MARLENE BONILLA ALICEA (NPI# 1588856546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588856546 |
| Entity Type | Individual |
| Full Name | MARLENE BONILLA ALICEA |
| Credential | DPM |
| Practice Address |
7801 E Bush Lake Rd Ste 400 Minneapolis MN 55439 |
| Mailing Address |
7801 E Bush Lake Rd Ste 400 Minneapolis MN 55439-3113 |
| Practice Telephone | 9522833162 |
| Practice Fax Number | 8669917241 |
| Mailing Telephone | 9522833162 |
| Mailing Fax Number | 8669917241 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2019-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | N006419-1 | NY | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 580 84th St, Apt 2 E, Brooklyn, NY 112094743 | 7189210156 |
| Street Address |
7801 E BUSH LAKE RD STE 400 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215936216 | Kristen O Hansberry | Family Medicine | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 | 2005-07-20 |
| 1568925634 | Maggie Marie Prunty | Registered Nurse | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 | 2019-04-07 |
| 1700393436 | Barbara Agbo | Nurse Practitioner | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 | 2018-01-03 |
| 1992086383 | Anne Florence Wairimu Njenga | Nurse Practitioner | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 | 2011-08-30 |
| 1417251935 | Ltc Professionals Pllc | Emergency Medicine | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 | 2010-12-23 |
| 1083870646 | Elizabeth Bachorik | Nurse Practitioner | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439 | 2008-08-04 |
| 1114183894 | Lisa Lee Cummings | Podiatrist | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439 | 2008-08-01 |
| 1265699698 | Lisa Renee Shields | Nurse Practitioner | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439 | 2008-05-22 |
| 1609040054 | Erin Phaedra Emerson Egginton | Family Medicine | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 | 2008-04-16 |
| 1225058670 | Sherief A Mikhail | Preventive Medicine | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
| 1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
| 1316421050 | Global Kinetics Usa Corporation | Physiological Laboratory | 5810 West 78th Street, Suite 210, Bloomington, MN 55439 | 2018-09-19 |
| 1003361601 | Zainab Ismail Hassan | Community Health Worker | 5400 W. 70th St # 207, Edina, MN 55439 | 2016-08-24 |
| 1861852287 | Global Linguistics Inc | Interpreter | 5535 Oak Glen Rd, Edina, MN 55439 | 2016-02-26 |
| 1063889616 | Lindsey Mackereth | Counselor | 7117 Ohms Ln, Edina, MN 55439 | 2015-08-31 |
| 1851706105 | Holly Beth Gaudreau | Specialist/Technologist | 8100 W 78th St., Suite 225, Edina, MN 55439 | 2014-06-25 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
| 1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
| Find all providers in zip 55439 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912556937 | Seniorwell Pod of Minnesota, LLC | Podiatrist | 100 S 5th St Ste 1900, Minneapolis, MN 55402-1267 | 2019-09-11 |
| 1013977644 | Todd Arnold Shea | Podiatrist | 825 Nicollet Mall Ste 300, Minneapolis, MN 55402-2610 | 2006-03-27 |
| 1619972197 | Sean Thayer | Podiatrist | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2005-06-20 |
| 1558893180 | Michelle Lynn Winder | Podiatrist | 701 Park Ave, Hennepin County Medical Center, Podiatry Department, Minneapolis, MN 55415-1623 | 2017-04-02 |
| 1063857985 | Erin A Roberson | Podiatrist | 825 Nicollet Mall Ste 300, Minneapolis, MN 55402-2610 | 2013-05-06 |
| 1114183894 | Lisa Lee Cummings | Podiatrist | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439 | 2008-08-01 |
| 1972784668 | Calandra D Theisen | Podiatrist | 2600 39th Ave Ne, Suite 250, Minneapolis, MN 55421-4379 | 2007-11-21 |
| 1528287414 | Michael Alan Reid | Podiatrist | 2849 Johnson St Ne, Minneapolis, MN 55418-3055 | 2007-04-25 |
| 1053438648 | Advanced Foot Care Clinic,ltd | Podiatrist | 825 Nicollet Mall, Suite 601, Minneapolis, MN 55402-2606 | 2007-03-26 |
| 1922015346 | Joseph Paul Schuster | Podiatrist | 2512 South 7th Street, First Floor, R102, University Orthopeadics, Minneapolis, MN 55454 | 2006-08-01 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55439 |
Please comment or provide details below to improve the information on MARLENE BONILLA ALICEA.
| 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.