MRS. DONELLE LYNN KING (NPI# 1528028677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528028677 |
| Entity Type | Individual |
| Full Name | MRS. DONELLE LYNN KING |
| Other Name | DONELLE LYNN GRAMSTAD |
| Credential | CNP |
| Practice Address |
530 3rd St Nw Elk River MN 55330 |
| Practice Telephone | 7635874800 |
| Practice Fax Number | 7635874885 |
| Mailing Telephone | 7635874800 |
| Mailing Fax Number | 7635874885 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2012-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R172511-9 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0384015-22 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0424440 | 05 |
| Street Address |
530 3RD ST NW |
| City | ELK RIVER |
| State | MN |
| Zip Code | 55330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285638221 | William Andrew Wimmer | Pharmacist | 530 3rd St Nw, Elk River, MN 55330-1445 | 2005-06-08 |
| 1063727733 | Benjamin Robert Kinderman | Chiropractor | 530 3rd St Nw, Elk River, MN 55330-1445 | 2010-08-18 |
| 1144548769 | Lauren Ashley Kinderman | Chiropractor | 530 3rd St Nw, Elk River, MN 55330-1445 | 2010-05-06 |
| 1053571109 | Kate M. Sann | Family Medicine | 530 3rd St Nw, Riverway Clinic-elk River-mail Stop 39400a, Elk River, MN 55330-8863 | 2008-06-12 |
| 1598956559 | Jennifer Marie Brown | Family Medicine | 530 3rd St Nw, Elk River, MN 55330 | 2007-08-06 |
| 1558422469 | Group Health Plan Inc | Durable Medical Equipment & Medical Supplies | 530 3rd St Nw, Suite 101, Elk River, MN 55330 | 2006-12-13 |
| 1174635171 | Goodrich Pharmacy, Inc. | Pharmacy | 530 3rd St Nw, Elk River, MN 55330-1445 | 2006-08-31 |
| 1265409569 | Charles Burton Erickson | Family Medicine | 530 3rd St Nw, Mail Stop 39400a, Elk River, MN 55330-1445 | 2006-03-06 |
| 1750358586 | Chi-chi Nwasinachukwu Phina Ayika | Obstetrics & Gynecology | 530 3rd St Nw, Mail Stop 39400a, Elk River, MN 55330-1445 | 2006-03-01 |
| 1982670956 | Jenny E Enstrom | Physician Assistant | 530 3rd St Nw, Mail Stop 39400a, Elk River, MN 55330 | 2006-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504139 | Jacob Stevens | Pharmacist | 19216 Freeport Ave, Cub Pharmacy, Elk River, MN 55330 | 2020-07-01 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1346888609 | Katie Eberley | Counselor | 9425 Quantrelle Ave, Otsego, MN 55330 | 2019-12-18 |
| 1649839986 | Jodi Marie Pikula | Massage Therapist | 710 Dodge Ave, Suite C, Elk River, MN 55330 | 2019-06-11 |
| 1144793878 | Northern Cities Therapy, Inc. | Counselor | 19230 Evans St Nw Ste 100, Elk River, MN 55330 | 2019-01-04 |
| 1144715236 | Jennifer Kay Dahlseid | Chiropractor | 200 5th St Nw Ste J, Elk River, MN 55330 | 2018-06-29 |
| 1124542089 | Megan Majsterski Lazere | Counselor | 9245 Quantrelle Avenue, Otsego, MN 55330 | 2017-08-01 |
| 1134674237 | Rescare Minnesota | Community Based Residential Treatment Facility, Mental Illness | 633 Upland Ave Nw, Elk River, MN 55330 | 2016-08-18 |
| 1356894927 | Allison Benz | Counselor | 9245 Quantrelle Ave, Otsego, MN 55330 | 2016-07-29 |
| 1447615141 | Laura Stevenson | Speech-Language Pathologist | 15990 90th St., Otsego, MN 55330 | 2015-12-22 |
| Find all providers in zip 55330 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010304 | Kalie R Mccauley | Nurse Practitioner | 11452 Brook Rd Nw, Elk River, MN 55330-8739 | 2020-10-09 |
| 1447857669 | Kimberly Dawn Bursch-tewalt | Nurse Practitioner | 11884 237th Ave Nw, Elk River, MN 55330-8255 | 2020-10-01 |
| 1679977698 | Melissa Marie Lachowitzer | Nurse Practitioner | 13848 213th Ave Nw, Elk River, MN 55330-4680 | 2014-10-20 |
| 1932501681 | Eucharia Uche | Nurse Practitioner | 13530 214th Ln Nw, Elk River, MN 55330-4672 | 2014-09-24 |
| 1518989052 | Laura Lee Gile | Nurse Practitioner | 530 3rd St Nw Ste 101, Elk River, MN 55330 | 2006-07-24 |
| 1184618688 | Sharon Marie Koep Dickey | Nurse Practitioner | 19425 Evans St Nw, Elk River, MN 55330-1074 | 2005-09-12 |
| 1093268393 | Kelly Vevea | Nurse Practitioner | 290 Main St Nw, Elk River, MN 55330-1270 | 2016-08-03 |
| 1043668494 | Elizabeth Mclean | Nurse Practitioner | 290 Main St Nw, Elk River, MN 55330-1270 | 2016-05-26 |
| 1821455478 | Janell Katie Hussain | Nurse Practitioner | 13880 Business Center Dr Nw, Elk River, MN 55330-1692 | 2016-01-26 |
| 1710319066 | Jennifer Lynn Filips | Nurse Practitioner | 14181 Business Center Dr Nw, Elk River, MN 55330-4654 | 2013-08-08 |
| Find all providers in ELK RIVER | ||||
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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.