JONATHAN FRANKLIN KLINGAMAN (NPI# 1518287481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518287481 |
Entity Type | Individual |
Full Name | JONATHAN FRANKLIN KLINGAMAN |
Credential | PMHNP |
Practice Address |
1111 Highway 73 Moose Lake MN 55767-9452 |
Practice Telephone | 2185656200 |
Mailing Telephone | 2185656200 |
Enumeration Date | 2010-06-02 |
Last Update Date | 2010-06-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R 174297-2 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1111 HIGHWAY 73 |
City | MOOSE LAKE |
State | MN |
Zip Code | 55767-9452 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023095874 | John Sutherland Barry | Internal Medicine | 1111 Highway 73, Moose Lake, MN 55767 | 2005-12-22 |
1922540368 | Bruce A. Beaman | Marriage & Family Therapist | 1111 Highway 73, Moose Lake, MN 55767-9452 | 2016-11-16 |
1386186708 | Debbie Davis | Counselor | 1111 Highway 73, Moose Lake, MN 55767-9452 | 2016-11-16 |
1730354549 | Minnesota Sex Offender Program | Psychiatric Residential Treatment Facility | 1111 Highway 73, Moose Lake, MN 55767-9452 | 2008-04-23 |
1811168511 | Keri Ann Ovsak | Nurse Practitioner | 1111 Highway 73, Moose Lake, MN 55767-9452 | 2008-03-20 |
1639355902 | State of Minnesota | Psychiatric Residential Treatment Facility | 1111 Highway 73, Moose Lake, MN 55767-9452 | 2008-01-16 |
1073606125 | Victoria Paulette Aldridge | Nurse Practitioner | 1111 Highway 73, Moose Lake, MN 55767-9452 | 2006-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437778529 | Essentia Health Moose Lake | Home Health | 30 Arrowhead Ln, Moose Lake, MN 55767 | 2020-04-09 |
1841775475 | Katherine Mcdowell | Social Worker | 451 Arrowhead Lane, Moose Lake, MN 55767 | 2018-09-28 |
1316191786 | Vision Pro | Optometrist | 125 W Arrowhead Rd, Moose Lake, MN 55767 | 2008-11-11 |
1265627327 | Dr. Joseph J. Jamros Optometry, Ltd. | Optometrist | 312 Elm Ave., Moose Lake, MN 55767 | 2007-09-12 |
1013108075 | Diane Louise Stellrecht | Psychologist | 505 3rd Street, Suite A, Moose Lake, MN 55767 | 2007-08-06 |
1073674529 | Downtown Dental Care Pa | Dentist | 304 Elm Ave, Moose Lake, MN 55767 | 2006-12-12 |
1760558399 | Joseph John Jamros | Optometrist | 312 Elm Ave, Moose Lake, MN 55767 | 2006-11-27 |
1205909991 | Msocs-moose Lake | Intermediate Care Facility, Mentally Retarded | 305 4th St, Moose Lake, MN 55767 | 2006-11-17 |
1295804482 | Moose Lake Community Hospital District | Home Health | 30 Arrowhead Lane, Moose Lake, MN 55767 | 2006-11-06 |
1396770772 | Sonja M. Roach | Nurse Practitioner | 4570 County Highway 61, Moose Lake, MN 55767 | 2006-07-12 |
Find all providers in zip 55767 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285234435 | Hawa Warsame Ali | Nurse Practitioner | 2650 Portland Ave, Minneapolis, MN 55407-1011 | 2020-10-27 |
1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
1811504038 | Rita Jane Giglio | Nurse Practitioner | 201 Stade Ln, Fairmont, MN 56031-3227 | 2020-09-30 |
1568077725 | Linda Mongare | Nurse Practitioner | 3659 Tower Pond Dr, Anoka, MN 55303-8302 | 2020-09-14 |
1366056806 | Associates In Mental Health and Addiction Services. P.l.l.c | Nurse Practitioner | 166 W 3rd St Ste 202, Winona, MN 55987-6591 | 2020-09-02 |
1891308813 | Chelsey Paulson | Nurse Practitioner | 228 Krays Mill Rd, Cold Spring, MN 56320-4563 | 2020-08-28 |
1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
1609488964 | Heather Mantsch | Nurse Practitioner | 1900 Silver Lake Rd Nw Ste 100, New Brighton, MN 55112-1786 | 2020-08-18 |
1326659210 | Monsurat Oluwa-okougbo | Nurse Practitioner | 1565 11th Ave, Newport, MN 55055-1650 | 2020-08-13 |
1629687124 | Justin Robert Wirth | Nurse Practitioner | 4801 Veterans Dr # 111, Saint Cloud, MN 56303-2015 | 2020-07-30 |
Find all providers with the same taxonomy |
City | MOOSE LAKE |
Zip Code | 55767 |
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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.