THERESA RAE REESE (NPI# 1508306044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508306044 |
| Entity Type | Individual |
| Full Name | THERESA RAE REESE |
| Credential | APRN, PNP-PC |
| Practice Address |
1900 Silver Lake Rd Nw Ste 110 New Brighton MN 55112-1789 |
| Mailing Address |
3381 Spring Glen Cir Nw Prior Lake MN 55372-1752 |
| Practice Telephone | 6516289566 |
| Mailing Telephone | 6514349753 |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R2052469-8 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457410151 | Theresa Ann Reese | Registered Nurse | 918 3rd Ave, Beaver Falls, PA 15010-4613 | 2006-12-08 |
| Street Address |
1900 SILVER LAKE RD NW STE 110 |
| City | NEW BRIGHTON |
| State | MN |
| Zip Code | 55112-1789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255313839 | Kim Contardi Pareigat | Psychologist | 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 | 2005-11-18 |
| 1013524016 | Wa S Cheng-berg | Counselor | 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 | 2020-09-24 |
| 1821602863 | Alyssa Schultz | Counselor | 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 | 2020-09-08 |
| 1659981199 | Megan Lahti | Counselor | 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 | 2020-08-07 |
| 1013525021 | Autumn Bussuvanno | Counselor | 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 | 2020-07-15 |
| 1326665662 | Jamie Mae Hammond | Counselor | 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 | 2020-07-02 |
| 1366069213 | Allyson Case | Counselor | 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 | 2020-06-26 |
| 1265058721 | Brittney Wacek | Social Worker | 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 | 2020-06-21 |
| 1831714757 | Hannah Rose Brandt | Social Worker | 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 | 2020-06-16 |
| 1851931596 | Emma Rose Keehr | Counselor | 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 | 2020-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729704 | Owegio Wreh | Technician | 1405 Silver Lake Road Suite 15, New Brighton, MN 55112 | 2020-04-22 |
| 1205497435 | Silver Lake Smiles Family Dentistry | Clinic/Center | 2370 Palmer Drive, New Brighton, MN 55112 | 2019-06-27 |
| 1932766169 | Matthew Thomas Hanowski | Dentist | 2442 Mounds View Boulevard, Mounds View, MN 55112 | 2019-05-22 |
| 1437619988 | Marjean Diane Leary | Registered Nurse | 338 New Brighton Road, Apt, Suite, Bldg. (optional), New Brighton, MN 55112 | 2019-03-21 |
| 1558802728 | Krishna Katira | Student in an Organized Health Care Education/Training Program | 2442 County Hwy 10, Mounds View, MN 55112 | 2017-03-20 |
| 1245781608 | Evan Fredrick Lieberman | Counselor | 1900 Silver Lake Rd, Suite 110, New Brighton, MN 55112 | 2016-10-20 |
| 1093262065 | Ryan Zinken | Nurse Practitioner | 1900 Silver Lake Road, Suite 110, New Brighton, MN 55112 | 2016-09-07 |
| 1447703228 | Alison Glodek | Social Worker | 2543 17th St Nw, New Brighton, MN 55112 | 2016-07-28 |
| 1659728194 | Ge Vang Sr. | Driver | 2160 County Road E West #205, 2160 County Road E West #205, New Brighton, MN 55112 | 2016-05-14 |
| 1114373578 | Jessica Gapinski | Specialist/Technologist | 3900 Bethel Drive, Arden Hills, MN 55112 | 2016-05-04 |
| Find all providers in zip 55112 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518587120 | Amanda Joy Dominik | Nurse Practitioner | 4411 Arden View Ct, Arden Hills, MN 55112-1944 | 2020-04-23 |
| 1881245504 | Hailey Prescott | Nurse Practitioner | 2450 Riverside Avenue Se, Minneapolis, Mn, MN 55454-1400 | 2019-09-24 |
| 1598317570 | Elisabeth Palmquist | Nurse Practitioner | 12000 Elm Creek Blvd N Ste 250, Maple Grove, MN 55369-7164 | 2019-07-10 |
| 1538644562 | Angela Ashton | Nurse Practitioner | 345 Smith Ave N Ste 404, Saint Paul, MN 55102-2346 | 2018-09-25 |
| 1558865295 | Meghan Kerry Deyo | Nurse Practitioner | 1804 7th St W Ste 200, Saint Paul, MN 55116-2300 | 2018-03-19 |
| 1336642131 | Caitlin Anna Lingbeck | Nurse Practitioner | 14001 Ridgedale Dr #100, Minnetonka, MN 55305-1781 | 2018-03-18 |
| 1740799246 | Maya Bastian | Nurse Practitioner | 12220 Travois Rd, Eden Prairie, MN 55347-4241 | 2017-09-27 |
| 1821523028 | Robin Marie Parker | Nurse Practitioner | 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 | 2017-04-25 |
| 1538691043 | Jenifer Flegel | Nurse Practitioner | 963 Robert St S, West Saint Paul, MN 55118-1446 | 2017-04-03 |
| 1154796811 | Megan Stark | Nurse Practitioner | 2805 Campus Dr Ste 235, Plymouth, MN 55441-2678 | 2015-12-07 |
| Find all providers with the same taxonomy | ||||
| City | NEW BRIGHTON |
| Zip Code | 55112 |
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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.