KELLY RAE HEMMER (NPI# 1669751079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669751079 |
| Entity Type | Individual |
| Full Name | KELLY RAE HEMMER |
| Other Name | KELLY RAE BLAZEK |
| Credential | APRN-NP |
| Practice Address |
270 Main St N Ste 300 Stillwater MN 55082-6788 |
| Mailing Address |
270 Main St N Ste 300 Stillwater MN 55082-6788 |
| Practice Telephone | 6513421039 |
| Mailing Telephone | 6513421039 |
| Mailing Fax Number | 6513421428 |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 283 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | R 147087-5 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5200 Fairview Blvd, Wyoming, MN 550928013 | 6519827000 |
| Street Address |
270 MAIN ST N STE 300 |
| City | STILLWATER |
| State | MN |
| Zip Code | 55082-6788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811971179 | Todd H Holm | Family Medicine | 270 Main St N, Stillwater, MN 55082-6785 | 2005-12-01 |
| 1881059707 | Anna Linde Gove Stanislawski | Nurse Practitioner | 270 Main St N, Ste. 300, Stillwater, MN 55082-6785 | 2015-12-18 |
| 1659761898 | Kourtny Long | Physician Assistant | 270 Main St N, #300, Stillwater, MN 55082-6785 | 2015-01-26 |
| 1801202270 | Stephanie Marie Goese | Nurse Practitioner | 270 Main St N, Stillwater, MN 55082-6785 | 2014-07-07 |
| 1306287685 | Kelli Jo Syltie Miller | Physician Assistant | 270 Main St N, Suite 300, Stillwater, MN 55082-6785 | 2013-07-15 |
| 1851647812 | Cheryl Vukmanich | Nurse Practitioner | 270 Main St N, Suite 300, Stillwater, MN 55082-6785 | 2012-07-27 |
| 1366720260 | Katie Lynn Heins | Nurse Practitioner | 270 Main St N, Suite 300, Stillwater, MN 55082-6788 | 2011-07-26 |
| 1851567192 | Preston Joshua Hatlestad | Family Medicine | 270 Main St N, Suite 300, Stillwater, MN 55082-6785 | 2008-05-06 |
| 1215110465 | Jennifer Siegle | Physician Assistant | 270 Main St N, Suite 300, Stillwater, MN 55082-6785 | 2007-12-11 |
| 1033213228 | Matthew James Logan | Family Medicine | 270 Main St N, Ste 300, Stillwater, MN 55082-6788 | 2006-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
| 1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
| 1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
| 1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
| 1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
| 1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| Find all providers in zip 55082 | ||||
| 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 |
|---|---|---|---|---|
| 1396788717 | Karen E Johnson | Nurse Practitioner | 1047 Delano Way, Stillwater, MN 55082-4538 | 2006-06-14 |
| 1770105033 | Shannon Lynn Mcalpine | Nurse Practitioner | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2020-05-09 |
| 1174186084 | Andrea Mitchell Riess | Nurse Practitioner | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 | 2019-04-16 |
| 1184182420 | Allison Fiedler | Nurse Practitioner | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2019-03-06 |
| 1295237154 | Mary Reff | Nurse Practitioner | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2018-03-06 |
| 1427575877 | Valoree Whiting | Nurse Practitioner | 809 S Walnut St, Stillwater, OK 74074-4226 | 2017-08-26 |
| 1760915961 | Jennifer Lauren Bryant | Nurse Practitioner | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2017-04-05 |
| 1003351602 | Natalie Cowell | Nurse Practitioner | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2017-01-05 |
| 1679015416 | Mirabel Forteh | Nurse Practitioner | 1301 W 6th Ave Ste 207, Stillwater, OK 74074-4381 | 2016-11-10 |
| 1366868754 | Karen Trutnau | Nurse Practitioner | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2014-03-10 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 55082 |
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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.