KAITLIN AHLSKOG


Address: 1400 Jefferson Rd, Northfield, MN 55057-3081
Phone: 5076639000

KAITLIN AHLSKOG (NPI# 1649638883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649638883
Entity Type Individual
Full Name KAITLIN AHLSKOG
Credential P.A.-C.
Practice Address 1400 Jefferson Rd
Northfield
MN 55057-3081
Practice Telephone 5076639000
Mailing Telephone 5076639000
Enumeration Date 2016-02-02
Last Update Date 2018-03-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AM0700X Physician Assistant
Specialization: Medical
083328 IA Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
MN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
740 E Oak St, Monticello, IA 523101745 6517672136

Office Location

Street Address 1400 JEFFERSON RD
City NORTHFIELD
State MN
Zip Code 55057-3081

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295710812 Trent Ronald Steenblock Podiatrist 1400 Jefferson Rd, Northfield, MN 55057-3081 2005-12-07
1215565544 Natalya Gail Meehan Social Worker 1400 Jefferson Rd, Northfield, MN 55057-3081 2020-03-31
1477078525 Kimberly Ann Szajner Psychologist 1400 Jefferson Rd, Northfield, MN 55057-3081 2017-08-10
1114450921 Adei Shaqra Family Medicine 1400 Jefferson Rd, Northfield, MN 55057-3081 2017-04-07
1518490325 Siri Shaqra Student in an Organized Health Care Education/Training Program 1400 Jefferson Rd, Northfield, MN 55057-3081 2017-04-07
1437693546 Sheralyn J Mcclelland Acupuncturist 1400 Jefferson Rd, Northfield, MN 55057-3081 2016-12-08
1023552130 Lara Brown Social Worker 1400 Jefferson Rd, Northfield, MN 55057-3081 2016-12-08
1578917050 Robyn Hegland Family Medicine 1400 Jefferson Rd, Northfield, MN 55057-3081 2016-04-20
1467818161 Abby Kershaw Physician Assistant 1400 Jefferson Rd, Northfield, MN 55057-3081 2016-01-11
1245657816 Kristina Vandyke Social Worker 1400 Jefferson Rd, Northfield, MN 55057-3081 2014-03-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831750322 Rebecca Brooks Amundson Marriage & Family Therapist 570 Professional Drive, Northfield, MN 55057 2019-06-25
1639734635 Benedictine Living Community of Northfield, LLC Assisted Living Facility 2030 North Avenue, Northfield, MN 55057 2019-05-06
1053798637 Kevin Cassin Optometrist 2019 Jefferson Rd Ste A, Northfield, MN 55057 2015-05-02
1538446059 Salwa Bakkali Derksen Hospitalist 2000 N Avenue, Northfield, MN 55057 2011-11-11
1689804783 Angela Lynn Burt Occupational Therapist 815 Forest Ave., Three Links Care Center, Northfield, MN 55057 2009-07-23
1659519106 Heidi Lee Auge Physical Therapist 805 Forest Avenue, Three Links Care Center-therapy, Northfield, MN 55057 2009-01-21
1639326689 Tina Swenson Speech-Language Pathologist 1 Northfield, Northfield, MN 55057 2008-08-21
1356567739 Eric Allen Cram Chiropractor 158 Water St. N, Suite 2, Northfield, MN 55057 2007-04-17
1407072689 Justine Faye Politz Nurse Practitioner Northfield Hopital, 2000 N. Ave., Northfield, MN 55057 2007-04-17
1518080399 John Jacques Hilo Chiropractor 158 Water St. N., Suite 2, Northfield, MN 55057 2007-04-09
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114492964 Molly Goss Physician Assistant 1817 Sunset Dr, Northfield, MN 55057-3246 2018-10-09
1770641227 Jennifer L Grossman Physician Assistant 2014 Jefferson Rd, Northfield Urgent Care, Northfield, MN 55057-3251 2006-12-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255969150 Isaac Waalen Physician Assistant 5420 Circle Down, Minneapolis, MN 55416-1312 2020-03-28
1730643701 Christina Jones Physician Assistant 11850 Blackfoot St Nw Ste 270, Coon Rapids, MN 55433-2593 2019-01-24
1932600160 Ellen Kathryn Freeman Physician Assistant 111 Hundertmark Rd Ste 480, Chaska, MN 55318-1485 2018-02-22
1174041875 Kristen Webb Physician Assistant 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 2017-09-01
1073051751 Hannah Elizabeth Rosenthal Danielson Physician Assistant 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 2017-02-02
1457893984 Daniel Ryan Nguyen Physician Assistant 14551 Co Rd #11 #100, Burnsville, MN 55337 2016-11-15
1538545686 Kathryn Jelle Physician Assistant 3931 Louisiana Ave S # 55426, St Louis Park, MN 55426-5000 2015-07-30
1831503267 Karrah Oliver Physician Assistant 205 Roosevelt Ave W, Karlstad, MN 56732-4022 2014-06-13
1477981777 Melissa Ferraz De Toledo Physician Assistant 9145 Springbrook Dr Nw Ste 300, Coon Rapids, MN 55433-5897 2013-10-23
1821423781 Sarah L Davis Physician Assistant 6405 France Ave S Ste 200, Edina, MN 55435 2013-09-11
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Competitor

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City NORTHFIELD
Zip Code 55057

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Dataset Information

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.

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