NIKKI RAE WIEBERDINK (NPI# 1558886382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558886382 |
| Entity Type | Individual |
| Full Name | NIKKI RAE WIEBERDINK |
| Practice Address |
3333 W Division St Ste 209 Saint Cloud MN 56301-4322 |
| Mailing Address |
3400 1st St N Ste 101 Saint Cloud MN 56303-1924 |
| Practice Telephone | 3202535555 |
| Practice Fax Number | 3205291976 |
| Mailing Telephone | 3202022024 |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC01194 | MN | Behavioral Health & Social Service Providers |
| Street Address |
3333 W DIVISION ST STE 209 |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56301-4322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1316453442 | Amber Grengs | Behavior Technician | 3721 23rd St S Ste 201, Saint Cloud, MN 56301 | 2017-12-27 |
| 1124532999 | Ashley Aune Lewandowski | Chiropractor | 3333 W. Division St. Suite 122a, St. Cloud, MN 56301 | 2017-11-30 |
| 1962923680 | Inspired By You Home Care, LLC | Home Health | 2700 1st Street N, Suite 202, St Cloud, MN 56301 | 2017-07-03 |
| 1487189569 | Brett Finberg | Pharmacy Technician | 141 33rd Ave South, Saint Cloud, MN 56301 | 2017-04-26 |
| 1629513221 | Robert Schug | Pharmacy Technician | 141 33rd Ave S, Saint Cloud, MN 56301 | 2017-01-05 |
| 1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
| 1558728600 | Language Partners | Interpreter | 400 1st St S, Suite 600, St. Cloud, MN 56301 | 2016-01-20 |
| 1679981856 | Quality Homecare Services Inc | Home Health | 3450 W Germain St, Ste 206, St Cloud, MN 56301 | 2014-07-31 |
| 1063759546 | Grand St Paul Cvs, LLC | Durable Medical Equipment & Medical Supplies | 2420 Division St, St. Cloud, MN 56301 | 2013-01-03 |
| Find all providers in zip 56301 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979298 | Shu-ching Wang | Counselor | 2719 W Division St Ste 5, Saint Cloud, MN 56301-3400 | 2020-03-27 |
| 1124670997 | Sunlife Healing Pllc | Counselor | 303 Commerce Center Dr, Saint Cloud, FL 34769-1549 | 2019-07-11 |
| 1447733233 | Shannon Meghan Bogenschutz | Counselor | 3333 W Division St Ste 217, Saint Cloud, MN 56301-4557 | 2018-09-08 |
| 1316314917 | Dawn Benson-hance | Counselor | 3400 1st St N Ste 101, Saint Cloud, MN 56303-1924 | 2015-08-31 |
| 1013106749 | Amber Daveline Smith | Counselor | 3121 Innovation Dr Ste A, Saint Cloud, FL 34769-6501 | 2007-10-18 |
| 1568653160 | Expanding Horizons | Counselor | 3419 Cypress Point Cir, Saint Cloud, FL 34772-8615 | 2007-08-08 |
| 1356451199 | Barbara Gay Backes | Counselor | 2700 1st St N, #209, Saint Cloud, MN 56303-4256 | 2006-08-30 |
| 1588291942 | Angela Marie Larcom | Counselor | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2020-03-25 |
| 1891326120 | Markie E Gohman | Counselor | 22 Wilson Ave Ne Ste 110, Saint Cloud, MN 56304-0440 | 2020-01-27 |
| 1700437761 | Orlando Reyes | Counselor | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2019-09-21 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56301 |
Please comment or provide details below to improve the information on NIKKI RAE WIEBERDINK.
| 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.