KATHLEEN KONETZKO (NPI# 1588741938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588741938 |
| Entity Type | Individual |
| Full Name | KATHLEEN KONETZKO |
| Credential | NP |
| Practice Address |
2305 Minnesota Blvd Minn Correctional Facility Saint Cloud MN 56304-2424 |
| Practice Telephone | 3202403088 |
| Practice Fax Number | 3202407087 |
| Mailing Telephone | 3202403088 |
| Mailing Fax Number | 3202407087 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R 070073-7 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2305 MINNESOTA BLVD MINN CORRECTIONAL FACILITY |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56304-2424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306480686 | Christopher Bruce Heringlake | Dentist | 2305 Minnesota Blvd, Saint Cloud, MN 56304-2424 | 2019-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316597701 | Liza Aberle | Naturopath | 22 Wilson Ave Ne # 205, Saint Cloud, MN 56304 | 2019-09-17 |
| 1902386089 | Jd Home Health Care | Clinic/Center | 4896 52nd St, St. Cloud, MN 56304 | 2018-08-17 |
| 1861490690 | Julia Anna Blonigen | Speech-Language Pathologist | 1882 Kilian Blvd, St Cloud, MN 56304 | 2005-07-14 |
| 1700111705 | St. Cloud Metropolitan Transit Commission | Non-emergency Medical Transport (VAN) | 665 Franklin Ave Ne, Saint Cloud, MN 56304-0225 | 2009-10-08 |
| 1053364976 | In Home Health LLC | Home Health | 605 Franklin Ave Ne, Saint Cloud, MN 56304-0225 | 2006-05-19 |
| 1376946806 | Charity Anne Hans | Social Worker | 511 3rd St Ne, Saint Cloud, MN 56304-0311 | 2014-09-29 |
| 1568082428 | Cloud Home Health Care Services LLC | Clinic/Center | 22 Wilson Ave Ne Ste 208, Saint Cloud, MN 56304-0440 | 2020-04-21 |
| 1326688417 | Sunshine Care Services Inc | In Home Supportive Care | 22 Wilson Ave Ne Ste 15, Saint Cloud, MN 56304-0440 | 2020-01-07 |
| 1295039204 | Rose Melinda Stark-rose | Psychologist | 22 Wilson Ave Ne # 110, Saint Cloud, MN 56304-0440 | 2011-01-05 |
| 1750448478 | Robin Stacey Colburn | Advanced Practice Midwife | 22 Wilson Ave Ne Ste 205, Saint Cloud, MN 56304-0440 | 2007-01-02 |
| Find all providers in zip 56304 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452768 | Nicole Ashley Reda | Nurse Practitioner | 3107 13th St, Saint Cloud, FL 34769-5925 | 2020-09-21 |
| 1780296640 | Leticia Carrion | Nurse Practitioner | 5009 Whitewater Way, Saint Cloud, FL 34771-7967 | 2020-08-20 |
| 1710596903 | Ijeoma J Ugochukwu | Nurse Practitioner | 1519 23rd St Se, Saint Cloud, MN 56304-8611 | 2020-07-23 |
| 1437767464 | Laurie Ann Tacey | Nurse Practitioner | 2526 Pickett Ave, Saint Cloud, FL 34772-0002 | 2020-07-15 |
| 1427691369 | Jacqueline Weglewski | Nurse Practitioner | 5020 Hartwell Ct, Saint Cloud, FL 34771-7936 | 2019-10-23 |
| 1477115483 | Haley Burt | Nurse Practitioner | 3022 Sandstone Cir, Saint Cloud, FL 34772-6525 | 2019-07-01 |
| 1700359734 | Yolanda M Palmero | Nurse Practitioner | 3004 7th St, Saint Cloud, FL 34769-2022 | 2019-01-02 |
| 1790228385 | Elba L Fernandez | Nurse Practitioner | 906 13th St, Saint Cloud, FL 34769-4454 | 2016-11-30 |
| 1912451600 | Helen Schuh | Nurse Practitioner | 2420 W Division St, Saint Cloud, MN 56301-3926 | 2016-08-10 |
| 1447608989 | Yaritza Mercado-reyes | Nurse Practitioner | 1601 Pine Marsh Loop, Saint Cloud, FL 34771-7409 | 2016-05-25 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56304 |
Please comment or provide details below to improve the information on KATHLEEN KONETZKO.
| 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.