KATHLEEN ALICE TRESNESS (NPI# 1598015786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598015786 |
| Entity Type | Individual |
| Full Name | KATHLEEN ALICE TRESNESS |
| Other Name | KATHLEEN ALICE JOACHIM |
| Credential | PHD |
| Practice Address |
11010 Prairie Lakes Drive Suite 350 Eden Prairie MN 55344 |
| Mailing Address |
1900 Silver Lake Road Nw Suite 110 New Brighton MN 55112 |
| Practice Telephone | 9527462522 |
| Practice Fax Number | 9527460887 |
| Mailing Telephone | 6513791718 |
| Mailing Fax Number | 6513791738 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP6004 | MN | Behavioral Health & Social Service Providers |
| Street Address |
11010 PRAIRIE LAKES DRIVE SUITE 350 |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619077898 | Ann Bodensteiner | Psychologist | 11010 Prairie Lakes Drive, Suite 350, Eden Prairie, MN 55344 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366000572 | Hekima Care Inc. | Case Management | 8725 Columbine Rd Unit 46026, Eden Prairie, MN 55344 | 2019-06-03 |
| 1528537768 | Smile Eden Prairie | Dentist | 6600 City W. Pkwy #315, Eden Prairie, MN 55344 | 2018-11-16 |
| 1215439781 | Angelo Scherer | Counselor | 11010 Prairie Lakes Drive Suite 350, Eden Prairie, MN 55344 | 2018-03-01 |
| 1497272678 | Matthew Lynn | Occupational Therapist | 431 Prairie Center Drive, Eden Prairie, MN 55344 | 2017-08-28 |
| 1184178956 | Eric R Barrett | Audiologist | Starkey Center for Excellence, 6700 Washington Ave S, Eden Prairie, MN 55344 | 2016-08-10 |
| 1609218676 | Nations Care Link | Nurse Practitioner | 11000 Praire Lakes Dr, Suite 600, Eden Praire, MN 55344 | 2013-07-19 |
| 1497020390 | Alixa Rx LLC | Pharmacy | 10132 West 76th St, Eden Prairie, MN 55344 | 2012-03-12 |
| 1831467331 | Eagle Ridge Academy | Local Education Agency (LEA) | 7255 Flying Cloud Drive, Eden Prairie, MN 55344 | 2011-12-12 |
| 1205154739 | Eden Prairie School District 272 | Local Education Agency (LEA) | 8100 School Road, Eden Prairie, MN 55344 | 2010-05-07 |
| 1992030613 | Spinal Health | Chiropractor | 12100 Singletree Ln #129, Eden Prairie, MN 55344 | 2009-10-14 |
| Find all providers in zip 55344 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154812238 | Kathleen Marie Kavanaugh | Psychologist | 9531 W 78th St Ste 110, Eden Prairie, MN 55344-8022 | 2018-05-23 |
| 1518318286 | Lauren Elizabeth Taubitz | Psychologist | 6442 City West Pkwy # 200, Eden Prairie, MN 55344-3245 | 2016-06-23 |
| 1598052672 | Yohance Rushied Pickett | Psychologist | 9637 Anderson Lakes Pkwy, Suite 162, Eden Prairie, MN 55344-4155 | 2011-07-08 |
| 1043456932 | Nicole Marie Fleming | Psychologist | 9637 Anderson Lakes Pkwy # 162, Eden Prairie, MN 55344-4155 | 2008-12-23 |
| 1649317413 | Douglas G. Frey | Psychologist | 15798 Venture Ln, Eden Prairie, MN 55344-5729 | 2007-01-31 |
| 1619077898 | Ann Bodensteiner | Psychologist | 11010 Prairie Lakes Drive, Suite 350, Eden Prairie, MN 55344 | 2006-09-25 |
| 1396714234 | Kate Kavanaugh, Ma Lp, Pa | Psychologist | 9531 W. 78th Street, Suite 110, Eden Prairie, MN 55344 | 2006-03-14 |
| 1083220602 | Goldfinch Neurobehavioral Services, LLC | Psychologist | 6640 Shady Oak Rd Ste 375, Eden Prairie, MN 55344-7834 | 2020-09-18 |
| 1093228082 | Megan Kolman | Psychologist | 11000 Optum Cir, Eden Prairie, MN 55344-2503 | 2017-11-13 |
| 1427500248 | Alise Marie Novak | Psychologist | 6458 City West Pkwy, Eden Prairie, MN 55344-3245 | 2016-10-27 |
| Find all providers in EDEN PRAIRIE | ||||
| City | EDEN PRAIRIE |
| Zip Code | 55344 |
Please comment or provide details below to improve the information on KATHLEEN ALICE TRESNESS.
| 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.