DR. STEPHANIE RAE LANTRY (NPI# 1588142913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588142913 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE RAE LANTRY |
| Credential | CNP |
| Practice Address |
20 5th St Se Cook MN 55723-9702 |
| Mailing Address |
3115 Raps Point Trl Cook MN 55723-8889 |
| Practice Telephone | 2186665941 |
| Mailing Telephone | 6122700364 |
| Enumeration Date | 2018-07-28 |
| Last Update Date | 2018-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
6034 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
20 5TH ST SE |
| City | COOK |
| State | MN |
| Zip Code | 55723-9702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538132774 | Cook Area Health Services, Inc | Clinic/Center | 20 5th St Se, Cook, MN 55723-9702 | 2006-02-08 |
| 1962069914 | Peggy Jean Stepan | Dentist | 20 5th St Se, Cook, MN 55723-9702 | 2019-05-24 |
| 1336662105 | Brittany Ann Debeltz | Registered Nurse | 20 5th St Se, Cook, MN 55723-9702 | 2017-07-24 |
| 1740717271 | Michael Morris Talberg | Dentist | 20 5th St Se, Cook, MN 55723-9702 | 2017-05-15 |
| 1952769697 | Robert Alan Wightman | Dentist | 20 5th St Se, Cook, MN 55723-9702 | 2016-02-09 |
| 1912371311 | Ehab Aly Nour Rezk | Dentist | 20 5th St Se, Cook, MN 55723-9702 | 2015-11-23 |
| 1841629250 | Charlene M Colwell | Social Worker | 20 5th St Se, Cook, MN 55723-9702 | 2013-11-06 |
| 1306284153 | Rachel S Beldo | Nurse Practitioner | 20 5th St Se, Cook, MN 55723-9702 | 2013-06-13 |
| 1477826436 | Celin R Williams | Social Worker | 20 5th St Se, Cook, MN 55723-9702 | 2012-02-21 |
| 1063704914 | Nicholas Brian Vidor | Family Medicine | 20 5th St Se, Cook, MN 55723-9702 | 2011-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225258320 | Turning Point Counseling Pa | Marriage & Family Therapist | 19 E Vermilion Dribe, Suite B, Cook, MN 55723 | 2007-04-30 |
| 1639295124 | Linda Ann Albertson | Marriage & Family Therapist | 19 E Vermillon Dr, Suite B Turning Point Counseling Pa, Cook, MN 55723 | 2007-03-22 |
| 1093850950 | City of Cook | Ambulance | 127 S River St, Cook, MN 55723 | 2007-02-20 |
| 1346337128 | Franks Pharmacy Inc | Pharmacy | #1 West Vermilion Drive, Cook, MN 55723 | 2006-10-05 |
| 1164514493 | Cook Chiropractic Center Ltd. | Chiropractor | 19 E Vermilion Dr, Po 395, Cook, MN 55723 | 2006-09-28 |
| 1497930861 | Bradley Scott Horoshak | Chiropractor | 19 E Vermilion Dr, Po 395, Cook, MN 55723 | 2008-01-04 |
| 1508086679 | Speare Psychological Services Pa | Psychologist | 225 1st St N, Suite 3100, Virginia, MN 55723 | 2007-04-30 |
| 1750421160 | Jerel Dean Johnson | Technician/Technologist | 23 East Vermilion Ave, Cook, MN 55723-0127 | 2007-02-07 |
| 1275731317 | Minnesota Correctional Facility -togo | Substance Abuse Rehabilitation Facility | 62741 County Road 551, Togo, MN 55723-4509 | 2007-07-10 |
| 1659508182 | True Care Medical Therapy Center Inc | Occupational Therapist | 221 Highway 53, Suite D, Cook, MN 55723-5102 | 2009-06-10 |
| Find all providers in zip 55723 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467071084 | St. Catherine University School Based Health Clinic | Nurse Practitioner | 5045 Division Ave, White Bear Lake, MN 55110 | 2020-04-14 |
| 1669005948 | Kevin Charles Carlson | Nurse Practitioner | 19303 Sorrel Ct, Corcoran, MN 55340-4447 | 2020-02-14 |
| 1144862996 | Alade Lateef Hamza | Nurse Practitioner | 4808 85th Ave N Ste 300, Brooklyn Park, MN 55443-1816 | 2019-10-14 |
| 1114584869 | Tenzin Lhamo | Nurse Practitioner | 195 Windsor Ln, New Brighton, MN 55112-3366 | 2019-05-28 |
| 1255834859 | Ashley M Morehouse | Nurse Practitioner | 625 S 4th St Ste A, Le Sueur, MN 56058-2203 | 2018-03-10 |
| 1013457381 | Lydia Nyakonu Sherman | Nurse Practitioner | 606 24th Ave S #620, Minneapolis, MN 55454 | 2017-03-06 |
| 1912447780 | Zillah Mulubisha | Nurse Practitioner | Brooklyn Park Clinic, 7650 Zane Ave N, Minneapolis, MN 55443 | 2017-02-27 |
| 1245615194 | Jennifer Nelson | Nurse Practitioner | 480 Osborne Rd Ne Ste 220, Fridley, MN 55432-2866 | 2015-07-21 |
| 1912397142 | Solomon Africanus Wesseh Jr. | Nurse Practitioner | 10135 43rd Ct Ne, Saint Michael, MN 55376-3015 | 2015-01-26 |
| 1780084004 | Angela Rae Fox | Nurse Practitioner | 7383 Upper 157th St W, Apple Valley, MN 55124-5108 | 2014-08-25 |
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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.