CHELSEA A REICH (NPI# 1508268491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508268491 |
Entity Type | Individual |
Full Name | CHELSEA A REICH |
Other Name | CHELSEA A VAN DYKE |
Credential | PA-C |
Practice Address |
720 Main Ave Moorhead MN 56560 |
Mailing Address |
400 E Third Street Du MN 55805-1951 |
Practice Telephone | 2183590399 |
Practice Fax Number | 2183590096 |
Mailing Telephone | 2188287548 |
Enumeration Date | 2014-09-23 |
Last Update Date | 2019-02-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 12887 | MN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363A00000X | Physician Assistant | SD | Physician Assistants & Advanced Practice Nursing Providers | |
N | 363A00000X | Physician Assistant | 1012 | SD | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
5027 S Bur Oak Pl, Sioux Falls, SD 57108 | 6052719000 | 6052719001 |
Street Address |
720 MAIN AVE |
City | MOORHEAD |
State | MN |
Zip Code | 56560 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437120763 | Joann M Jorgenson | Nurse Practitioner | 720 Main Ave, Moorhead, MN 56560-2752 | 2006-01-26 |
1164972410 | Innovis Health LLC | Family Medicine | 720 Main Ave, Moorhead, MN 56560-2752 | 2016-10-11 |
1568758589 | Hans Bjellum, Md, PC | Non-Pharmacy Dispensing Site | 720 Main Ave, Moorhead, MN 56560-2752 | 2011-06-28 |
1790931467 | Hans Bjellum, Md, PC | Clinic/Center | 720 Main Ave, Moorhead, MN 56560-2752 | 2008-08-14 |
1558550442 | Rapidcare Urgent Care Pllc | Family Medicine | 720 Main Ave, Moorhead, MN 56560-2752 | 2007-10-17 |
1609080936 | June Lee | Nurse Practitioner | 720 Main Ave, Moorhead, MN 56560-2752 | 2007-05-09 |
1487745493 | Marilyn Ek | Nurse Practitioner | 720 Main Ave, Moorhead, MN 56560-2752 | 2006-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386298859 | Anna Mckay Fox | Pharmacist | 4000 28th Avenue S, Moorhead, MN 56560 | 2019-08-01 |
1972019727 | Michael Wayne Hilliard | Specialist/Technologist | 649 17th St S, Moorhead, MN 56560 | 2017-12-15 |
1508217183 | Kristen Johnson | Nurse Practitioner | 801 Belsly Boulevard, Moorhead, MN 56560 | 2016-06-25 |
1861877052 | Midwest Mental Health Clinic | Nurse Practitioner | 819 30th Ave S Office 206 Suite B, Moorhead, MN 56560 | 2015-07-29 |
1083037709 | Drake Counseling Services, Inc. | Clinic/Center | 715 11th Street North, Suite 204, Moorhead, MN 56560 | 2014-01-31 |
1710310917 | Lamar Terrell Hill | Social Worker | 420 Center Ave Ste 102, Moorhead, MN 56560 | 2013-08-12 |
1982956140 | Lilac Homes Corporation | Assisted Living Facility | 2615 Parkview Dr, Moorhead, MN 56560 | 2012-10-11 |
1487918462 | Paige Joy Hanson | Massage Therapist | 805 14th St. So., Msum Wellness Center, Moorhead, MN 56560 | 2012-06-25 |
1972809408 | Cslm, LLC | Assisted Living Facility | 2401 South 11th Street, Moorhead, MN 56560 | 2011-02-01 |
1972814846 | Paul Michael Fluto | Pharmacist | 3000 Hwy 10 East, Mooehead, MN 56560 | 2010-06-25 |
Find all providers in zip 56560 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922590181 | Cody M Baxter | Physician Assistant | 801 Belsly Blvd, Moorhead, MN 56560-5055 | 2018-06-04 |
1568996700 | Alyson Dahl | Physician Assistant | 4000 28th Ave S, Moorhead, MN 56560-7926 | 2017-04-14 |
1528094943 | Heidi M Olson-fitzgerald | Physician Assistant | 801 Belsly Blvd, Moorhead, MN 56560-5055 | 2006-06-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
1043811870 | Leiah Hoffman | Physician Assistant | 4243 Timberridge Ln Apt A, Hermantown, MN 55811-4047 | 2020-11-06 |
1760083059 | Amanda Hanover | Physician Assistant | 10346 Mississippi Blvd Nw, Coon Rapids, MN 55433-4521 | 2020-11-04 |
1780284844 | Lily Ganz | Physician Assistant | 2737 Huntington Ave, St Louis Park, MN 55416-3917 | 2020-10-28 |
1972103000 | Jaclyn Ann Bautch | Physician Assistant | 24721 State Highway 15, Saint Augusta, MN 56301-9211 | 2020-10-28 |
1801496047 | Tanner Vaughn Kramp | Physician Assistant | 3450 Wild Turkey Rd, Red Wing, MN 55066-1762 | 2020-10-27 |
1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
1598364473 | Kylee N Persing | Physician Assistant | 10 4th Ave S, Saint Cloud, MN 56301-3614 | 2020-10-21 |
1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
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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.