DEBRA KAY MIKE (NPI# 1740269927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740269927 |
| Entity Type | Individual |
| Full Name | DEBRA KAY MIKE |
| Credential | RN, CNP |
| Practice Address |
3400 W 66th Street Suite 290 Edina MN 55435 |
| Mailing Address |
7880 Dawn Ave Inver Grove Heights MN 55076-3136 |
| Practice Telephone | 9529141727 |
| Practice Fax Number | 9529141727 |
| Mailing Telephone | 6514505598 |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2011-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
149363-21 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
146979-23 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 0373257-00 | 05 |
| Street Address |
3400 W 66TH STREET SUITE 290 |
| City | EDINA |
| State | MN |
| Zip Code | 55435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407223159 | Carla Sue Christenson | Nurse Practitioner | 3400 W. 66th St, Edina, MN 55435 | 2015-08-28 |
| 1932372224 | Jennifer Debra Kish | Nurse Practitioner | 7701 York Street, Ste. 100, Edina, MN 55435-5543 | 2008-04-08 |
| 1982692232 | Catherine Ann Lauring | Nurse Practitioner | 4570 W 77th St Ste 350, Edina, MN 55435-5035 | 2005-10-11 |
| 1164990842 | Rougui B Bah | Nurse Practitioner | 7400 France Ave S Ste 100, Edina, MN 55435-4738 | 2018-11-11 |
| 1558805903 | Marlo Inez Dworsky | Nurse Practitioner | 3400 W 66th St Ste 290, Edina, MN 55435-2133 | 2016-12-05 |
| 1023479458 | Allison Dillon | Nurse Practitioner | 3400 W 66th St Ste 290, Edina, MN 55435-2133 | 2016-03-12 |
| 1730555889 | Danielle Bandholz | Nurse Practitioner | 3400 W 66th St, Suite 290, Edina, MN 55435-2111 | 2015-08-12 |
| 1356694079 | Rebecca Lynn Lucking | Nurse Practitioner | 3400 W 66th St Ste 290, Edina, MN 55435-2133 | 2012-10-18 |
| 1881956209 | Joan Marie Mason Bowlin | Nurse Practitioner | 3400 W 66th St, Ste 290, Edina, MN 55435-2111 | 2012-06-12 |
| 1447410931 | Vicki Lynn Niedzwieski | Nurse Practitioner | 3400 W 66th St, Suite 290, Edina, MN 55435-2111 | 2008-06-10 |
| Find all providers in EDINA | ||||
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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.