DR. ERIN ELIZABETH BLACKWELL (NPI# 1649729088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649729088 |
| Entity Type | Individual |
| Full Name | DR. ERIN ELIZABETH BLACKWELL |
| Other Name | DR. ERIN ELIZABETH IGO |
| Credential | APRN |
| Practice Address |
5901 Lincoln Dr Edina MN 55436 |
| Practice Telephone | 9529925740 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2018-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R 183333-1 | MN | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
CNP4905 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043769839 | Erin Elizabeth Blackwell | Social Worker | 407 E Russell Ave Ste A4, Warrensburg, MO 64093-1242 | 2016-09-22 |
| 1952962839 | Erin Vick Blackwell | Physical Therapist | 2515 E Glenn Ave Ste 104, Auburn, AL 36830-6448 | 2019-06-22 |
| 1225323272 | Erin Blackwell | Pharmacist | 1101 C-bar Ranch Trl, T-2342, Cedar Park, TX 78613-7595 | 2011-06-17 |
| Street Address |
5901 LINCOLN DR |
| City | EDINA |
| State | MN |
| Zip Code | 55436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336148345 | James A Engels | Orthopaedic Surgery | 5901 Lincoln Dr, Edina, MN 55436 | 2005-07-20 |
| 1699376756 | Premise Health of Minnesota Medical P C | Clinic/Center | 5901 Lincoln Dr, Edina, MN 55436-1611 | 2020-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326697277 | Nancy L. Dahlien | Technician | 5825 Tracy Avenue, Edina, MN 55436 | 2019-09-04 |
| 1194232033 | Kathryn Lagrave Reaney | Social Worker | 5050 Lincoln Dr Ste 350, Edina, MN 55436 | 2017-12-31 |
| 1417403296 | Lori Walker | Marriage & Family Therapist | 5780 Lincoln Drive, Suite 108, Edina, MN 55436 | 2016-08-31 |
| 1417374729 | Alisha Englund | Nurse Practitioner | 5901 Lincoln Drive, Cbc-ehs-2, Edina, MN 55436 | 2014-03-25 |
| 1669894887 | Orthodontic Care Specialists, Pllc | Dentist | 4980 W. 77th St., Edina, MN 55436 | 2014-01-07 |
| 1184976920 | Meisa Interpreting & Translation Services LLC. | Case Management | 5656 Lincoln Dr, Edina, MN 55436 | 2012-10-03 |
| 1730466996 | Gina Louise Smith Hughes | Dentist | 5101 Vernon Avenue South, Suite 1 B, Edina, MN 55436 | 2011-11-15 |
| 1669642864 | Diagnostic Imaging | Clinic/Center | 5021 Vernon Ave So, Suite 300, Edina, MN 55436 | 2008-03-04 |
| 1821266529 | Proreads | Clinic/Center | 5021 Vernon Ave S, Suite 300, Edina, MN 55436 | 2008-02-15 |
| 1386729978 | Rem Hennepin Inc | Intermediate Care Facility, Mentally Retarded | 5100 William Avenue, Edina, MN 55436 | 2006-10-25 |
| Find all providers in zip 55436 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164426714 | Marjorie Louise Audette | Nurse Practitioner | 3250 West 66th Street, Suite 210, Edina, MN 55435 | 2005-06-10 |
| 1558474106 | Jennifer Lee Weyandt | Nurse Practitioner | 6401 France Ave S, Edina, MN 55435-2104 | 2006-08-17 |
| 1497701551 | Kathleen Marie Eide | Nurse Practitioner | 6401 France Ave S, Edina, MN 55435-2104 | 2006-05-26 |
| 1144276973 | Mary Alycia Johnson | Nurse Practitioner | 6401 France Ave S, Edina, MN 55435-2104 | 2006-05-25 |
| 1447203336 | Amy Margaret Janisch | Nurse Practitioner | 6401 France Ave S, Edina, MN 55435-2104 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518587120 | Amanda Joy Dominik | Nurse Practitioner | 4411 Arden View Ct, Arden Hills, MN 55112-1944 | 2020-04-23 |
| 1881245504 | Hailey Prescott | Nurse Practitioner | 2450 Riverside Avenue Se, Minneapolis, Mn, MN 55454-1400 | 2019-09-24 |
| 1598317570 | Elisabeth Palmquist | Nurse Practitioner | 12000 Elm Creek Blvd N Ste 250, Maple Grove, MN 55369-7164 | 2019-07-10 |
| 1538644562 | Angela Ashton | Nurse Practitioner | 345 Smith Ave N Ste 404, Saint Paul, MN 55102-2346 | 2018-09-25 |
| 1558865295 | Meghan Kerry Deyo | Nurse Practitioner | 1804 7th St W Ste 200, Saint Paul, MN 55116-2300 | 2018-03-19 |
| 1336642131 | Caitlin Anna Lingbeck | Nurse Practitioner | 14001 Ridgedale Dr #100, Minnetonka, MN 55305-1781 | 2018-03-18 |
| 1740799246 | Maya Bastian | Nurse Practitioner | 12220 Travois Rd, Eden Prairie, MN 55347-4241 | 2017-09-27 |
| 1821523028 | Robin Marie Parker | Nurse Practitioner | 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 | 2017-04-25 |
| 1538691043 | Jenifer Flegel | Nurse Practitioner | 963 Robert St S, West Saint Paul, MN 55118-1446 | 2017-04-03 |
| 1154796811 | Megan Stark | Nurse Practitioner | 2805 Campus Dr Ste 235, Plymouth, MN 55441-2678 | 2015-12-07 |
| Find all providers with the same taxonomy | ||||
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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.