MICHELLE RENE BECKMAN (NPI# 1508306937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508306937 |
| Entity Type | Individual |
| Full Name | MICHELLE RENE BECKMAN |
| Credential | FNP |
| Practice Address |
2355 Highway 36 W Roseville MN 55113-3902 |
| Mailing Address |
3545 Croftview Ter Minnetonka MN 55345-1110 |
| Practice Telephone | 7634121993 |
| Mailing Telephone | 5073406805 |
| Enumeration Date | 2017-03-04 |
| Last Update Date | 2020-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R211615-4 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | NPI | 1508306937 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1230 E Main St, Mankato, MN 560015066 | 5076251811 |
| Street Address |
2355 HIGHWAY 36 W |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598209538 | Braincare, LLC | Physiological Laboratory | 2355 Highway 36 W, Ste 400, Roseville, MN 55113-3902 | 2016-12-09 |
| 1366080681 | Rhodaline Aba Takyiwaa Aboagye | Nurse Practitioner | 2355 Highway 36 W, Roseville, MN 55113-3902 | 2019-12-17 |
| 1033632740 | Central Lakes Health Care Services LLC | Home Health | 2355 Highway 36 W, Roseville, MN 55113-3902 | 2017-07-25 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996478 | Mary Ann Thomas | Nurse Practitioner | 1856 Hillmont Way, Roseville, CA 95661-5818 | 2020-06-08 |
| 1205465564 | Sonja Brockman | Nurse Practitioner | 2685 Long Lake Rd Ste 105, Roseville, MN 55113-1117 | 2020-04-07 |
| 1972162931 | Georgette Marie Aneed | Nurse Practitioner | 18303 E 10 Mile Rd Ste 100, Roseville, MI 48066-4989 | 2019-06-12 |
| 1710460282 | Gerlinda Marie Gordon | Nurse Practitioner | 28811 Felician St, Roseville, MI 48066-7442 | 2018-09-11 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1205342391 | Stephanie Ridgley | Nurse Practitioner | 108 Mcmindes Ct, Roseville, CA 95747-5853 | 2017-12-27 |
| 1285148528 | Hyacinth Joy Lumapas Cassion | Nurse Practitioner | 701 Pleasant Grove Blvd Ste 125, Roseville, CA 95678-6194 | 2017-11-23 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1265960272 | Giovannina Dillon | Nurse Practitioner | 151 N Sunrise Ave Ste 1201, Roseville, CA 95661-2961 | 2017-06-02 |
| 1467802934 | Bethany Berryhill | Nurse Practitioner | 1410 Lorimer Way, Roseville, CA 95747-6036 | 2016-06-15 |
| 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.