KINDRA LEE MAHOWALD (NPI# 1508163247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508163247 |
| Entity Type | Individual |
| Full Name | KINDRA LEE MAHOWALD |
| Credential | R.N. |
| Practice Address |
2800 Cleveland Ave N Roseville MN 55113-1126 |
| Practice Telephone | 6516421825 |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2011-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
R 192394-0 | MN | Nursing Service Providers |
| Street Address |
2800 CLEVELAND AVE N |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629141213 | Pediatric Home Respiratory Services LLC | Home Health | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2006-11-15 |
| 1386129211 | Briana Blackstad | Pharmacist | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2018-09-26 |
| 1699272823 | Alea Joy Chalmers | Dietitian, Registered | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2018-04-13 |
| 1518464742 | Kayla Emily Skog | Dietitian, Registered | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2018-04-13 |
| 1144722190 | Pediatric Home Respiratory Services LLC | Home Health | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2018-03-06 |
| 1316482649 | Sonja Mydels | Dietitian, Registered | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2016-12-22 |
| 1427488048 | Lana Kalleen Clark | Dietitian, Registered | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2013-11-18 |
| 1205197936 | Karah Lin Pendergrass | Licensed Practical Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2012-05-29 |
| 1740540475 | Katherine Louise Peper | Student in an Organized Health Care Education/Training Program | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2012-05-29 |
| 1205110749 | Mari Brown | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072916 | Halyna Kravets | Registered Nurse | 1402 W Colonial Pkwy, Roseville, CA 95661-5007 | 2020-07-31 |
| 1821617796 | Lisa Carrillo | Registered Nurse | 4332 Majestic Prince Way, Roseville, CA 95747-9627 | 2020-04-10 |
| 1053895821 | Sundog Enterprises | Registered Nurse | 2336 Lexington Ave N Ste L, Roseville, MN 55113-4343 | 2018-09-18 |
| 1033417852 | Brittany M Richards | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-03-02 |
| 1205134186 | Monica Seckerson | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-03-02 |
| 1861799967 | Sara Anne Schneider | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-02-25 |
| 1336446434 | Katie J Wirth | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-02-25 |
| 1134426489 | Rebecca Ann Delaney | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-02-23 |
| 1013214378 | Heather Marie Semler | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-02-23 |
| 1457658890 | Kelly Jane Judd | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-02-22 |
| Find all providers in ROSEVILLE | ||||
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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.