highway 2 Sw Crookston MN 56716-9103 |
| Mailing Address |
323 S Minnesota St Crookston MN 56716-1601 |
| Practice Telephone | 8005849226 |
| Enumeration Date | 2009-11-07 |
| Last Update Date | 2009-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
302607 | MN | Behavioral Health & Social Service Providers |
| Street Address |
23616 US HIGHWAY 2 SW |
| City | CROOKSTON |
| State | MN |
| Zip Code | 56716-9103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053743336 | Curtis Lee Hamre | Counselor | 23616 Us Highway 2 Sw, Crookston, MN 56716-9103 | 2013-08-08 |
| 1295062560 | Thomas R Oswald | Counselor | 23616 Us Highway 2 Sw, Crookston, MN 56716-9103 | 2009-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942789912 | Savannah Danielle Miller | Pharmacist | 323 S Minnesota Street, Crookston, MN 56716 | 2018-08-10 |
| 1902037377 | David Fernando Frugone Larrea | Internal Medicine | 400 South Minnesota Street, Crookston, MN 56716 | 2009-08-04 |
| 1831327964 | Andres O Makarem | Internal Medicine | 400 S. Minnesota Ave, Crookston, MN 56716 | 2009-06-26 |
| 1255498564 | Ind School District 593 | Local Education Agency (LEA) | 402 Fisher Ave, Crookston, MN 56716 | 2007-01-03 |
| 1821109422 | Marla Rae Love | Dietitian, Registered | 400 S Minnesota Street, Crookston, MN 56716 | 2006-08-31 |
| 1508835133 | Northwestern Mental Health Center | Clinic/Center | 603 Bruce St, Crookston, MN 56716 | 2006-03-16 |
| 1215932728 | Villa St. Vincent | Skilled Nursing Facility | 516 Walsh St, Crookston, MN 56716 | 2005-06-21 |
| 1740769090 | Christine Jane Loff | Physical Therapist | 323 S Minnesota St, Crookston, MN 56716 | 2018-08-08 |
| 1821533035 | Lauren Shalane Wagendorf | Counselor | 603 Bruce St, Crookston, MN 56716 | 2016-12-23 |
| 1336594449 | Lesmeister Dental LLC | Dentist | 1726 University Ave, Crookston, MN 56716 | 2016-04-26 |
| Find all providers in zip 56716 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700439403 | Mariah Ashley Ellis | Counselor | 721 S Minnesota St, Crookston, MN 56716-1800 | 2019-07-22 |
| 1184191066 | Valerie Wagner | Counselor | 603 Bruce St, Crookston, MN 56716-2914 | 2018-10-29 |
| 1245711720 | Lindsey Young | Counselor | 603 Bruce St, Crookston, MN 56716-2914 | 2018-08-23 |
| 1588155816 | Samantha Jo Reiling | Counselor | 721 S Minnesota St, Crookston, MN 56716-1800 | 2018-05-22 |
| 1265953053 | Martina Mlikota | Counselor | 603 Bruce St, Crookston, MN 56716-2914 | 2017-06-30 |
| 1871032011 | Nancy Tuseth | Counselor | 721 S Minnesota St, Crookston, MN 56716-1800 | 2017-02-21 |
| 1760871388 | Mary Alice Thibert | Counselor | 603 Bruce St, Crookston, MN 56716-2914 | 2015-01-20 |
| 1689080608 | Curtis Scanson | Counselor | 603 Bruce St, Crookston, MN 56716-2914 | 2014-07-10 |
| 1245664911 | Michael Gilbert Cory | Counselor | 323 S Minnesota St, Crookston, MN 56716-1601 | 2013-08-29 |
| 1639502800 | Gary D Lindsey | Counselor | 323 S Minnesota St, Crookston, MN 56716-1601 | 2013-08-12 |
| Find all providers in CROOKSTON | ||||
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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.