MARANNA CAROLINE GUNNERSON (NPI# 1548878432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548878432 |
| Entity Type | Individual |
| Full Name | MARANNA CAROLINE GUNNERSON |
| Practice Address |
1004 Campanile Ave Brookings SD 57007-0001 |
| Mailing Address |
8975 75th St Nw Annandale MN 55302-2402 |
| Practice Telephone | 8009523541 |
| Mailing Telephone | 6127095152 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1004 CAMPANILE AVE |
| City | BROOKINGS |
| State | SD |
| Zip Code | 57007-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336680826 | Zachary Harbaugh | Specialist/Technologist | South Dakota State University, Brookings, SD 57007 | 2017-03-16 |
| 1689801896 | Sdsu Student Health Clinic | Clinic/Center | N. Campus Drive, Wellness Center, Brookings, SD 57007 | 2009-06-15 |
| 1396343505 | Kaitlyn Mae Fritz | Family Medicine | Wellness Center 103, Brookings, SD 57007-0001 | 2020-10-12 |
| 1295362028 | Mary Beth Zwart | Specialist/Technologist | 1004 Campanile Avenue, Brookings, SD 57007-0001 | 2020-03-23 |
| 1427490879 | Joshua B Hawkins | Specialist/Technologist | Sdsu 2820 Hper Ctr, Brookings, SD 57007-0001 | 2013-07-26 |
| 1700166865 | Chelsea Leah Miles | Specialist/Technologist | Sdsu, 2820 Hper Center, Brookings, SD 57007-0001 | 2011-08-22 |
| 1063728079 | Kristin Lynn Johannsen | Specialist/Technologist | S Dakota State University 2820 Hper Ctr, Brookings, SD 57007-0001 | 2010-08-27 |
| 1457682890 | Katharine Marie Leuthold | Specialist/Technologist | Spe 150x, Brookings, SD 57007-0001 | 2010-01-25 |
| 1770812455 | Barbara Kay Olinger | Specialist/Technologist | S Dakota State University Hper Ctr, Box 2820, Brookings, SD 57007-0001 | 2009-12-09 |
| 1821272790 | Debra Ann Burlage | Nurse Practitioner | Wellness Center 154, 2818, Brookings, SD 57007-0001 | 2007-12-27 |
| Find all providers in zip 57007 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619454774 | Alec Edward Weis | Student in an Organized Health Care Education/Training Program | 314 Main Ave Apt 4., Brookings, SD 57006 | 2018-07-22 |
| 1275010399 | Jessica Rose Brave Heart | Student in an Organized Health Care Education/Training Program | 1031 3rd Ave Apt 4, Brookings, SD 57006-1145 | 2018-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898186 | Glenn Gail Scotting | Student in an Organized Health Care Education/Training Program | 26506 456th Ave, Humboldt, SD 57035-6801 | 2020-10-09 |
| 1639794688 | Mikinze Jones | Student in an Organized Health Care Education/Training Program | 13651 387th Ave, Aberdeen, SD 57401-8505 | 2020-06-15 |
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1851915516 | Matthew John Lommen | Student in an Organized Health Care Education/Training Program | 308 E 18th St, Sioux Falls, SD 57104-5025 | 2020-05-28 |
| 1164043808 | Amy Jeannine Johnson | Student in an Organized Health Care Education/Training Program | 136 Heritage Dr, Yankton, SD 57078-6714 | 2020-05-05 |
| 1407484603 | Tej Ishaan Mehta | Student in an Organized Health Care Education/Training Program | 7840 S Townsley Ave Unit 5, Sioux Falls, SD 57108-7604 | 2020-04-01 |
| 1508497678 | Heather Joy Abels | Student in an Organized Health Care Education/Training Program | 3812 E Shepherd St, Sioux Falls, SD 57103-8615 | 2020-01-28 |
| 1518421155 | Ali Xiaoxing Hoffman | Student in an Organized Health Care Education/Training Program | 3700 S Slaten Park Dr, Sioux Falls, SD 57103-4633 | 2019-01-28 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 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.