IRIS REPRODUCTIVE PSYCHIATRIC CLINIC (NPI# 1730542572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730542572 |
| Entity Type | Organization |
| Organization Name | IRIS REPRODUCTIVE PSYCHIATRIC CLINIC |
| Practice Address |
1500 Mcandrews Road W Ste 227 Burnsville MN 55337 |
| Mailing Address |
1500 Mcandrews Rd W 227 Burnsville MN 55337-4432 |
| Practice Telephone | 8604064747 |
| Practice Fax Number | 6124374759 |
| Mailing Telephone | 8604064747 |
| Mailing Fax Number | 6124374759 |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |
| Authorized Official Name | DR. SAMANTHA ANN HUGUELET (OWNER/OPERATER) |
| Authorized Official Telephone | 8604064747 |
| Authorized Official Credential | DNP APRN CNS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
R134588-7 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 168946100 | 05 |
| Street Address |
1500 MCANDREWS ROAD W STE 227 |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| 1487043279 | Briana Rae Donald | Physician Assistant | 14000 Nicollet Ave So., Burnsville, MN 55337 | 2015-01-15 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053771428 | Psychnurse P.C. | Clinical Nurse Specialist | 3000 County Road 42 W, Suite 210, Burnsville, MN 55337-4824 | 2016-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922159680 | Kristie Lee Sward | Clinical Nurse Specialist | 160 Kellogg Blvd E Ste 8200, Saint Paul, MN 55101-1420 | 2007-01-16 |
| 1447333513 | Karen Sue Finck | Clinical Nurse Specialist | 615 1st Ave Ne, Suite 310, Minneapolis, MN 55413-2447 | 2006-10-23 |
| 1548289259 | Judith Hilary Weis | Clinical Nurse Specialist | 27 1st St Sw, Crosby, MN 56441-1417 | 2006-07-19 |
| 1184170383 | Jessica Michelle Cadriel | Clinical Nurse Specialist | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2016-08-28 |
| 1790138550 | Katy Jean Srock | Clinical Nurse Specialist | 520 Nw 5th St, Brainerd, MN 56401-2902 | 2016-07-18 |
| 1063864395 | Sherryl St.martin | Clinical Nurse Specialist | 3101 Superior Dr Nw, Rochester, MN 55901-1993 | 2016-07-11 |
| 1386099505 | Luke Schwartz Moretti | Clinical Nurse Specialist | 2450 Riverside Ave, 6a East, Minneapolis, MN 55454-1450 | 2016-04-25 |
| 1396100046 | Jamie Lynn Giles | Clinical Nurse Specialist | 3021 Harbor Ln N, Suite 206, Plymouth, MN 55447-5109 | 2015-12-23 |
| 1447529854 | Pamela Christian Boldt | Clinical Nurse Specialist | 7580 160th St W, Lakeville, MN 55044-8348 | 2011-12-14 |
| 1568741502 | Patricia Fitzgerald Brown | Clinical Nurse Specialist | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2011-08-09 |
| Find all providers with the same taxonomy | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
Please comment or provide details below to improve the information on IRIS REPRODUCTIVE PSYCHIATRIC CLINIC.
| 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.