KENDRA KRUGER (NPI# 1568911543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568911543 |
| Entity Type | Individual |
| Full Name | KENDRA KRUGER |
| Practice Address |
9245 Quantrelle Ave Ne Otsego MN 55330-0168 |
| Practice Telephone | 7637469492 |
| Enumeration Date | 2016-10-01 |
| Last Update Date | 2017-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9245 QUANTRELLE AVE NE |
| City | OTSEGO |
| State | MN |
| Zip Code | 55330-0168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912973892 | Linnea A Ritter | Nurse Practitioner | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2006-02-28 |
| 1780281295 | Holly J Oachs | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-10-07 |
| 1881219632 | Kathryn Hartman Valine | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-06-08 |
| 1932722592 | Lily Rose Larson | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-05-18 |
| 1033739495 | Heather Jo Voss | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-04-25 |
| 1487287264 | Julie Elizabeth Lindenfelser | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-02-19 |
| 1447882832 | Laurel Anae Kimpton | Psychologist | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-02-04 |
| 1659910594 | Alissa Christenson | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2019-12-23 |
| 1053959171 | Kevin Alan Augustin | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2019-12-19 |
| 1336791995 | Melissa Lou Nikovics | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2019-07-14 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801435391 | Brianne Elizabeth Lund | Physician Assistant | 8540 Quaday Ave Ne, Otsego, MN 55330-6522 | 2019-12-31 |
| 1992263917 | Jodi Marie Kociemba | Physician Assistant | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2019-03-08 |
| 1134677354 | Nathan J Dumm | Physician Assistant | 8540 Quaday Ave Ne, Otsego, MN 55330-6522 | 2016-09-16 |
| 1104277318 | Kathryn M Samuelson | Physician Assistant | 8540 Quaday Ave Ne, Otsego, MN 55330-6522 | 2016-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
| 1043811870 | Leiah Hoffman | Physician Assistant | 4243 Timberridge Ln Apt A, Hermantown, MN 55811-4047 | 2020-11-06 |
| 1760083059 | Amanda Hanover | Physician Assistant | 10346 Mississippi Blvd Nw, Coon Rapids, MN 55433-4521 | 2020-11-04 |
| 1780284844 | Lily Ganz | Physician Assistant | 2737 Huntington Ave, St Louis Park, MN 55416-3917 | 2020-10-28 |
| 1972103000 | Jaclyn Ann Bautch | Physician Assistant | 24721 State Highway 15, Saint Augusta, MN 56301-9211 | 2020-10-28 |
| 1801496047 | Tanner Vaughn Kramp | Physician Assistant | 3450 Wild Turkey Rd, Red Wing, MN 55066-1762 | 2020-10-27 |
| 1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
| 1598364473 | Kylee N Persing | Physician Assistant | 10 4th Ave S, Saint Cloud, MN 56301-3614 | 2020-10-21 |
| 1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
| 1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
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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.