SARA MARIE MESTAD (NPI# 1578804670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578804670 |
Entity Type | Individual |
Full Name | SARA MARIE MESTAD |
Other Name | SARA KELZER |
Credential | RN, CNP |
Practice Address |
7450 France Ave S. Ste 240 Edina MN 55435 |
Practice Telephone | 9528939100 |
Practice Fax Number | 9528939109 |
Mailing Telephone | 9528939100 |
Mailing Fax Number | 9528939105 |
Enumeration Date | 2013-03-14 |
Last Update Date | 2019-06-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | R1853845 | MN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R1853845 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
2320 | MN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | LICENSE | R1853845 | 01 |
Street Address |
7450 FRANCE AVE S. STE 240 |
City | EDINA |
State | MN |
Zip Code | 55435 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
Find all providers in zip 55435 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225111792 | Angela Goldie Elliott | Nurse Practitioner | 6550 York Ave S Ste 303, Edina, MN 55435-2334 | 2006-10-20 |
1841804952 | Christine Marie Ellison | Nurse Practitioner | 3400 W 66th St Ste 385, Edina, MN 55435-2197 | 2020-09-04 |
1841764222 | Christine Marie Carter | Nurse Practitioner | 6565 France Ave S Ste 400a, Edina, MN 55435-2141 | 2019-01-18 |
1659851343 | Elizabeth Anne Wesser | Nurse Practitioner | 3625 W 65th St Ste 100, Edina, MN 55435-2147 | 2018-08-21 |
1730592759 | Melissa Erber Kitzman | Nurse Practitioner | 6525 France Ave S, Suite 100, Edina, MN 55435-2148 | 2014-06-06 |
1467896605 | Leslie Newman | Nurse Practitioner | 3625 W 65th St, Suite 100, Edina, MN 55435-2106 | 2013-04-18 |
1093845760 | Jennifer Jolaine Knapp | Nurse Practitioner | 6545 France Ave S, Edina, MN 55435 | 2007-03-06 |
1558437798 | Christine Marie Sonnek | Nurse Practitioner | 7450 France Ave S, Suite 240, Edina, MN 55435-4787 | 2006-11-28 |
1407829690 | Deborah Ann Brown | Nurse Practitioner | 6405 France Ave S, Suite W400, Edina, MN 55435-2163 | 2006-02-09 |
1871566307 | Cynthia Mae Mayorga | Nurse Practitioner | 6405 France Ave S, Suite W400, Edina, MN 55435-2163 | 2006-02-07 |
Find all providers in EDINA |
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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.