MELODIE ANNE KABANUK DOHM (NPI# 1578029757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578029757 |
Entity Type | Individual |
Full Name | MELODIE ANNE KABANUK DOHM |
Practice Address |
1315 E 24th St Ste 1 Minneapolis MN 55404-3959 |
Practice Telephone | 6127219800 |
Mailing Telephone | 6127219800 |
Enumeration Date | 2019-02-13 |
Last Update Date | 2019-04-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
6419 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
505 Northstar Ct, Sartell, MN 563772295 | 3202320647 |
Street Address |
1315 E 24TH ST STE 1 |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55404-3959 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982988259 | Andre Peri | Psychologist | 1315 E 24th St Ste 1, Minneapolis, MN 55404-3959 | 2011-10-05 |
1053974808 | Dagmar Mayer | Social Worker | 1315 E 24th St Ste 1, Minneapolis, MN 55404-3959 | 2019-04-17 |
1962934729 | David William Henry | Family Medicine | 1315 E 24th St Ste 1, Minneapolis, MN 55404-3959 | 2017-03-31 |
1124569066 | Adriana Marie Youssef | Psychologist | 1315 E 24th St Ste 1, Minneapolis, MN 55404-3959 | 2017-03-11 |
1285982603 | Kyle Xavier Hill | Psychologist | 1315 E 24th St Ste 1, Minneapolis, MN 55404 | 2012-08-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
Find all providers in zip 55404 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285234435 | Hawa Warsame Ali | Nurse Practitioner | 2650 Portland Ave, Minneapolis, MN 55407-1011 | 2020-10-27 |
1164540043 | Susan Sachs Steinberg | Nurse Practitioner | 410 Church Street S.e.-university of Minnesota, Mental Health Clinic-4th Floor, Minneapolis, MN 55455 | 2007-03-27 |
1528673779 | Hulda M Mosiori | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2020-09-14 |
1811507338 | Tiffany Sims | Nurse Practitioner | 100 Washington Ave S Ste 900, Minneapolis, MN 55401-2455 | 2020-08-10 |
1992355028 | Tolulope Emmanuel Adediwura | Nurse Practitioner | 701 Park Ave, Minneapolis, MN 55415-1623 | 2019-09-20 |
1235787409 | Tolu Okuneye | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2019-08-29 |
1407400898 | Catherine Rachael Pearson | Nurse Practitioner | 701 Park Ave, Minneapolis, MN 55415-1623 | 2019-07-24 |
1659923688 | Kristin Alecia Verhoeven | Nurse Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2019-07-10 |
1902370620 | Elinor Florence Chase-andresen | Nurse Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2019-01-15 |
1326522285 | Migmar Wangchuk | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2018-09-17 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55404 |
Please comment or provide details below to improve the information on MELODIE ANNE KABANUK DOHM.
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.