MRS. KATHLEEN MARIE MADDEN (NPI# 1619316031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619316031 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN MARIE MADDEN |
| Credential | RPH |
| Practice Address |
4570 County Hwy 61 Moose Lake MN 55767 |
| Mailing Address |
4240 County Road 11 Barnum MN 55707-8731 |
| Practice Telephone | 2184852111 |
| Practice Fax Number | 2184858256 |
| Mailing Telephone | 2183890094 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 114553 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518946318 | Kathleen L Madden | Nurse Practitioner | 1000 E 1st St Ste 203, Duluth, MN 55805 | 2006-01-11 |
| 1275043986 | Kathleen Anne Madden | Counselor | 4445 Sw Barbur Blvd Ste 205, Portland, OR 97239-4047 | 2017-10-08 |
| 1750679940 | Kathleen Marie Madden | Nurse Practitioner | 160 E 34th St, Room 906, New York, NY 10016-4744 | 2011-07-21 |
| 1982831871 | Kathleen Marie Madden | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2009-06-17 |
| 1871718320 | Kathleen M Madden | Social Worker | 750 Kings Highway, Suite 101b Cape Counseling & Wellness, Lewes, DE 19958 | 2007-04-17 |
| Street Address |
4570 COUNTY HWY 61 |
| City | MOOSE LAKE |
| State | MN |
| Zip Code | 55767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407887599 | Family Health Systems of Moose Lake Inc | Pharmacy | 4570 County Hwy 61, Moose Lake, MN 55767-9419 | 2006-07-06 |
| 1568801090 | Kendra Dawn Metz | Pharmacist | 4570 County Hwy 61, Moose Lake, MN 55767 | 2013-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437778529 | Essentia Health Moose Lake | Home Health | 30 Arrowhead Ln, Moose Lake, MN 55767 | 2020-04-09 |
| 1841775475 | Katherine Mcdowell | Social Worker | 451 Arrowhead Lane, Moose Lake, MN 55767 | 2018-09-28 |
| 1316191786 | Vision Pro | Optometrist | 125 W Arrowhead Rd, Moose Lake, MN 55767 | 2008-11-11 |
| 1265627327 | Dr. Joseph J. Jamros Optometry, Ltd. | Optometrist | 312 Elm Ave., Moose Lake, MN 55767 | 2007-09-12 |
| 1013108075 | Diane Louise Stellrecht | Psychologist | 505 3rd Street, Suite A, Moose Lake, MN 55767 | 2007-08-06 |
| 1073674529 | Downtown Dental Care Pa | Dentist | 304 Elm Ave, Moose Lake, MN 55767 | 2006-12-12 |
| 1760558399 | Joseph John Jamros | Optometrist | 312 Elm Ave, Moose Lake, MN 55767 | 2006-11-27 |
| 1205909991 | Msocs-moose Lake | Intermediate Care Facility, Mentally Retarded | 305 4th St, Moose Lake, MN 55767 | 2006-11-17 |
| 1295804482 | Moose Lake Community Hospital District | Home Health | 30 Arrowhead Lane, Moose Lake, MN 55767 | 2006-11-06 |
| 1396770772 | Sonja M. Roach | Nurse Practitioner | 4570 County Highway 61, Moose Lake, MN 55767 | 2006-07-12 |
| Find all providers in zip 55767 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396186151 | Jacob C Nelson | Pharmacist | 441 Arrowhead Ln, Moose Lake, MN 55767-7702 | 2013-07-09 |
| 1568099273 | Teresa Hornby | Pharmacist | 60 Arrowhead Ln, Moose Lake, MN 55767-9453 | 2020-03-24 |
| 1568801090 | Kendra Dawn Metz | Pharmacist | 4570 County Hwy 61, Moose Lake, MN 55767 | 2013-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1295334217 | Mary Jane Andersen | Pharmacist | 3300 Hwy 210 W, Fergus Falls, MN 56537 | 2020-10-21 |
| 1679172522 | Cari Michelle Labonne | Pharmacist | 4202 Creekwood Pl, Hermantown, MN 55811-3692 | 2020-10-21 |
| 1073112983 | Katie Sue Fairchild | Pharmacist | 2301 E Frontage Rd, Litchfield, MN 55355 | 2020-10-21 |
| 1609475615 | Blaine Perry Ecker | Pharmacist | 3300 Highway 210 W., 3300 Highway 210 West, Fergus Falls, MN 56537 | 2020-10-21 |
| 1619576626 | Jessica Margaret Dulli | Pharmacist | 5241 Lincoln Dr Apt 204, Edina, MN 55436-2702 | 2020-10-21 |
| 1649879875 | Dale Rudolph | Pharmacist | 320 22nd Ave Ne, Waseca, MN 56093-2670 | 2020-10-19 |
| 1134728520 | Herve Bertrand Kengne Mbakam | Pharmacist | 1800 Windsor Dr S, Shakopee, MN 55379-8073 | 2020-10-18 |
| 1821696402 | Leah Fischer | Pharmacist | 817 11th St N, New Ulm, MN 56073-1374 | 2020-10-15 |
| 1003414780 | Loren Leroy Carver | Pharmacist | 424 3rd St N, Stillwater, MN 55082-4836 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | MOOSE LAKE |
| Zip Code | 55767 |
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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.