ANNIKA LEE BLAINE (NPI# 1699253468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699253468 |
| Entity Type | Individual |
| Full Name | ANNIKA LEE BLAINE |
| Practice Address |
1700 University Ave W Saint Paul MN 55104-3727 |
| Mailing Address |
1619 Oakbrooke Dr Eagan MN 55122-4205 |
| Practice Telephone | 6122322002 |
| Mailing Telephone | 6122263385 |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-11-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1991914 | MN | Nursing Service Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
6070 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
6070 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | RN LICENSE | 1991914 | 01 |
| WI | RN LICENSE | 241607 | 01 |
| MN | CERTIFIED NURSE PRACTITIONER LICENSE | 6070 | 01 |
| Street Address |
1700 UNIVERSITY AVE W |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-3727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144287251 | Diane M Budnick | Nurse Practitioner | 1700 University Ave W, Medical Advanced Pain Specialists, Saint Paul, MN 55104-3727 | 2006-05-01 |
| 1255802187 | Angel N Moiyin | Interpreter | 1700 University Ave W, Saint Paul, MN 55104-3727 | 2018-12-17 |
| 1467927954 | Ashley Erin Trudell | Social Worker | 1700 University Ave W, Saint Paul, MN 55104-3727 | 2018-10-10 |
| 1851745327 | Ian Johnson | Acupuncturist | 1700 University Ave W, 6th Floor, Saint Paul, MN 55104-3727 | 2016-04-20 |
| 1912351545 | David Lewis Farley | Social Worker | 1700 University Ave W, 6th Floor, Saint Paul, MN 55104-3727 | 2016-04-20 |
| 1942663711 | Healtheast Care System | Pharmacy | 1700 University Ave W, Saint Paul, MN 55104 | 2016-03-30 |
| 1679938807 | Huechee Yang | Physical Therapist | 1700 University Ave W, Saint Paul, MN 55104-3727 | 2015-12-14 |
| 1609290717 | Diane Thomas | Nurse Practitioner | 1700 University Ave W, Saint Paul, MN 55104-3727 | 2014-02-10 |
| 1669807251 | Kou Vang | Interpreter | 1700 University Ave W, Saint Paul, MN 55104-3727 | 2013-09-13 |
| 1912339383 | Jannie Thao | Interpreter | 1700 University Ave W, Saint Paul, MN 55104-3727 | 2013-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538573449 | Rebecca Anne Lenz | Nurse Practitioner | 1172 Randolph Ave Apt 8, Saint Paul, MN 55105-2987 | 2014-06-18 |
| 1720016660 | Sasenarine Singh | Nurse Practitioner | 1690 University Ave W Ste 115, Saint Paul, MN 55104-3118 | 2006-06-29 |
| 1528043171 | Kathryn I Kreslins | Nurse Practitioner | 1055 Westgate Dr, Suite 100, Saint Paul, MN 55114-1065 | 2005-12-07 |
| 1508397290 | Shannon Marie Mooney | Nurse Practitioner | 45 10th St W, Saint Paul, MN 55102-1062 | 2017-03-23 |
| 1316347313 | Amanda Jean Lueck | Nurse Practitioner | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2014-08-27 |
| 1700215001 | Jenifer Wynne | Nurse Practitioner | 1055 Westgate Dr, Saint Paul, MN 55114-1065 | 2013-11-06 |
| 1215365606 | Maria Tarlue Keita | Nurse Practitioner | 1055 Westgate Dr, Suite 100, Saint Paul, MN 55114-1065 | 2013-10-22 |
| 1164702742 | Kelli A Petersen | Nurse Practitioner | 1055 Westgate Dr, Saint Paul, MN 55114-1065 | 2011-08-26 |
| 1750684049 | Lisa Marie Terhaar | Nurse Practitioner | 1055 Westgate Dr, Suite 100, Saint Paul, MN 55114-1065 | 2010-12-08 |
| 1649438417 | Momodou Ceesay | Nurse Practitioner | 1021 Bandana Blvd E, Suite 214, Saint Paul, MN 55108-5113 | 2008-05-29 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on ANNIKA LEE BLAINE.
| 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.