DR. HEATHER LEIGH BIBEAU (NPI# 1629345715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629345715 |
| Entity Type | Individual |
| Full Name | DR. HEATHER LEIGH BIBEAU |
| Other Name | DR. HEATHER LEIGH LORENZ |
| Credential | PHARM.D. |
| Practice Address |
258 Pine Tree Drive Bigfork MN 56628-0258 |
| Mailing Address |
Po Box 258 258 Pine Tree Drive Bigfork MN 56628-0258 |
| Practice Telephone | 2187434444 |
| Practice Fax Number | 2187434232 |
| Mailing Telephone | 2187434444 |
| Mailing Fax Number | 2187434232 |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 120090 | MN | Pharmacy Service Providers |
| Street Address |
258 PINE TREE DRIVE |
| City | BIGFORK |
| State | MN |
| Zip Code | 56628-0258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851335525 | Northern Itasca Hospital District | General Acute Care Hospital | 258 Pine Tree Drive, Bigfork, MN 56628 | 2006-06-15 |
| 1740558634 | Northern Itasca Hospital Pharmacy | Pharmacy | 258 Pine Tree Drive, Bigfork, MN 56628-0258 | 2011-12-06 |
| 1598063711 | Courtney Anne Loveridge | Physical Therapist | 258 Pine Tree Drive, Bigfork, MN 56628 | 2011-03-11 |
| 1679871909 | Harold Michael Olson Iv | Chiropractor | 258 Pine Tree Drive, Bigfork, MN 56628 | 2011-03-10 |
| 1447569942 | Nrs Arizona, Pa | Radiology | 258 Pine Tree Drive, Bigfork, MN 56628 | 2010-09-30 |
| 1356655948 | Sara Ann Elioff | Pharmacist | 258 Pine Tree Drive, Bigfork, MN 56628 | 2010-08-06 |
| 1538303730 | Jesse Lane | Pharmacist | 258 Pine Tree Drive, Bigfork, MN 56628-0258 | 2009-05-01 |
| 1487797544 | Northern Itasca Hospital District | Pharmacy | 258 Pine Tree Drive, Bigfork, MN 56628-0258 | 2007-02-15 |
| 1336184688 | Northern Itasca Hospital District | Assisted Living Facility | 258 Pine Tree Drive, Bigfork, MN 56628 | 2006-06-19 |
| 1194769265 | Northern Itasca Hospital District | Medicare Defined Swing Bed Unit | 258 Pine Tree Drive, Bigfork, MN 56628 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871926477 | Megan Brekke | Dietitian, Registered | 258 Pine Tree Dr, Bigfork, MN 56628 | 2013-08-19 |
| 1669585329 | Bigfork Ambulance Service Association | Ambulance | 105 Ash Street, Bigfork, MN 56628 | 2006-08-16 |
| 1649218231 | Suanne Marie Dullard | Dentist | 100 Pinetree Dr, Bigfork, MN 56628 | 2006-06-03 |
| 1861467219 | Heidi Jean Korstad | Family Medicine | 135 Pine Tree Drive, Bigfork, MN 56628 | 2006-02-21 |
| 1770073322 | Lucy Helen-nevanen Corrin | Dentist | 303 Main Ave, Bigfork, MN 56628 | 2018-05-18 |
| 1407367261 | Catherine Lynn Porter | Physician Assistant | 135 Pine Tree Dr, Bigfork, MN 56628 | 2017-10-19 |
| 1508307018 | Cook Area Health Services, Inc. | Dentist | 303 Main Ave, Bigfork, MN 56628 | 2017-03-16 |
| 1083165492 | Jeff Dahlquist | Physician Assistant | 135 Pine Tree Dr, Bigfork, MN 56628 | 2016-10-20 |
| 1164841540 | Barret Joella Myers Wolfson | Family Medicine | 135 Pine Tree Drive, Bigfork, MN 56628 | 2014-04-14 |
| 1346669348 | Chelsea Mann | Family Medicine | 135 Pine Tree Drive, Bigfork, MN 56628 | 2014-04-08 |
| Find all providers in zip 56628 | ||||
| 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 |
|---|---|---|---|---|
| 1194972323 | Keith Conrad Pearson | Pharmacist | 258 Pinetree Drive, Bigfork, MN 56628-0258 | 2008-08-19 |
| 1346742780 | Sara L Mcdonald | Pharmacist | 8111 Mt Highway 35, Bigfork, MT 59911-3588 | 2018-03-01 |
| 1598267106 | Stephanie Mills | Pharmacist | 8111 Mt Highway 35 Ste 7, Bigfork, MT 59911-3589 | 2018-02-28 |
| 1528560141 | Kimberly Murray | Pharmacist | 8111 Mt Highway 35, Bigfork, MT 59911-3588 | 2018-02-28 |
| 1356655948 | Sara Ann Elioff | Pharmacist | 258 Pine Tree Drive, Bigfork, MN 56628 | 2010-08-06 |
| 1659505253 | Paula M Taylor | Pharmacist | 258 Pinetree Drive, Bigfork, MN 56628 | 2009-05-11 |
| 1538303730 | Jesse Lane | Pharmacist | 258 Pine Tree Drive, Bigfork, MN 56628-0258 | 2009-05-01 |
| 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 | ||||
Please comment or provide details below to improve the information on DR. HEATHER LEIGH BIBEAU.
| 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.