ELIZABETH BANTA (NPI# 1619173705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619173705 |
| Entity Type | Individual |
| Full Name | ELIZABETH BANTA |
| Practice Address |
1904 Bridge Ave Albert Lea MN 56007-2090 |
| Practice Telephone | 1507552137 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
1904 BRIDGE AVE |
| City | ALBERT LEA |
| State | MN |
| Zip Code | 56007-2090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700395860 | Kelsey Paulson | Massage Therapist | 1629 West Main Street, Touchworks Massage Skyline Plaza, Albert Lea, MN 56007 | 2017-09-21 |
| 1366984536 | Allied Health Care Professional Service Corporation | Health Maintenance Organization | 140 W Clark St, Albert Lea, MN 56007 | 2016-11-05 |
| 1174875165 | Michael Gene White | Pharmacist | 1615 West Main St, Albert Lea, MN 56007 | 2012-10-15 |
| 1841596384 | Elizabeth Jordan Berg | Chiropractor | 72599 220th St, Albert Lea, MN 56007 | 2011-02-01 |
| 1235453606 | Michael Aaron Starner | Physician Assistant | 404 W Fountain St Unit 516, Albert Lea, MN 56007 | 2010-03-15 |
| 1215149364 | John M Enger, Professional Association | Podiatrist | 904 E Plaza Street, Albert Lea, MN 56007 | 2007-05-03 |
| 1760532485 | Lowell Wherry Barr | Pediatrics | 203 W Clark, Albert Lea, MN 56007 | 2007-01-12 |
| 1073688917 | Wendy Elizabeth Walker | Psychologist | 117 South Newton Avenue, Albert Lea, MN 56007 | 2006-11-22 |
| 1487739090 | Rem Woodvale Inc | Intermediate Care Facility, Mentally Retarded | 1204 Plainview Lane, Albert Lea, MN 56007 | 2006-10-25 |
| 1275621294 | Eleanor Wanden | Technician | 1815 Minnesota Ave, Albert Lea, MN 56007 | 2006-10-11 |
| Find all providers in zip 56007 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558539908 | Danielle Peterson | Technician | 605 Giles Pl, Albert Lea, MN 56007-2322 | 2008-02-19 |
| 1346418894 | Kristen Senholtz | Technician | 229 S 5th Ave, Albert Lea, MN 56007-1737 | 2008-02-19 |
| 1952579401 | Debra Khan | Technician | 637 Ruble Ave, Albert Lea, MN 56007-2426 | 2008-02-19 |
| 1275621294 | Eleanor Wanden | Technician | 1815 Minnesota Ave, Albert Lea, MN 56007 | 2006-10-11 |
| 1154415818 | Michelle Anderson | Technician | 1912 Bridge Ave, Albert Lea, MN 56007-2091 | 2006-10-03 |
| 1922192640 | Kim Flaa | Technician | 1110 Rosehill Dr, Albert Lea, MN 56007-1842 | 2006-10-03 |
| 1205920964 | Kelly Gleason | Technician | 611 Minnesota Ave, Albert Lea, MN 56007-3620 | 2006-10-03 |
| 1831283639 | Nikki Schmidt | Technician | 1430 Frank Hall Dr, Albert Lea, MN 56007-3140 | 2006-10-03 |
| 1184716201 | Gwen Sundve | Technician | 2217 Milo Ave, Albert Lea, MN 56007-3362 | 2006-09-28 |
| 1750473807 | Melissa Kohler | Technician | 68602 140th St, Albert Lea, MN 56007-5511 | 2006-09-28 |
| Find all providers in ALBERT LEA | ||||
| City | ALBERT LEA |
| Zip Code | 56007 |
Please comment or provide details below to improve the information on ELIZABETH BANTA.
| 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.