TYLER WILLIAM FREIBORG (NPI# 1760098156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760098156 |
| Entity Type | Individual |
| Full Name | TYLER WILLIAM FREIBORG |
| Credential | CRNA |
| Practice Address |
6401 France Ave S Edina MN 55435-2104 |
| Mailing Address |
6020 Oakland Ave Minneapolis MN 55417-3118 |
| Practice Telephone | 9529245000 |
| Mailing Telephone | 6512319268 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 1912090 | MN | Nursing Service Providers |
| Street Address |
6401 FRANCE AVE S |
| City | EDINA |
| State | MN |
| Zip Code | 55435-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162128 | Molly E Martin | Internal Medicine | 6401 France Ave S, Edina, MN 55435 | 2005-05-27 |
| 1831707207 | Fairview Express Care | General Practice | 6401 France Ave S, Edina, MN 55435-2104 | 2020-07-21 |
| 1255951950 | Jennifer L Guptail | Dietitian, Registered | 6401 France Ave S, Edina, MN 55435-2104 | 2020-04-22 |
| 1053931964 | Emilee Kuehl | Nurse Practitioner | 6401 France Ave S, Edina, MN 55435-2104 | 2020-04-21 |
| 1689211526 | Angela Tullbane | Dietitian, Registered | 6401 France Ave S, Ll10, Edina, MN 55435 | 2019-12-10 |
| 1679119341 | Mckenzie Jo Young | Dietitian, Registered | 6401 France Ave S, Edina, MN 55435-2104 | 2019-11-18 |
| 1629619218 | Sonya Blyakher | Physical Therapist | 6401 France Ave S, Edina, MN 55435-2104 | 2019-10-04 |
| 1386294791 | Michelle Teigen | Nurse Anesthetist, Certified Registered | 6401 France Ave S, Edina, MN 55435-2104 | 2019-09-17 |
| 1134779853 | Vanesha Vasian Gordon-king | Nurse Practitioner | 6401 France Ave S, Edina, MN 55435-2104 | 2019-09-14 |
| 1376199729 | Victoria L Johnson | Counselor | 6401 France Ave S, Edina, MN 55435-2199 | 2019-08-12 |
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| 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 |
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| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649899865 | Elizabeth Margaret Thelen | Registered Nurse | 4100 Minnesota Dr # 200, Edina, MN 55435-5417 | 2020-04-09 |
| 1346607470 | Stephen Langlois | Registered Nurse | 6400 Barrie Rd., Apt. 306, Edina, MN 55435 | 2016-01-20 |
| 1265580427 | Ruth Tongen | Registered Nurse | 4820 West 77th Street, Suite 145, Edina, MN 55435-4822 | 2007-01-06 |
| 1639722739 | Jennifer D Richmond | Registered Nurse | 6401 France Ave S, Edina, MN 55435-2104 | 2019-07-18 |
| 1801373063 | Vanessa Kasper | Registered Nurse | 3400 W 66th St Ste 290, Edina, MN 55435 | 2018-07-20 |
| 1700375797 | Vanessa Lawrow | Registered Nurse | 6500 France Ave S, Edina, MN 55435-1700 | 2018-05-04 |
| 1659882322 | Jacqueline Marie Klinkner | Registered Nurse | 6401 France Ave S, Edina, MN 55435-2104 | 2017-10-20 |
| 1821540543 | Rebecca Boknevitz | Registered Nurse | 6401 France Ave S, Edina, MN 55435-2104 | 2016-10-28 |
| 1649729088 | Erin Elizabeth Blackwell | Registered Nurse | 5901 Lincoln Dr, Edina, MN 55436 | 2016-09-27 |
| 1891147989 | Emily Mae Schnabl | Registered Nurse | 6405 France Ave S Ste W400, Edina, MN 55435-2165 | 2016-07-12 |
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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.