ETHAN JACOB NEMMERS (NPI# 1700415692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700415692 |
| Entity Type | Individual |
| Full Name | ETHAN JACOB NEMMERS |
| Practice Address |
2535 University Ave Se Minneapolis MN 55414-3205 |
| Mailing Address |
500 S Dakota Ave Apt 7 Sioux Falls SD 57104-6844 |
| Practice Telephone | 6126722350 |
| Mailing Telephone | 6055958159 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2535 UNIVERSITY AVE SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55414-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306813217 | Pamela M Heggie | Pediatrics | 2535 University Ave Se, Minneapolis, MN 55414-3205 | 2006-03-01 |
| 1770937781 | Tanya Lynn Velishek | Nurse Practitioner | 2535 University Ave Se, Minneapolis, MN 55414-3205 | 2016-04-15 |
| 1851570956 | Kathleen Averill | Nurse Practitioner | 2535 University Ave Se, Minneapolis, MN 55414-3205 | 2007-10-25 |
| 1245422021 | Fairview Clinics | Clinic/Center | 2535 University Ave Se, Minneapolis, MN 55414-3205 | 2007-08-15 |
| 1982752614 | Janelle M Dailey | Pediatrics | 2535 University Ave Se, Minneapolis, MN 55414-3205 | 2007-01-08 |
| 1043380926 | Emily Cray Borman-shoap | Pediatrics | 2535 University Ave Se, Minneapolis, MN 55414-3205 | 2006-11-08 |
| 1295840783 | Nancy Lorene Ott | Allergy & Immunology | 2535 University Ave Se, Minneapolis, MN 55414-3205 | 2006-08-21 |
| 1285660837 | Mark J Wanderman | Pediatrics | 2535 University Ave Se, Minneapolis, MN 55414-3205 | 2006-06-24 |
| 1518934280 | Carolyn J Mckay | Pediatrics | 2535 University Ave Se, Minneapolis, MN 55414-3205 | 2006-03-02 |
| 1831166743 | Karl H Chun | Pediatrics | 2535 University Ave Se, Minneapolis, MN 55414-3205 | 2006-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1346888732 | Danielle Lee Ann Vogler-bos | Naturopath | 575 Se 9th St, Suite #52, Minneapolis, MN 55414 | 2019-12-16 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1346806585 | Kristen Bastug | Student in an Organized Health Care Education/Training Program | General Pediatrics and Adolescent Health, 1932k, 1717 Delaware Street Southeast, Suite 353, Minneapolis, MN 55414 | 2019-05-14 |
| 1053881698 | Lauren Michelle Scholder | Psychologist | 401 Main St Se Apt 7009, Minneapolis, MN 55414 | 2018-11-27 |
| 1427530666 | Kelli Howard | Psychologist | 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2018-09-04 |
| 1306370218 | Jiexiong Yang | Student in an Organized Health Care Education/Training Program | 814 Essex St Se, Minneapolis, MN 55414 | 2017-04-18 |
| 1598297699 | Patrick Curran | Student in an Organized Health Care Education/Training Program | 628 University Ave Se, Apt. 112, Minneapolis, MN 55414 | 2017-03-29 |
| 1679923957 | Jillian Theresa Tholen | Dietitian, Registered | 411 E Hennepin Ave, Minneapolis, MN 55414 | 2016-06-16 |
| 1073960290 | First Language Interpreter & Translation Services LLC | Interpreter | 2828 University Ave Se Suite 150, Minneapolis, MN 55414 | 2016-05-17 |
| Find all providers in zip 55414 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961003 | Maren Elizabeth Iverson | Student in an Organized Health Care Education/Training Program | 1 Veterans Dr # 160, Minneapolis, MN 55417-2309 | 2020-10-26 |
| 1235745027 | Andrew Ryan Mcnamara | Student in an Organized Health Care Education/Training Program | 1015 Lowry Ave Ne Apt 3, Minneapolis, MN 55418-3727 | 2020-09-17 |
| 1831704923 | Chelsea Armbruster | Student in an Organized Health Care Education/Training Program | 1001 34th Ave Ne, Minneapolis, MN 55418-1336 | 2020-09-15 |
| 1588279715 | Lauren Snell | Student in an Organized Health Care Education/Training Program | 929 Portland Ave Apt 1104, Minneapolis, MN 55404-1256 | 2020-09-14 |
| 1962016840 | Leora Effinger-weintraub | Student in an Organized Health Care Education/Training Program | 3928 39th Ave S, Minneapolis, MN 55406-3431 | 2020-09-08 |
| 1235743279 | Marc Daniel Beitz | Student in an Organized Health Care Education/Training Program | 100 W Franklin Avenue, Suite 200, Minneapolis, MN 55404-3479 | 2020-09-08 |
| 1801409396 | Antoinette M Goodman | Student in an Organized Health Care Education/Training Program | 2800 Freeway Blvd Ste 105, Minneapolis, MN 55430-1751 | 2020-08-25 |
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1023639309 | Sarah G Curtis | Student in an Organized Health Care Education/Training Program | 701 Park Ave # G5.122, Minneapolis, MN 55415-1623 | 2020-04-28 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55414 |
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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.