ALLYCE KATHERINE FISK (NPI# 1730432709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730432709 |
Entity Type | Individual |
Full Name | ALLYCE KATHERINE FISK |
Credential | PA-C |
Practice Address |
2025 E River Pkwy Minneapolis MN 55414 |
Mailing Address |
2025 E River Pkwy Minneapolis MN 55414-3604 |
Practice Telephone | 6125966100 |
Mailing Telephone | 6125966100 |
Enumeration Date | 2012-10-16 |
Last Update Date | 2019-08-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | 11228 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2090 Woodwinds Dr, Woodbury, MN 551252522 | 6519685801 | 6519685899 |
Street Address |
2025 E RIVER PKWY |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55414 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124126412 | Sarah Jean Werner | Orthopaedic Surgery | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2006-09-20 |
1437647682 | Shriners Hospitals for Children | Anesthesiology | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2018-04-24 |
1154721785 | Pediatric Orthotic and Prosthetic Services - Midwest, LLC | Prosthetic/Orthotic Supplier | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2014-09-02 |
1629477310 | Rebecca Rouse | Physical Therapist | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2014-08-19 |
1114369006 | Shriners Hospitals for Children | Nurse Practitioner | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2013-07-22 |
1669799201 | Nancy M Easter | Social Worker | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2010-04-21 |
1669702882 | Kim Marie Nieuwenhuis | Orthotist | 2025 E River Pkwy, Shriners Hospitals for Children Twin Cities, Minneapolis, MN 55414 | 2010-01-11 |
1477883130 | Kari Ann Leifheit | Physical Therapist | 2025 E River Pkwy, Shriners Hospital, Minneapolis, MN 55414 | 2009-12-31 |
1497999676 | Charles Raydell Finnet | Physician Assistant | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2009-05-01 |
1811190788 | Carl Kaoru Sakamoto | Anesthesiology | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2007-06-07 |
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 | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811164007 | Leah Anne Zupancich | Physician Assistant | 2545 Chicago Ave. S., Suite 106, Minneapolis, MN 55404 | 2008-05-15 |
1124123120 | Bonnie White Marsh | Physician Assistant | 1 Veterans Dr # 112, Minneapolis, MN 55417-2309 | 2006-09-14 |
1114990272 | Sangeetha Larsen | Physician Assistant | 1000 Nicollet Mall # 17-642, Minneapolis, MN 55403-2542 | 2006-02-09 |
1548815160 | Karissa Soraya Simyab | Physician Assistant | 800 E 28th St Ste H2100, Minneapolis, MN 55407-3723 | 2019-08-09 |
1982185328 | Monica Ellen Stassi-fritz | Physician Assistant | 800 E 28th St Ste H2100, Minneapolis, MN 55407-3723 | 2018-08-23 |
1477060572 | David Wade Mcgehee | Physician Assistant | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2018-01-10 |
1851808828 | Julia Curry | Physician Assistant | 800 E 28th St, Minneapolis, MN 55407-3723 | 2017-12-29 |
1831643899 | Patrick James Halbach | Physician Assistant | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2016-08-08 |
1609229749 | Joseph Mark Kaisersatt | Physician Assistant | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2016-07-13 |
1831580901 | Jessica Knuppel | Physician Assistant | 913 E 26th St, Suite 600, Minneapolis, MN 55404-4515 | 2015-02-11 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55414 |
Please comment or provide details below to improve the information on ALLYCE KATHERINE FISK.
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.