MS. PEGGY PAUL (NPI# 1578733697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578733697 |
| Entity Type | Individual |
| Full Name | MS. PEGGY PAUL |
| Credential | COTA |
| Practice Address |
22 27th Ave Se Minneapolis MN 55414-3102 |
| Practice Telephone | 6123324262 |
| Mailing Telephone | 6123324262 |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 22 | MN | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407339872 | Peggy Paul | Licensed Vocational Nurse | 2424 Wilcrest Dr Ste 110, Houston, TX 77042-2772 | 2018-09-12 |
| Street Address |
22 27TH AVE SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55414-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790986586 | Jessica Ann Mcdonough | Occupational Therapist | 22 27th Ave Se, Minneapolis, MN 55414-3102 | 2007-05-30 |
| 1669781456 | Kali Jo Odegaard | Occupational Therapist | 22 27th Ave Se, Minneapolis, MN 55414-3102 | 2010-09-28 |
| 1710114970 | Richard Eugene Gauger | Physical Therapist | 22 27th Ave Se, Minneapolis, MN 55414-3102 | 2009-06-15 |
| 1386870186 | Patricia Kay Mapes | Physical Therapist | 22 27th Ave Se, Minneapolis, MN 55414-3102 | 2009-06-08 |
| 1497980890 | Sunhan Aiey Anderson | Physical Therapist | 22 27th Ave Se, Minneapolis, MN 55414-3102 | 2009-05-28 |
| 1265671192 | Teresa Catherine Laferriere | Physical Therapy Assistant | 22 27th Ave Se, Minneapolis, MN 55414-3102 | 2009-02-17 |
| 1891960373 | Catherine Alice Madden | Occupational Therapist | 22 27th Ave Se, Minneapolis, MN 55414-3102 | 2008-04-25 |
| 1518148816 | Kelli Suzanne Pruett | Speech-Language Pathologist | 22 27th Ave Se, Minneapolis, MN 55414-3102 | 2007-11-15 |
| 1376738328 | Mina Emma Anna Jelen | Physical Therapy Assistant | 22 27th Ave Se, Minneapolis, MN 55414-3102 | 2007-09-12 |
| 1801080668 | Susan Elizabeth Gutridge | Occupational Therapy Assistant | 22 27th Ave Se, Minneapolis, MN 55414-3102 | 2007-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1346888732 | Danielle Lee Ann Vogler-bos | Naturopath | 575 Se 9th St, Suite #52, Minneapolis, MN 55414 | 2019-12-16 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1346806585 | Kristen Bastug | Student in an Organized Health Care Education/Training Program | General Pediatrics and Adolescent Health, 1932k, 1717 Delaware Street Southeast, Suite 353, Minneapolis, MN 55414 | 2019-05-14 |
| 1053881698 | Lauren Michelle Scholder | Psychologist | 401 Main St Se Apt 7009, Minneapolis, MN 55414 | 2018-11-27 |
| 1427530666 | Kelli Howard | Psychologist | 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2018-09-04 |
| 1306370218 | Jiexiong Yang | Student in an Organized Health Care Education/Training Program | 814 Essex St Se, Minneapolis, MN 55414 | 2017-04-18 |
| 1598297699 | Patrick Curran | Student in an Organized Health Care Education/Training Program | 628 University Ave Se, Apt. 112, Minneapolis, MN 55414 | 2017-03-29 |
| 1679923957 | Jillian Theresa Tholen | Dietitian, Registered | 411 E Hennepin Ave, Minneapolis, MN 55414 | 2016-06-16 |
| 1073960290 | First Language Interpreter & Translation Services LLC | Interpreter | 2828 University Ave Se Suite 150, Minneapolis, MN 55414 | 2016-05-17 |
| Find all providers in zip 55414 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750732202 | Miriam Home Health Corporation | Residential Treatment Facility, Physical Disabilities | 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 | 2016-06-27 |
| 1841676459 | Bolat Incorporated | Residential Treatment Facility, Physical Disabilities | 1150 4th Street West, Hastings, MN 55033-1607 | 2015-08-05 |
| 1598165359 | Sunflake | Residential Treatment Facility, Physical Disabilities | 6525 Central Ave Ne Unit 2, Fridley, MN 55432-4653 | 2014-08-29 |
| 1982816062 | Ginger Care Home, Inc. | Residential Treatment Facility, Physical Disabilities | 42756 Ginger Ave, Harris, MN 55032-3682 | 2007-05-03 |
| 1871711507 | Triple Angels Healthcare Incorporation | Residential Treatment Facility, Physical Disabilities | 9724 84th Street Cir S, Cottage Grove, MN 55016-4931 | 2007-04-20 |
| 1073975488 | Lakeview Massage LLC | Residential Treatment Facility, Physical Disabilities | 13465 Pilot Knob Rd, Apple Valley, MN 55124-8693 | 2016-03-24 |
| 1275955270 | Thrive Behavioral Network II, LLC | Residential Treatment Facility, Physical Disabilities | 4720 Burning Tree Rd, Duluth, MN 55811-3801 | 2014-01-09 |
| City | MINNEAPOLIS |
| Zip Code | 55414 |
Please comment or provide details below to improve the information on MS. PEGGY PAUL.
| 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.