TAMRA J GILBERTSON (NPI# 1730367939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730367939 |
| Entity Type | Individual |
| Full Name | TAMRA J GILBERTSON |
| Other Name | TAMRA J JACOBSEN |
| Credential | PA-C |
| Practice Address |
1611 Anne St Nw Bemidji MN 56601-5114 |
| Mailing Address |
1300 Anne St Nw Bemidji MN 56601-5103 |
| Practice Telephone | 2183335000 |
| Mailing Telephone | 2187515430 |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2019-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 0664 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2150 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1300 Anne St Nw, Bemidji, MN 566015103 | 2187515430 |
| Street Address |
1611 ANNE ST NW |
| City | BEMIDJI |
| State | MN |
| Zip Code | 56601-5114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790752905 | Valerie Louise Fox | Family Medicine | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2006-03-07 |
| 1336775717 | Shelly Marie Mahowald | Nurse Practitioner | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2020-03-18 |
| 1124517511 | Kelsey Lucia Sjogren | Registered Nurse | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2018-05-01 |
| 1023461100 | Tinuade Olukemi Okoro | Pediatrics | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2016-07-13 |
| 1205297512 | Alison Elizabeth Hanson | Nurse Practitioner | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2016-03-14 |
| 1568861607 | Megan Hansen | Social Worker | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2014-08-14 |
| 1538571468 | Michael Jaje | Family Medicine | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2014-05-27 |
| 1265842199 | Prabha Nanjundamurthy Dakshayini | Pediatrics | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2014-04-30 |
| 1912325713 | Pamela Skon | Social Worker | 1611 Anne St Nw, Route 13206, Bemidji, MN 56601-5114 | 2014-03-31 |
| 1346592680 | Lucas K Genereux | Optometrist | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2012-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1366093841 | Vickie Lynn Matthews | Technician | 1018 Miles Ave Se, Bemidji, MN 56601 | 2019-09-25 |
| 1518443530 | Lindsey Marie Whiting | Registered Nurse | 1300 Anne St, Bemidji, MN 56601 | 2018-07-12 |
| 1801257662 | Meghan Zigrida Paquette | Registered Nurse | 6055 161st Street Nw, Cass Lake, MN 56601 | 2016-03-08 |
| 1144686106 | Northwest Indian Oic | Home Health | 1819 Bemidji Ave N Ste 1, Bemidji, MN 56601 | 2016-01-06 |
| 1831560424 | Laura Hansen, Msw, Licsw Counseling Services, Inc. | Social Worker | 403 4th Street Ne, Suite 110, Bemidji, MN 56601 | 2015-10-08 |
| 1679949028 | Grand St. Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 2312 Bemidji Ave North, Bemidji, MN 56601 | 2015-08-19 |
| 1255717617 | Mary S. Salter, Md Psc | Internal Medicine | 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 | 2015-08-07 |
| 1225420615 | Cristin Evans | Counselor | 403 4th Street, Suite 300, Bemidji, MN 56601 | 2015-02-23 |
| 1619367919 | Angela Krom Fournier | Psychologist | 16150 Golden Eagle Court Nw, Eagle Vista Equine Center Inc., Bemidji, MN 56601 | 2015-01-26 |
| Find all providers in zip 56601 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922026699 | Patricia K Burdick | Physician Assistant | 1705 Anne St Nw # 5, Bemidji, MN 56601-6151 | 2006-07-18 |
| 1013230051 | Deborah Steinbar | Physician Assistant | 1233 34th St Nw, Bemidji, MN 56601-5112 | 2010-03-04 |
| 1366464927 | Bradley A Smith | Physician Assistant | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2006-07-24 |
| 1013938232 | Donna Marie Shorter | Physician Assistant | 1233 34th St Nw, Bemidji, MN 56601-5112 | 2006-07-22 |
| 1679594915 | Melissa Sue Meyer | Physician Assistant | 1705 Anne St Nw # 5, Bemidji, MN 56601-6151 | 2006-07-22 |
| 1871511444 | Beth Ann Korczak | Physician Assistant | 1705 Anne St Nw # 5, Bemidji, MN 56601-6151 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969150 | Isaac Waalen | Physician Assistant | 5420 Circle Down, Minneapolis, MN 55416-1312 | 2020-03-28 |
| 1730643701 | Christina Jones | Physician Assistant | 11850 Blackfoot St Nw Ste 270, Coon Rapids, MN 55433-2593 | 2019-01-24 |
| 1114492964 | Molly Goss | Physician Assistant | 1817 Sunset Dr, Northfield, MN 55057-3246 | 2018-10-09 |
| 1932600160 | Ellen Kathryn Freeman | Physician Assistant | 111 Hundertmark Rd Ste 480, Chaska, MN 55318-1485 | 2018-02-22 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1538545686 | Kathryn Jelle | Physician Assistant | 3931 Louisiana Ave S # 55426, St Louis Park, MN 55426-5000 | 2015-07-30 |
| 1831503267 | Karrah Oliver | Physician Assistant | 205 Roosevelt Ave W, Karlstad, MN 56732-4022 | 2014-06-13 |
| 1477981777 | Melissa Ferraz De Toledo | Physician Assistant | 9145 Springbrook Dr Nw Ste 300, Coon Rapids, MN 55433-5897 | 2013-10-23 |
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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.