ALLYCE KATHERINE FISK


Address: 2025 E River Pkwy, Minneapolis, MN 55414
Phone: 6125966100

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
2090 Woodwinds Dr, Woodbury, MN 551252522 6519685801 6519685899

Office Location

Street Address 2025 E RIVER PKWY
City MINNEAPOLIS
State MN
Zip Code 55414

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City MINNEAPOLIS
Zip Code 55414

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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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