LEAH NICOLE AGNEBERG


Address: 8100 W 78th St Ste 230, Edina, MN 55439-2570
Phone: 9529469777

LEAH NICOLE AGNEBERG (NPI# 1720547920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720547920
Entity Type Individual
Full Name LEAH NICOLE AGNEBERG
Credential PA-C
Practice Address 8100 W 78th St Ste 230
Edina
MN 55439-2570
Practice Telephone 9529469777
Mailing Telephone 9529469777
Enumeration Date 2019-03-18
Last Update Date 2020-11-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 12970 MN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
225 Smith Ave N Ste 300, Saint Paul, MN 551022592 9529469777

Office Location

Street Address 8100 W 78TH ST STE 230
City EDINA
State MN
Zip Code 55439-2570

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689646853 Vinton Douglas Pierce Jr. Orthopaedic Surgery 8100 W 78th St Ste 230, Edina, MN 55439-2570 2006-02-02
1275090680 Molly Mae Giebel Physician Assistant 8100 W 78th St Ste 230, Edina, MN 55439-2570 2019-02-22
1891201984 Madeline K Johnson Physician Assistant 8100 W 78th St Ste 230, Edina, MN 55439-2570 2017-12-27
1720481245 Courtney L Duffy Physician Assistant 8100 W 78th St Ste 230, Edina, MN 55439-2570 2014-09-29
1801239249 Joseph Denis Schirmers Orthopaedic Surgery 8100 W 78th St Ste 230, Edina, MN 55439-2570 2013-04-16
1780942631 John David Breen Orthopaedic Surgery 8100 W 78th St Ste 230, Edina, MN 55439 2012-04-29
1306137047 Bishoy Gad Orthopaedic Surgery 8100 W 78th St Ste 230, Edina, MN 55439-2570 2011-04-28
1508099656 Allina Health System Orthopaedic Surgery 8100 W 78th St Ste 230, Edina, MN 55439-2570 2009-08-24
1922131119 Maureen Ann Torney Occupational Therapist 8100 W 78th St Ste 230, Edina, MN 55439-2570 2007-03-14
1649336975 Robert William Tuttle Orthopaedic Surgery 8100 W 78th St Ste 230, Edina, MN 55439-2570 2006-12-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538773601 Bryan James Jaquette Specialist/Technologist Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 2020-09-04
1063034411 Joseph E Noble Marriage & Family Therapist 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 2020-05-08
1316421050 Global Kinetics Usa Corporation Physiological Laboratory 5810 West 78th Street, Suite 210, Bloomington, MN 55439 2018-09-19
1003361601 Zainab Ismail Hassan Community Health Worker 5400 W. 70th St # 207, Edina, MN 55439 2016-08-24
1861852287 Global Linguistics Inc Interpreter 5535 Oak Glen Rd, Edina, MN 55439 2016-02-26
1063889616 Lindsey Mackereth Counselor 7117 Ohms Ln, Edina, MN 55439 2015-08-31
1851706105 Holly Beth Gaudreau Specialist/Technologist 8100 W 78th St., Suite 225, Edina, MN 55439 2014-06-25
1841504792 Michelle R Aumock Physician Assistant 8100 W 78th Street, Ste 230, Edina, MN 55439 2010-08-03
1770812174 Heather Lynn Hanson Grudzinski Counselor 7400 Metro Blvd #100-6, Edina, MN 55439 2009-12-14
1548599319 Catasys Health Minnesota, Inc. Case Management 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 2009-12-08
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033756168 Chandler R Hutton Physician Assistant 6550 York Ave S Ste 112, Edina, MN 55435-2332 2019-12-09
1619529369 Mh 101, PC Physician Assistant 6801 Washington Ave S Ste 100, Edina, MN 55439-1523 2019-07-12
1730651639 Taylor Lee Kehoe Physician Assistant 7400 France Ave., Suite #100, Edina, MN 55435 2018-12-18
1346676319 Catherine Anne Cecconi Physician Assistant 6545 France Ave S Ste 586, Edina, MN 55435 2013-09-22
1255619813 Evan M Burgart Physician Assistant 6363 France Ave S Ste 400, Edina, MN 55435-2130 2011-08-01
1962737981 Melissa Faye Hall Physician Assistant 6363 France Avenue South, Suite 400, Edina, MN 55435 2009-10-08
1588825145 Bennett Ezra Goltz Physician Assistant 6363 France Ave S Ste 103, Edina, MN 55435 2008-06-17
1013105907 Maisy Monica Sanneman Physician Assistant 6525 France Ave. S., Suite 200, Edina, MN 55435 2007-10-05
1699701672 Sarah Teresa Bot Physician Assistant 6525 France Ave South, Suite 100, Edina, MN 55435-3624 2006-06-23
1336108224 J Robert Noel IIi Physician Assistant Fairview Geriatric Services, 7505 Metro Blvd Suite 100, Edina, MN 55439 2006-03-21
Find all providers in EDINA

Competitor

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City EDINA
Zip Code 55439

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Dataset Information

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.

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