MANDI SUE COUNTERS (NPI# 1548506405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548506405 |
Entity Type | Individual |
Full Name | MANDI SUE COUNTERS |
Credential | APNP |
Practice Address |
14635 Pennock Ave Ste 200 Saint Paul MN 55124-6587 |
Practice Telephone | 9524320700 |
Practice Fax Number | 9524320701 |
Mailing Telephone | 9524320700 |
Mailing Fax Number | 9524320701 |
Enumeration Date | 2012-12-21 |
Last Update Date | 2020-08-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3236 | MN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R 156801-7 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
14635 PENNOCK AVE STE 200 |
City | SAINT PAUL |
State | MN |
Zip Code | 55124-6587 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
1629612569 | Gadaa Care Transportation | Non-emergency Medical Transport (VAN) | 7296 157th St W, Apple Valley, MN 55124 | 2019-11-04 |
1356831515 | Dustin W Seabolt | Hearing Instrument Specialist | 15071 Dunwood Trl, Apple Valley, MN 55124 | 2018-05-14 |
1639687189 | Dentalign P.a. | Clinic/Center | 15875 Emperor Avenue, Apple Valley, MN 55124 | 2018-01-18 |
1982126926 | Apex Family Chiropractic LLC | Chiropractor | 15678 Pilot Knob Road, Suite 120, Apple Valley, MN 55124 | 2017-07-12 |
1821523028 | Robin Marie Parker | Nurse Practitioner | 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 | 2017-04-25 |
1134578826 | Ellen Denise Jacobson | Dentist | 14682 Pennock Avenue South, Apple Valley, MN 55124 | 2016-06-03 |
1831568708 | Clearriver Inc. | Home Health | 13790 Elkhart Rd, Apple Valley, MN 55124 | 2015-09-21 |
1265826879 | Next Level Fitness Co | Public Health or Welfare | 14645 Felton Ct, 104, Apple Valley, MN 55124 | 2015-03-20 |
1568872216 | Jon Butala | Marriage & Family Therapist | 4300 W 147th St., Suite 204, Apple Valley, MN 55124 | 2014-05-04 |
Find all providers in zip 55124 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013535426 | Chesley Stanley | Nurse Practitioner | 3113 Fletcher Dr, Saint Paul, VA 24283-3763 | 2020-07-13 |
1568002160 | Amazing Grace Health | Nurse Practitioner | 625 Snelling Ave N Ste A, Saint Paul, MN 55104-5585 | 2020-01-10 |
1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
1710403118 | Liv-on Family Care Center, Pa | Nurse Practitioner | 1210 County Road J Ste 102, Saint Paul, MN 55127-6826 | 2017-08-17 |
1225588668 | Katie-anne Swenson | Nurse Practitioner | 2550 University Ave W Ste 325s, Saint Paul, MN 55114-1903 | 2016-10-10 |
1619329133 | Lamin Jaiteh | Nurse Practitioner | 2550 University Ave W Ste 325-s, Saint Paul, MN 55114-1052 | 2016-07-08 |
1457746281 | Florence Fon | Nurse Practitioner | 5 County Road B E Ste 3, Saint Paul, MN 55117-1945 | 2015-03-30 |
1639576994 | Angela Denise Lentz | Nurse Practitioner | 178 9th St E Ste 300, Saint Paul, MN 55101-2577 | 2014-12-01 |
1528315470 | Amanda Jeanne Carroll | Nurse Practitioner | 1358 Kent St, Saint Paul, MN 55117-4226 | 2012-08-09 |
1063673663 | Elizabeth A Jacox | Nurse Practitioner | 355 Marshall Ave, Saint Paul, MN 55102-1809 | 2008-06-17 |
Find all providers in SAINT PAUL |
City | SAINT PAUL |
Zip Code | 55124 |
Please comment or provide details below to improve the information on MANDI SUE COUNTERS.
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.