DR. AMELIA L BURGESS (NPI# 1598957912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598957912 |
| Entity Type | Individual |
| Full Name | DR. AMELIA L BURGESS |
| Other Name | MRS. AMELIA L MILBANK |
| Credential | M.D. |
| Practice Address |
18432 Kenrick Ave Lakeville MN 55044-9288 |
| Mailing Address |
8170 33rd Ave S Po Box 1309 Mail Stop 21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 9529938800 |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2016-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 47865 | MN | Student, Health Care |
| Street Address |
18432 KENRICK AVE |
| City | LAKEVILLE |
| State | MN |
| Zip Code | 55044-9288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881671329 | Andrea D Singh | Pediatrics | 18432 Kenrick Ave, Lakeville, MN 55044-9288 | 2005-12-27 |
| 1164874574 | Daniel Hanson | Family Medicine | 18432 Kenrick Ave, Lakeville, MN 55044 | 2016-07-09 |
| 1750736906 | Anne Schendel | Pediatrics | 18432 Kenrick Ave, Lakeville, MN 55044-9288 | 2016-04-25 |
| 1215212261 | Kelly Krueger | Nurse Practitioner | 18432 Kenrick Ave, Lakeville, MN 55044-9288 | 2011-10-20 |
| 1407142359 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 18432 Kenrick Ave, Lakeville, MN 55044-9288 | 2011-06-20 |
| 1720259179 | Ali Elizabeth Peterson | Pediatrics | 18432 Kenrick Ave, Park Nicollet - Lakeville, Lakeville, MN 55044-9288 | 2008-03-13 |
| 1982650826 | Donovan Pohl | Physician Assistant | 18432 Kenrick Ave, Lakeville, MN 55044-9288 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518528397 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | Fairview Lakeville Clinic Mtm, 18580 Joplin Ave, Lakeville, MN 55044 | 2019-06-24 |
| 1164922373 | Invigorate Chiropractic, Pa | Chiropractor | 18449 Orchard Trail, Lakeville, MN 55044 | 2018-02-14 |
| 1275046344 | Kevin Schultz | Chiropractor | 18449 Orchard Tr, Lakeville, MN 55044 | 2017-11-13 |
| 1518487263 | Katarina Klementina Foster | Dentist | 16138 Pilot Knob Rd, Lakeville, MN 55044 | 2017-06-23 |
| 1275069676 | Alison Marie Weaver | Physical Therapist | 17599 Kenwood Trl Ste 200, Lakeville, MN 55044 | 2017-05-04 |
| 1184177479 | Megan Erickson | Physical Therapist | 21034 Heron Way Ste 102, Lakeville, MN 55044 | 2016-08-03 |
| 1669827523 | Kristine Louise Duhamel | Nurse Practitioner | 18275 Kenrick Avenue, Lakeville, MN 55044 | 2016-04-28 |
| 1003281536 | Heather Leann Wegner | Counselor | 16233 Kenyon Ave, Lakeville, MN 55044 | 2015-12-09 |
| 1982081295 | Dana Bungert | Specialist/Technologist | 11060 Upper 167th St W, Lakeville, MN 55044 | 2015-05-06 |
| 1265834931 | Kayla Schulz | Counselor | 7535 165th St West, Lakeville, MN 55044 | 2014-09-24 |
| Find all providers in zip 55044 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427672906 | Matthew Robert Christiansen | Student in an Organized Health Care Education/Training Program | 16173 Harvard Ln, Lakeville, MN 55044-6314 | 2020-06-01 |
| 1316574478 | Kaitlyn Marshall | Student in an Organized Health Care Education/Training Program | 16377 Greenbriar Ct, Lakeville, MN 55044-6113 | 2020-03-26 |
| 1942746177 | Cameron Jackson | Student in an Organized Health Care Education/Training Program | 10490 167th St W, Lakeville, MN 55044-5686 | 2017-01-11 |
| 1023363090 | Kristi Michelle O'brien | Student in an Organized Health Care Education/Training Program | 1 Hazel St, Lakeville, MA 02347-2023 | 2012-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154921047 | Liesa Clare Erickson | Student in an Organized Health Care Education/Training Program | 100 Elizabeth St Apt 416, Duluth, MN 55803-2643 | 2020-10-29 |
| 1639779804 | Chelsie Meemken | Student in an Organized Health Care Education/Training Program | 505 Bluebird Ct, Sartell, MN 56377-1633 | 2020-10-27 |
| 1134729486 | Anna R Spiczka | Student in an Organized Health Care Education/Training Program | 10689 108th Ave N, Hanover, MN 55341-4124 | 2020-10-27 |
| 1558961003 | Maren Elizabeth Iverson | Student in an Organized Health Care Education/Training Program | 1 Veterans Dr # 160, Minneapolis, MN 55417-2309 | 2020-10-26 |
| 1275132003 | Faizo A Hersi | Student in an Organized Health Care Education/Training Program | 9700 International Dr Suite 300, Bloomington, MN 55425 | 2020-10-22 |
| 1467059048 | Ashli Willow Boehm | Student in an Organized Health Care Education/Training Program | 1920 Turning Leaf Ln Sw, Alexandria, MN 56308-4662 | 2020-10-06 |
| 1174130421 | Carolyne Copley | Student in an Organized Health Care Education/Training Program | 226 2nd St Sw, Rochester, MN 55905-0001 | 2020-09-29 |
| 1023624483 | Katherine Hailey Lake | Student in an Organized Health Care Education/Training Program | 16415 Temple Dr, Minnetonka, MN 55345-3431 | 2020-09-21 |
| 1235745027 | Andrew Ryan Mcnamara | Student in an Organized Health Care Education/Training Program | 1015 Lowry Ave Ne Apt 3, Minneapolis, MN 55418-3727 | 2020-09-17 |
| 1740895770 | Arielle Johnson | Student in an Organized Health Care Education/Training Program | 1162 Thomas Ave, Saint Paul, MN 55104-2538 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
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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.