DR. KRISTA ANN BLOMDAHL (NPI# 1649636283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649636283 |
| Entity Type | Individual |
| Full Name | DR. KRISTA ANN BLOMDAHL |
| Credential | D.C. |
| Practice Address |
203 Park Ave S Ste 101 Saint Cloud MN 56301-6146 |
| Practice Telephone | 3202535659 |
| Mailing Telephone | 3202535659 |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2017-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 6186 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1073817169 | 05 | |
| MN | 1407832512 | 05 | |
| MN | 1578541843 | 05 | |
| MN | 1851378376 | 05 |
| Street Address |
203 PARK AVE S STE 101 |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56301-6146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205452125 | Katie Marie Cooley | Massage Therapist | 203 Park Ave S Ste 101, Saint Cloud, MN 56301-6216 | 2020-06-17 |
| 1699395582 | Nicole Marie Urbanska | Massage Therapist | 203 Park Ave S Ste 101, Saint Cloud, MN 56301-6216 | 2020-04-21 |
| 1063041705 | Jessica Jo Berg | Massage Therapist | 203 Park Ave S Ste 101, Saint Cloud, MN 56301-6216 | 2020-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1316453442 | Amber Grengs | Behavior Technician | 3721 23rd St S Ste 201, Saint Cloud, MN 56301 | 2017-12-27 |
| 1124532999 | Ashley Aune Lewandowski | Chiropractor | 3333 W. Division St. Suite 122a, St. Cloud, MN 56301 | 2017-11-30 |
| 1962923680 | Inspired By You Home Care, LLC | Home Health | 2700 1st Street N, Suite 202, St Cloud, MN 56301 | 2017-07-03 |
| 1487189569 | Brett Finberg | Pharmacy Technician | 141 33rd Ave South, Saint Cloud, MN 56301 | 2017-04-26 |
| 1629513221 | Robert Schug | Pharmacy Technician | 141 33rd Ave S, Saint Cloud, MN 56301 | 2017-01-05 |
| 1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
| 1558728600 | Language Partners | Interpreter | 400 1st St S, Suite 600, St. Cloud, MN 56301 | 2016-01-20 |
| 1679981856 | Quality Homecare Services Inc | Home Health | 3450 W Germain St, Ste 206, St Cloud, MN 56301 | 2014-07-31 |
| 1063759546 | Grand St Paul Cvs, LLC | Durable Medical Equipment & Medical Supplies | 2420 Division St, St. Cloud, MN 56301 | 2013-01-03 |
| Find all providers in zip 56301 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548709777 | Brittany Leopardi | Chiropractor | 3131 Garden Ct, Saint Cloud, FL 34769-6304 | 2017-02-21 |
| 1861931099 | Avenue One Chiropractic LLC | Chiropractor | 1933 S Narcoossee Rd, Saint Cloud, FL 34771-7211 | 2017-02-21 |
| 1518323088 | Gabriel Marti- Santos | Chiropractor | 2013 Live Oak Blvd Ste D, Saint Cloud, FL 34771-8410 | 2016-01-13 |
| 1356683114 | Eric Michael Oltmanns | Chiropractor | 251 County Road 120 Ste B, Saint Cloud, MN 56303-4886 | 2013-03-20 |
| 1841561537 | Winters Family Chiropractic, Pa | Chiropractor | 4170 Thielman Ln Ste 104, Saint Cloud, MN 56301-3896 | 2012-01-26 |
| 1073753521 | Daniel Mark Kay | Chiropractor | 4503 Neptune Rd, Saint Cloud, FL 34769-6748 | 2009-02-24 |
| 1396990891 | Erika Leigh Yancey | Chiropractor | 44 28th Ave N, Suite H, Saint Cloud, MN 56303-4588 | 2008-11-25 |
| 1760642524 | Christopher Mcnichols | Chiropractor | 4028 13th St, Saint Cloud, FL 34769-6773 | 2008-06-14 |
| 1063686806 | Michael Svend Hanson | Chiropractor | 203 Cooper Ave N, Suite 160, Saint Cloud, MN 56303-4446 | 2008-04-14 |
| 1942490545 | Michael W. Smith D.c. Ltd | Chiropractor | 266 33rd Ave S Ste 7, Saint Cloud, MN 56301-4685 | 2007-07-30 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56301 |
Please comment or provide details below to improve the information on DR. KRISTA ANN BLOMDAHL.
| 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.