MICHELE SCHUBERG (NPI# 1619357167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619357167 |
| Entity Type | Individual |
| Full Name | MICHELE SCHUBERG |
| Practice Address |
1805 Hennepin Ave N Glencoe MN 55336-1416 |
| Practice Telephone | 3208647882 |
| Practice Fax Number | 3208647192 |
| Mailing Telephone | 6512703494 |
| Enumeration Date | 2015-05-30 |
| Last Update Date | 2015-11-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | CNP3710 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1805 HENNEPIN AVE N |
| City | GLENCOE |
| State | MN |
| Zip Code | 55336-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487647822 | Robert A Larter | Nurse Anesthetist, Certified Registered | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2005-08-30 |
| 1285120477 | Nicole Nash | Registered Nurse | 1805 Hennepin Ave N, Glencoe, MN 55336 | 2018-07-10 |
| 1750899209 | Lindsay Jo Mccain | Physician Assistant | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2018-01-18 |
| 1265951339 | Logan Becker | Nurse Anesthetist, Certified Registered | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2017-09-11 |
| 1083081582 | Patricia Jeanette De Loyal | Physician Assistant | 1805 Hennepin Ave N, Glencoe, MN 55336 | 2015-09-01 |
| 1477938058 | Abigail Frericks Bennett | Physician Assistant | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2015-07-24 |
| 1225435746 | Jennifer Keltgen | Physical Therapist | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2014-11-26 |
| 1134526650 | Kelsey Nowak | Physical Therapist | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2014-11-26 |
| 1396142089 | Jennifer Keenan | Physical Therapist | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2014-11-25 |
| 1497152359 | Clark Christianson | Physical Therapist | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2014-11-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316429160 | Lisa M Thompson | Speech-Language Pathologist | 2105 Hennepin Avenue North, Glencoe, MN 55336 | 2018-08-29 |
| 1609207943 | Sherry Sue Henkelmann | Respite Care | 7768-160th St., Glencoe, MN 55336 | 2013-12-12 |
| 1528277449 | Kelly Jo Higgins | Pharmacist | 2211 11th St. E., Glencoe, MN 55336 | 2007-05-21 |
| 1124180450 | Randy Robert Johnson | Chiropractor | 1706 East Tenth Street, Gauer Chiropractic Clinic, Glencoe, MN 55336 | 2006-12-14 |
| 1790863751 | Merrill D Nelson | Dentist | 1015 Greeley Ave, Glencoe, MN 55336 | 2006-11-01 |
| 1902982481 | Michelle Marie Quale | Registered Nurse | 1805 Hennepin Ave. North, Glencoe Regional Health Services, Glencoe, MN 55336 | 2006-10-27 |
| 1417912122 | Lee Medical Inc | Durable Medical Equipment & Medical Supplies | 1209 Greeley Avenue, Glencoe, MN 55336 | 2006-04-18 |
| 1154319705 | Kristine Leonard Knudten | Family Medicine | 1805 Hennepin Ave North, Glencoe, MN 55336 | 2005-10-07 |
| 1841640091 | Rachael Stoebe | Hearing Instrument Specialist | 2915 10th St E, Glencoe, MN 55336 | 2016-06-20 |
| 1417149113 | Bryan James Fritsch | Internal Medicine | 1805 Hennepin Ave. North, Glencoe Regional Health Services, Glencoe, MN 55336 | 2007-08-16 |
| Find all providers in zip 55336 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063734671 | Jimmy W Bowlin Jr Crnp LLC | Nurse Practitioner | 137 Hickory Ridge Dr, Glencoe, AL 35905-9603 | 2010-02-23 |
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| 1568071058 | Miranda Bea Irene Charley | Nurse Practitioner | 510 Water St E, Cannon Falls, MN 55009-1643 | 2020-07-30 |
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| 1568089340 | Emily Abernethy | Nurse Practitioner | 1001 E Superior St Ste 401, Duluth, MN 55802-2229 | 2020-06-29 |
| 1487276556 | Kerriann Godwin | Nurse Practitioner | 842 102nd Ln Ne, Blaine, MN 55434-2642 | 2020-05-12 |
| 1699397851 | School of Health LLC | Nurse Practitioner | 30165 Terryll St, Lindstrom, MN 55045-9310 | 2020-05-11 |
| 1255953626 | Carla Renea Boudoir | Nurse Practitioner | 18342 Kerrville Trl, Lakeville, MN 55044-7310 | 2020-05-08 |
| 1639799745 | Elizabeth Carole Moe | Nurse Practitioner | 2151 Troop Dr, Sartell, MN 56377-4563 | 2020-04-17 |
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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.