SARAH IMDIEKE (NPI# 1598267148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598267148 |
| Entity Type | Individual |
| Full Name | SARAH IMDIEKE |
| Credential | CNP |
| Practice Address |
1021 Bandana Blvd E Ste 100 Saint Paul MN 55108-5109 |
| Mailing Address |
4731 15th Ave S Minneapolis MN 55407-3654 |
| Practice Telephone | 6512419700 |
| Mailing Telephone | 6126447185 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
5698 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1021 BANDANA BLVD E STE 100 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55108-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992764419 | Stella U Ekong | Family Medicine | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2006-03-22 |
| 1710593637 | Allina Health System | Clinic/Center | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2020-09-16 |
| 1619509866 | Jessica Hamel Dusold | Nurse Practitioner | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2020-02-06 |
| 1487293627 | Kirsten Norby | Nurse Practitioner | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2020-01-06 |
| 1205334828 | Tess Abrahamson | Physician Assistant | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2018-01-29 |
| 1881110310 | Hannah Mareen Stafford | Audiologist | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108 | 2017-08-16 |
| 1912436007 | Alicia Schroepfer | Nurse Practitioner | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2017-06-12 |
| 1487181285 | Westley Shigeo Mori | Dermatology | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2017-05-11 |
| 1194250605 | Gowri Kabbur | Dermatology | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2017-04-22 |
| 1376076075 | Kristin Elaine Totoraitis | Dermatology | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108 | 2017-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490677 | Kyle Leonard Bernier | Student in an Organized Health Care Education/Training Program | 1295 Bandana Blvd W, Suite 210, St. Paul, MN 55108 | 2019-07-25 |
| 1356870778 | Kathleen Louise Kocon | Marriage & Family Therapist | 2230 Como Ave., Saint Paul, MN 55108 | 2017-06-08 |
| 1871965830 | Jill Hansen | Specialist | 1449 Clevland Ave N, The Emily Program, Saint Paul, MN 55108 | 2015-10-29 |
| 1871821140 | Angela Joyce Anderson | Speech-Language Pathologist | 2266 Hillside Avenue, Saint Paul, MN 55108 | 2009-11-25 |
| 1265769418 | Dakota Baker | Counselor | 1360 Energy Park Drive Suite 340, St. Paul, MN 55108 | 2009-11-09 |
| 1255583449 | Suzanne Elizabeth Trunnell | Nurse Practitioner | 1020 Bandana Blvd. W, Aspen Medical Group--bandana Square, St. Paul, MN 55108 | 2008-10-21 |
| 1982851358 | Kimberly Joy Bahma | Pharmacist | 1295 Bandana Blvd, Suite 335, Saint Paul, MN 55108 | 2008-08-27 |
| 1952566093 | Caring Professionals Homecare, LLC | Home Health | 1543 Como Ave Ste 101, Saint Paul, MN 55108 | 2008-07-28 |
| 1700077344 | Archana Mani | Dentist | 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108 | 2007-08-08 |
| 1457554735 | Catherine Lawrence Scharlau | Psychologist | 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 | 2007-06-06 |
| Find all providers in zip 55108 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972022267 | Allison Brooks | Nurse Practitioner | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2017-09-18 |
| 1619496205 | Megan Johnson | Nurse Practitioner | 1661 Saint Anthony Ave Fl 1, Saint Paul, MN 55104 | 2017-09-14 |
| 1598295834 | George Ngugi Kamande | Nurse Practitioner | 1055 Westgate Dr Ste 100, Saint Paul, MN 55114-1451 | 2017-06-19 |
| 1255787453 | Phyllis Ann Harman | Nurse Practitioner | 214 Crenshaw Dr, Saint Paul, IN 47272-9435 | 2016-05-06 |
| 1215339510 | Ann Louise Schminski | Nurse Practitioner | 200 University Ave E, Saint Paul, MN 55101-2507 | 2014-09-18 |
| 1609290717 | Diane Thomas | Nurse Practitioner | 1700 University Ave W, Saint Paul, MN 55104-3727 | 2014-02-10 |
| 1952680944 | Megan Moffatt | Nurse Practitioner | 200 University Ave E, Saint Paul, MN 55101-2507 | 2011-08-09 |
| 1952608341 | Mindy M Ostrowski | Nurse Practitioner | 200 University Ave E, Saint Paul, MN 55101 | 2011-02-21 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55108 |
Please comment or provide details below to improve the information on SARAH IMDIEKE.
| 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.