STEPHANIE B ALEXANDER (NPI# 1639186901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639186901 |
| Entity Type | Individual |
| Full Name | STEPHANIE B ALEXANDER |
| Other Name | MS. STEPHANIE B ALEXANDER |
| Credential | NP |
| Practice Address |
115 10th Ave Ne Ste A Deer River MN 56636-8795 |
| Mailing Address |
1702 University Dr S Fargo ND 58103-4940 |
| Practice Telephone | 2182468275 |
| Practice Fax Number | 2182468279 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | CNP498 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 0024127876 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
204077-0 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | STATE LICENSE | 204077-0 | 01 |
| VA | GROUP PTAN | C06778 | 01 |
| VA | DEA | MA0791752 | 01 |
| VA | SENTARA | 10001438 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202768 | Stephanie Yvonne Alexander | Nurse Practitioner | 2936 S Patterson Blvd, Dayton, OH 45419-1311 | 2020-10-13 |
| 1467872648 | Stephanie Alexander | Counselor | 4209 Nw 146th Ter, Oklahoma City, OK 73134-1753 | 2014-04-25 |
| 1528484144 | Stephanie Alexander X | Psychologist | 18 Villanova St, Staten Island, NY 10314-6032 | 2014-03-06 |
| 1174135040 | Stephanie Ann Alexander | Speech-Language Pathologist | 2535 Lone Star Dr, Dallas, TX 75212-6313 | 2020-08-20 |
| 1184232977 | Stephanie Alexander | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-07-17 |
| 1891250098 | Stephanie Renae Alexander | Physical Therapy Assistant | 2320 E Lamar Alexander Pkwy, Maryville, TN 37804-5316 | 2019-02-01 |
| 1609379437 | Stephanie Alexander | Physical Therapist | 3031 W Grand Blvd Ste 700, Detroit, MI 48202-3141 | 2018-03-18 |
| 1144732199 | Stephanie F. Alexander | Counselor | 1441 Constitution Blvd, Salinas, CA 93906-3100 | 2017-10-31 |
| 1972810877 | Stephanie Scott Alexander | Occupational Therapist | 245 Cahaba Valley Pkwy, Suite 200, Pelham, AL 35124-2216 | 2010-09-13 |
| Street Address |
115 10TH AVE NE STE A |
| City | DEER RIVER |
| State | MN |
| Zip Code | 56636-8795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306250402 | Tasha Waage | Nurse Practitioner | 115 10th Ave Ne Ste A, Deer River, MN 56636-8795 | 2014-06-17 |
| 1922233261 | Jared Evan Lund | Family Medicine | 115 10th Ave Ne Ste A, Eh Deer River Clinic, Deer River, MN 56636-8795 | 2009-05-15 |
| 1265681571 | Janna Lynn Block | Nurse Practitioner | 115 10th Ave Ne Ste A, Essentia Health Deer River Clinic, Deer River, MN 56636-8795 | 2008-09-10 |
| 1619043759 | Nancy Carol Zupan | Nurse Practitioner | 115 10th Ave Ne Ste A, Deer River, MN 56636-8795 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417464157 | Deer River Dental Clinic | Dentist | 111 Main Street E, Deer River, MN 56636 | 2018-01-03 |
| 1992251235 | Ashley Ann Seedorf | Counselor | 313 Main Avenue, Deer River, MN 56636 | 2016-08-28 |
| 1376969675 | Thomas Kleinkauf | Family Medicine | 33688 East Point Rd, Deer River, MN 56636 | 2014-03-11 |
| 1073527651 | Brielle A Loe | Family Medicine | 300 West Conan St., Duluth Clinic-ely, Ely, MN 56636 | 2006-07-28 |
| 1619949328 | Jeffrey Lee Carter | Dentist | 111 Main Street, Deer River, MN 56636 | 2006-02-06 |
| 1811425895 | Leah Hildebrandt | Dentist | 111 Main St, Po Box 40, Deer River, MN 56636 | 2017-06-02 |
| 1689739435 | Independent School District No 317 | Local Education Agency (LEA) | 101 1st Ave Ne, Deer River, MN 56636-0307 | 2006-12-22 |
| 1144794793 | Michaela Ashlyn Fairbanks | Specialist/Technologist | 44711 County Road 18, Deer River, MN 56636-2148 | 2019-01-16 |
| 1407153158 | Judy Louise Lemieux | Chiropractor | 37958 Amen Lake Rd, Deer River, MN 56636-3064 | 2011-02-15 |
| 1043554702 | Rodney C Horgen | Chiropractor | 37958 Amen Lake Rd, Deer River, MN 56636-3064 | 2012-11-19 |
| Find all providers in zip 56636 | ||||
| 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 |
|---|---|---|---|---|
| 1902258502 | Karissa Marie Schultz | Nurse Practitioner | 115 10th Avenue Ne Suite A, Essentia Health Deer River Clinic, Deer River, MN 56636-8795 | 2016-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803970 | Kelsey Olson | Nurse Practitioner | 2450 Riverside Ave Fl 9, Minneapolis, MN 55454-1450 | 2020-08-28 |
| 1043821622 | Byron Howard Herdman | Nurse Practitioner | 20671 State Highway 29, Henning, MN 56551-9521 | 2020-08-16 |
| 1568071058 | Miranda Bea Irene Charley | Nurse Practitioner | 510 Water St E, Cannon Falls, MN 55009-1643 | 2020-07-30 |
| 1861001059 | Angelsisters Home Healthcare Servies LLC | Nurse Practitioner | 10001 Butternut Cir N, Brooklyn Park, MN 55443-1864 | 2020-07-24 |
| 1720606544 | Kendra Marie Robida | Nurse Practitioner | 7245 Guider Dr Apt 317, Woodbury, MN 55125-5358 | 2020-07-08 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | DEER RIVER |
| Zip Code | 56636 |
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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.