MR. PAUL DANIEL NISTLER (NPI# 1609906734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609906734 |
| Entity Type | Individual |
| Full Name | MR. PAUL DANIEL NISTLER |
| Credential | BS |
| Practice Address |
722 15th Street Ne Bemidji MN 56601 |
| Practice Telephone | 2187513280 |
| Practice Fax Number | 2187513298 |
| Mailing Telephone | 2187513280 |
| Mailing Fax Number | 2187513298 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
722 15TH STREET NE |
| City | BEMIDJI |
| State | MN |
| Zip Code | 56601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1366093841 | Vickie Lynn Matthews | Technician | 1018 Miles Ave Se, Bemidji, MN 56601 | 2019-09-25 |
| 1518443530 | Lindsey Marie Whiting | Registered Nurse | 1300 Anne St, Bemidji, MN 56601 | 2018-07-12 |
| 1801257662 | Meghan Zigrida Paquette | Registered Nurse | 6055 161st Street Nw, Cass Lake, MN 56601 | 2016-03-08 |
| 1144686106 | Northwest Indian Oic | Home Health | 1819 Bemidji Ave N Ste 1, Bemidji, MN 56601 | 2016-01-06 |
| 1831560424 | Laura Hansen, Msw, Licsw Counseling Services, Inc. | Social Worker | 403 4th Street Ne, Suite 110, Bemidji, MN 56601 | 2015-10-08 |
| 1679949028 | Grand St. Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 2312 Bemidji Ave North, Bemidji, MN 56601 | 2015-08-19 |
| 1255717617 | Mary S. Salter, Md Psc | Internal Medicine | 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 | 2015-08-07 |
| 1225420615 | Cristin Evans | Counselor | 403 4th Street, Suite 300, Bemidji, MN 56601 | 2015-02-23 |
| 1619367919 | Angela Krom Fournier | Psychologist | 16150 Golden Eagle Court Nw, Eagle Vista Equine Center Inc., Bemidji, MN 56601 | 2015-01-26 |
| Find all providers in zip 56601 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615612 | Livelife Therapy Solutions | Rehabilitation Practitioner | 8100 Penn Ave S Ste 137, Bloomington, MN 55431-1325 | 2019-12-09 |
| 1962067611 | Connor Hanson | Rehabilitation Practitioner | 718 1st Ave Nw, New Brighton, MN 55112-6809 | 2019-05-08 |
| 1780963355 | Center for Primary Care and Rehabilitation, Pa | Rehabilitation Practitioner | 880 Blue Gentian Rd Ste 165, Eagan, MN 55121-1772 | 2011-08-12 |
| 1518192756 | David Michael Noren | Rehabilitation Practitioner | 521 Broadway Ave N, Braham, MN 55006 | 2009-05-18 |
| 1972764454 | Laura Lynn Kirlin | Rehabilitation Practitioner | 515 Bridge St. East, Park Rapids, MN 56470-1810 | 2008-06-18 |
| 1801084140 | Anthony Kroll | Rehabilitation Practitioner | 3609 White Bear Ave N, Suite #202, White Bear Lake, MN 55110-4466 | 2007-10-11 |
| 1881747483 | Richard Marquardt | Rehabilitation Practitioner | Upper Mississippi Mental Health Center, 120 N Main Street, Park Rapids, MN 56470 | 2007-01-19 |
| 1346327004 | Shawn D. Anderson | Rehabilitation Practitioner | 515 Bridge St, Park Rapids, MN 56470-1210 | 2006-11-01 |
| 1639131279 | Samuel Fedo | Rehabilitation Practitioner | 501 E Nicollet Blvd, Suite 100, Burnsville, MN 55337-6732 | 2006-04-06 |
| 1326653700 | Anika Evers | Rehabilitation Practitioner | 3640 9th St Nw, Rochester, MN 55901-6685 | 2020-09-11 |
| 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.