STEPPING STONE CLINIC, LLC (NPI# 1720526759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720526759 |
Entity Type | Organization |
Organization Name | STEPPING STONE CLINIC, LLC |
Practice Address |
6625 Lyndale Ave S Suite 500 Richfield MN 55423-2373 |
Mailing Address |
5637 Colfax Ave S Minneapolis MN 55419-1747 |
Practice Telephone | 6128863704 |
Practice Fax Number | 6128863681 |
Mailing Telephone | 7017417830 |
Mailing Fax Number | 6128863681 |
Enumeration Date | 2017-02-09 |
Last Update Date | 2017-02-09 |
Authorized Official Name | DR. RACHELLE HANSEN (CLINICAL DIRECTOR) |
Authorized Official Telephone | 7017417830 |
Authorized Official Credential | PHD, LP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
CORP00418 | MN | Ambulatory Health Care Facilities |
Street Address |
6625 LYNDALE AVE S SUITE 500 |
City | RICHFIELD |
State | MN |
Zip Code | 55423-2373 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164807673 | Jennifer Brady-johnson | Specialist | 6625 Lyndale Ave S, Richfield, MN 55423-2373 | 2015-07-26 |
1588210835 | Emily Larenzie | Occupational Therapist | 6625 Lyndale Ave S, Richfield, MN 55423-2373 | 2019-08-13 |
1942749668 | Kristi Pink | Nutritionist | 6625 Lyndale Ave S, Suite 500, Richfield, MN 55423-2373 | 2017-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841844081 | Ann Niebuhr | Counselor | 6417 Penn Ave S Ste 8 #2, Minneapolis, MN 55423 | 2019-07-25 |
1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
1992238190 | Certified Care Planner LLC | Home Health | 1515 E 66th Street Suite 105, Richfield, MN 55423 | 2017-04-05 |
1245780121 | Rachel Lauren Marston | Audiologist | 7745 2nd Ave S., Suite 1, Richfield, MN 55423 | 2016-10-04 |
1023564093 | Justine Welch Mastin | Counselor | 6640 Lyndale Ave S Ste 110, Minneapolis, MN 55423 | 2016-08-30 |
1215480942 | Smart Choice Mri, LLC | Clinic/Center | 1704 E 66th St, Minneapolis, MN 55423 | 2016-07-29 |
1225425531 | Maria Lourdes Nolasco De Leon | Registered Nurse | 6511 12th Ave. S, Richfield, MN 55423 | 2015-04-24 |
1508261926 | Ally Medical Supply | Durable Medical Equipment & Medical Supplies | 6238 Lyndale Ave South, Suite # 2, Richfield, MN 55423 | 2014-10-28 |
1811230097 | Barb Rose Olson | Registered Nurse | 6461 Lyndale Ave. So, Richfield, MN 55423 | 2013-04-05 |
1902149404 | Nina Kae Hanevik | Registered Nurse | 6461 Lyndale Ave So, Richfield, MN 55423 | 2013-04-03 |
Find all providers in zip 55423 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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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.