ADULT MEDICINE PA (NPI# 1740403393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740403393 |
| Entity Type | Organization |
| Organization Name | ADULT MEDICINE PA |
| Practice Address |
393 Dunlap St N Ste 235 Saint Paul MN 55104-4208 |
| Practice Telephone | 6516447775 |
| Practice Fax Number | 6516448884 |
| Mailing Telephone | 6516447775 |
| Mailing Fax Number | 6516448884 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KIMBERLY A ANDERSON-UZPEN (PRESIDENT) |
| Authorized Official Telephone | 6516447775 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 133V00000X | Dietitian, Registered | N153 | MN | Dietary & Nutritional Service Providers |
| X | 207R00000X | Internal Medicine | 26646 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | HEALTHPARTNERS | 64544 | 01 |
| MN | RR MEDICARE | CH5440 | 01 |
| MN | BCBS | 45Q68AN | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | ADULT MEDICINE PARTNERS - VERMONT, LLC | 600 Blair Park Road, Suite 190, Williston, VT 05495 |
| Street Address |
393 DUNLAP ST N STE 235 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-4208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811515083 | Emily Bengson | Dietitian, Registered | 2565 Franklin Ave Apt 311, Saint Paul, MN 55114-3003 | 2020-07-13 |
| 1811524226 | Amanda Holmes | Dietitian, Registered | 2550 University Ave W Ste 216s, Saint Paul, MN 55114-1916 | 2020-03-25 |
| 1033746615 | Lindsey Smith | Dietitian, Registered | 347 Smith Ave N Ste 404, Saint Paul, MN 55102-3354 | 2020-03-24 |
| 1689143307 | Hanna Elisabet Grinaker | Dietitian, Registered | 2565 Franklin Ave Apt 405, Saint Paul, MN 55114-3004 | 2018-11-26 |
| 1144768649 | Lisa Hursin | Dietitian, Registered | 17 Exchange St W Ste 200, Saint Paul, MN 55102-1222 | 2017-02-03 |
| 1528318854 | Ashley Oswald | Dietitian, Registered | 881 Saint Clair Ave Apt 1, Saint Paul, MN 55105-3285 | 2012-09-13 |
| 1457677387 | Debra B Sheats | Dietitian, Registered | 1356 Sargent Ave, Saint Paul, MN 55105-2327 | 2010-04-16 |
| 1619202660 | Dianne Kay Piepenburg | Dietitian, Registered | 2550 University Ave W Ste 110n, Saint Paul, MN 55114-2001 | 2009-10-08 |
| 1306069489 | Fueling Performance, LLC | Dietitian, Registered | 225 Smith Ave N Ste 301, Saint Paul, MN 55102-2534 | 2007-04-10 |
| 1730154600 | Heidi S Gunderson | Dietitian, Registered | 565 Mount Curve Blvd, Saint Paul, MN 55116-1167 | 2006-02-22 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
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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.