MRS. KATELYN MORITZ (NPI# 1780075630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780075630 |
| Entity Type | Individual |
| Full Name | MRS. KATELYN MORITZ |
| Credential | CNP |
| Practice Address |
11269 Jefferson Hwy N Champlin MN 55316-3123 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 7632360600 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
R 189824-0 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11269 JEFFERSON HWY N |
| City | CHAMPLIN |
| State | MN |
| Zip Code | 55316-3123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508849530 | Kaye Ann Marie Abel | Pediatrics | 11269 Jefferson Hwy N, Champlin, MN 55316-3123 | 2005-11-23 |
| 1801402722 | Allina Health System | Clinic/Center | 11269 Jefferson Hwy N, Champlin, MN 55316-3123 | 2020-09-16 |
| 1578175501 | Tonya Lynn Freeman | Psychologist | 11269 Jefferson Hwy N, Champlin, MN 55316-3123 | 2020-08-20 |
| 1386180875 | Erin Erickson | Registered Nurse | 11269 Jefferson Hwy N, Champlin, MN 55316-3123 | 2017-01-09 |
| 1952719254 | Ellen Fastner | Nurse Practitioner | 11269 Jefferson Hwy N, Champlin, MN 55316 | 2014-07-30 |
| 1215371471 | Chameng V Vang | Family Medicine | 11269 Jefferson Hwy N, Champlin, MN 55316-3123 | 2013-04-18 |
| 1780978023 | Mark Christopher Goetz | Psychologist | 11269 Jefferson Hwy N, Champlin, MN 55316-3123 | 2011-06-03 |
| 1871899674 | Allina Health System | Clinic/Center | 11269 Jefferson Hwy N, Champlin, MN 55316-3123 | 2011-01-27 |
| 1497989214 | Allison R Hotujec | Family Medicine | 11269 Jefferson Hwy N, Champlin, MN 55316-3123 | 2009-05-07 |
| 1740424928 | Lea Hilda Ekochin | Internal Medicine | 11269 Jefferson Hwy N, Champlin, MN 55316-3123 | 2009-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493903 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 11995 Business Park Blvd N, Champlin, MN 55316 | 2020-10-02 |
| 1598300675 | Dentalign, Pa | Dentist | 11942 Business Park Blvd, Champlin, MN 55316 | 2019-11-12 |
| 1811463573 | Vikings Home Health Care LLC | Meals | 11551 Georgia Ave, N, Champlin, MN 55316 | 2018-10-22 |
| 1255853305 | Matthew L Boelter | Hearing Instrument Specialist | 11451 Oregon Ave N, Champlin, MN 55316 | 2017-07-11 |
| 1194198309 | Champlin Dentistry, PC | Dentist | 11231 Aquila Drive N, Champlin, MN 55316 | 2015-11-10 |
| 1336557412 | Kelsey Voigt | Pharmacist | 11990 Business Park Blvd, Champlin, MN 55316 | 2014-08-01 |
| 1346502523 | Transitions Home Care Ltd | Home Health | 11030 Douglas Drive North, Champlin, MN 55316 | 2012-06-13 |
| 1639373285 | Michael D Smilanich | Dentist | 11231 Aquila Dr N, Champlin, MN 55316 | 2007-06-14 |
| 1760532907 | Kurt Allan Bender | Dentist | 500 A Jefferson Hwy, Champlin, MN 55316 | 2007-01-11 |
| 1366529752 | Gregory Allan Holmberg | Chiropractor | #8 3rd Street Nw, Osseo, MN 55316 | 2006-11-01 |
| Find all providers in zip 55316 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467071084 | St. Catherine University School Based Health Clinic | Nurse Practitioner | 5045 Division Ave, White Bear Lake, MN 55110 | 2020-04-14 |
| 1669005948 | Kevin Charles Carlson | Nurse Practitioner | 19303 Sorrel Ct, Corcoran, MN 55340-4447 | 2020-02-14 |
| 1144862996 | Alade Lateef Hamza | Nurse Practitioner | 4808 85th Ave N Ste 300, Brooklyn Park, MN 55443-1816 | 2019-10-14 |
| 1114584869 | Tenzin Lhamo | Nurse Practitioner | 195 Windsor Ln, New Brighton, MN 55112-3366 | 2019-05-28 |
| 1255834859 | Ashley M Morehouse | Nurse Practitioner | 625 S 4th St Ste A, Le Sueur, MN 56058-2203 | 2018-03-10 |
| 1013457381 | Lydia Nyakonu Sherman | Nurse Practitioner | 606 24th Ave S #620, Minneapolis, MN 55454 | 2017-03-06 |
| 1912447780 | Zillah Mulubisha | Nurse Practitioner | Brooklyn Park Clinic, 7650 Zane Ave N, Minneapolis, MN 55443 | 2017-02-27 |
| 1245615194 | Jennifer Nelson | Nurse Practitioner | 480 Osborne Rd Ne Ste 220, Fridley, MN 55432-2866 | 2015-07-21 |
| 1912397142 | Solomon Africanus Wesseh Jr. | Nurse Practitioner | 10135 43rd Ct Ne, Saint Michael, MN 55376-3015 | 2015-01-26 |
| 1780084004 | Angela Rae Fox | Nurse Practitioner | 7383 Upper 157th St W, Apple Valley, MN 55124-5108 | 2014-08-25 |
| Find all providers with the same taxonomy | ||||
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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.