ANDREA WINICK (NPI# 1528235488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528235488 |
| Entity Type | Individual |
| Full Name | ANDREA WINICK |
| Credential | RN, CNP |
| Practice Address |
12755 Highway 55 Mn009-s130 Plymouth MN 55441-3837 |
| Mailing Address |
4112 24th Ave S Minneapolis MN 55406-3026 |
| Practice Telephone | 8008968936 |
| Practice Fax Number | 8888663209 |
| Mailing Telephone | 6127240326 |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
R0483232 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
R0483232 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 812517100 | 05 |
| Street Address |
12755 HIGHWAY 55 MN009-S130 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55441-3837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437146826 | Patricia Ann Peschman | Nurse Practitioner | 12755 Highway 55, Mn009-s130, Plymouth, MN 55441-3837 | 2005-09-30 |
| 1285652271 | Carolyn Keup Weber | Nurse Practitioner | 12755 Highway 55, Mn009-s130, Plymouth, MN 55441-3837 | 2006-07-17 |
| 1053353151 | Evercare Hospice, Inc. | Hospice Care, Community Based | 12755 Highway 55, Plymouth, MN 55441-3837 | 2006-06-12 |
| 1316935760 | Amy Wogen | Nurse Practitioner | 12755 Highway 55, Mn009-s130, Plymouth, MN 55441-3837 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
| 1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
| 1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| Find all providers in zip 55441 | ||||
| Taxonomy Code | 364SG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472782 | Mary Joyce Gruber | Clinical Nurse Specialist | 45 10th St W Fl 41514, Saint Paul, MN 55102-1062 | 2020-03-18 |
| 1932661402 | Roberta Lynn Huna Wagner | Clinical Nurse Specialist | 800 E 28th St # Mr 94100, Minneapolis, MN 55407-3799 | 2019-04-03 |
| 1508487612 | Nicole Marie Jensen | Clinical Nurse Specialist | 200 1st St Sw, Rochester, MN 55905-0002 | 2020-04-29 |
| 1154864965 | Nicole Anne Sarauer | Clinical Nurse Specialist | 1701 Curve Crest Blvd W, Suite 104, Stillwater, MN 55082-6044 | 2016-11-28 |
| 1710381298 | Christine Larson | Clinical Nurse Specialist | 69 Exchange St W, Saint Paul, MN 55102-1004 | 2014-10-13 |
| 1477954576 | Nathan Aaron Kline | Clinical Nurse Specialist | 2024 S 6th St, Brainerd, MN 56401-4529 | 2014-09-08 |
| 1306254206 | Emily Anderson | Clinical Nurse Specialist | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2014-07-24 |
| 1225376338 | Tracy Lynn Dickison | Clinical Nurse Specialist | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805 | 2013-01-24 |
| 1558536755 | Barbara Ann Weber | Clinical Nurse Specialist | 166 19th St S, Suite 101, Sartell, MN 56377-4654 | 2008-04-28 |
| 1477749554 | Nicole Marie Hentges | Clinical Nurse Specialist | 5520 Ridgewood Cv, Minnetrista, MN 55364-8239 | 2007-09-21 |
| Find all providers with the same taxonomy | ||||
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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.