NANCY WALLER (NPI# 1508833419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508833419 |
| Entity Type | Individual |
| Full Name | NANCY WALLER |
| Credential | M.D. |
| Practice Address |
701 25th Ave S #306 Minneapolis MN 55454-1513 |
| Mailing Address |
701 25th Ave S Ste 306 Minneapolis MN 55454-1443 |
| Practice Telephone | 6126722350 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2008-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 41111 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487707618 | Nancy Jane Waller | Registered Nurse | 10940 Sw Barnes Rd, Pmb 261, Portland, OR 97225-5368 | 2007-01-19 |
| 1093982647 | Nancy Waller | Physician Assistant | 1339 S Pueblo Blvd, Pueblo, CO 81005-1508 | 2008-05-13 |
| 1972602035 | Nancy Waller | Social Worker | 3037 Nw 63rd St, Ste 104, Oklahoma City, OK 73116-3637 | 2006-09-22 |
| Street Address |
701 25TH AVE S #306 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55454-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881687119 | Paparella Ear Head & Neck Institute Pa | Otolaryngology | 701 25th Ave S, Ste 200, Minneapolis, MN 55454-1513 | 2005-08-23 |
| 1386259489 | Kelsey E Forbes | Physician Assistant | 701 25th Ave S, Minneapolis, MN 55454-1513 | 2020-09-15 |
| 1972118016 | Jacob Ginther | Student in an Organized Health Care Education/Training Program | 701 25th Ave S, Minneapolis, MN 55454-1513 | 2020-09-15 |
| 1174138275 | Katie Ann Schmitz | Physician Assistant | 701 25th Ave S, Minneapolis, MN 55454-1513 | 2020-09-15 |
| 1497360556 | David Botros | Student in an Organized Health Care Education/Training Program | 701 25th Ave S, Minneapolis, MN 55454-1513 | 2020-09-14 |
| 1114532272 | Yadira Landeros De Santiago | Student in an Organized Health Care Education/Training Program | 701 25th Ave S, Minneapolis, MN 55454-1513 | 2020-09-14 |
| 1487293742 | Maria Mccoshen | Student in an Organized Health Care Education/Training Program | 701 25th Ave S, Minneapolis, MN 55454-1513 | 2020-01-03 |
| 1992358337 | Brittany Granoski | Dentist | 701 25th Ave S, Minneapolis, MN 55454-1513 | 2019-07-23 |
| 1427400365 | Hayley Galit Faulkner | Student in an Organized Health Care Education/Training Program | 701 25th Ave S, Suite 400, Minneapolis, MN 55454-1513 | 2016-07-04 |
| 1326496399 | Sophia Huynh | Dentist | 701 25th Ave S, Suite 400, Minneapolis, MN 55454-1513 | 2016-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
| 1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
| 1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
| 1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
| 1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
| 1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
| 1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
| 1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
| 1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
| Find all providers in zip 55454 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356998215 | Katie Marie Heille | Pediatrics | 305 W Franklin Ave Apt 201, Minneapolis, MN 55404-2308 | 2019-08-24 |
| 1942736103 | Taylor Ashley Argo | Pediatrics | 717 Delaware Street Se, Suite 353, General Pediatrics & Adolescent Health, Minneapolis, MN 55455 | 2017-05-10 |
| 1932634052 | Christopher Maierhofer | Pediatrics | 715 S 8th St Fl 3, Minneapolis, MN 55404-1210 | 2017-04-26 |
| 1265894463 | Adam David Langenfeld | Pediatrics | 717 Delaware St Se Fl 3, Minneapolis, MN 55414 | 2016-03-26 |
| 1568858132 | Joseph Resch | Pediatrics | 2450 Riverside Ave, 5th Floor East Building, 8951g (campus Delivery Code), Minneapolis, MN 55454-1450 | 2015-04-10 |
| 1295120020 | Lauren Michelle Yauch | Pediatrics | 2512 S 7th St Fl 3, Minneapolis, MN 55454-1404 | 2015-03-30 |
| 1669870374 | Mary Lois Hall | Pediatrics | 3500 Humboldt Ave S, Minneapolis, MN 55408-3316 | 2014-12-11 |
| 1821433731 | Megan Van Ee Hilgers | Pediatrics | 2530 Chicago Ave Ste 175, Minneapolis, MN 55404-4289 | 2013-05-06 |
| 1811332844 | Chase Walter Shutak | Pediatrics | 2530 Chicago Ave Ste 309, Minneapolis, MN 55404-4289 | 2013-05-03 |
| 1619222197 | Abdul Kadir Abdi | Pediatrics | 2525 Chicago Ave Ste 390, Minneapolis, MN 55404-4518 | 2012-07-19 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55454 |
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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.