NATALIE MARIE CONCANNON (NPI# 1720422645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720422645 |
| Entity Type | Individual |
| Full Name | NATALIE MARIE CONCANNON |
| Other Name | NATALIE MARIE GROME |
| Credential | PA |
| Practice Address |
910 E 26th St Suite 100 Minneapolis MN 55404 |
| Mailing Address |
136 Mountainview Blvd Basking Ridge NJ 07920-3444 |
| Practice Telephone | 6128846300 |
| Practice Fax Number | 6128846363 |
| Mailing Telephone | 9085423000 |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2018-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00473600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 910 E 26th St, Suite 100, Minneapolis, MN 554044526 | 6128846300 | 6128846363 |
| Street Address |
910 E 26TH ST SUITE 100 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264435 | Timothy Alan Lander | Otolaryngology | 910 E 26th St, Ste 323, Minneapolis, MN 55404-4549 | 2005-06-08 |
| 1285166637 | Jessica Lynn Bonden | Physician Assistant | 910 E 26th St, Minneapolis, MN 55404-4526 | 2017-04-03 |
| 1154788297 | Jacob Joseph Garin | Social Worker | 910 E 26th St, Suite 410, Minneapolis, MN 55404-4526 | 2016-01-20 |
| 1790176055 | Sarah Anne Gillis Eckhardt | Psychologist | 910 E 26th St, Suite 410, Minneapolis, MN 55404-4526 | 2015-02-09 |
| 1134523483 | Angela Stephens | Dietitian, Registered | 910 E 26th St, Suites 100-200, Minneapolis, MN 55404-4526 | 2014-10-15 |
| 1346652823 | Crystal Bryant | Nurse Practitioner | 910 E 26th St, Suite 100-200, Minneapolis, MN 55404-4526 | 2014-06-02 |
| 1568786150 | Minnesota Colon & Rectal Surgical Specialists, Pllc | Clinic/Center | 910 E 26th St, Suite 101, Minneapolis, MN 55404-4526 | 2010-03-25 |
| 1548490329 | Samith Thomas Kochuparambil | Internal Medicine | 910 E 26th St, Suite 100, Minneapolis, MN 55404-4526 | 2009-07-15 |
| 1609002633 | Christina Jane Jarosch | Psychiatry & Neurology | 910 E 26th St, Suite 410, Minneapolis, MN 55404-4526 | 2009-06-04 |
| 1972737997 | Jessica M Cici | Psychiatry & Neurology | 910 E 26th St, Ste 410, Minneapolis, MN 55404-4526 | 2009-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969150 | Isaac Waalen | Physician Assistant | 5420 Circle Down, Minneapolis, MN 55416-1312 | 2020-03-28 |
| 1588998744 | Regional Physician Services of Minnesota PC | Physician Assistant | 100 S 5th St Fl 19, Minneapolis, MN 55402-1210 | 2009-09-21 |
| 1295983203 | Millicent Julia Marwa | Physician Assistant | 2711 E Franklin Avenue, Minneapolis, MN 55406 | 2008-09-03 |
| 1134389646 | Jesse G Powell | Physician Assistant | 701 Park Ave Mail Code:01, Minneapolis, MN 55415-1829 | 2008-06-10 |
| 1003013137 | Meghan Elizabeth Brant | Physician Assistant | 2603 39th Ave Ne Ste D202, Minneapolis, MN 55421-4372 | 2007-07-02 |
| 1194880591 | Katherine J Huntington | Physician Assistant | 3017 Bloomington Ave, Minneapolis, MN 55407-1715 | 2006-12-26 |
| 1558323352 | Sarah Anne Bolstad | Physician Assistant | 920 E 28th St Ste 700, Minneapolis, MN 55407-1163 | 2006-04-05 |
| 1043281678 | Mark Winkler | Physician Assistant | 715 S 8th St, Minneapolis, MN 55404 | 2006-01-31 |
| 1679047310 | Caitlin Ann Hiniker | Physician Assistant | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2019-01-16 |
| 1871094086 | David Masterman | Physician Assistant | 701 Park Ave, Minneapolis, MN 55415-1623 | 2018-02-22 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
Please comment or provide details below to improve the information on NATALIE MARIE CONCANNON.
| 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.