MATTHEW BAXLEY (NPI# 1780091181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780091181 |
| Entity Type | Individual |
| Full Name | MATTHEW BAXLEY |
| Credential | M.S. |
| Practice Address |
2930 146th St W Ste 114 Rosemount MN 55068-3749 |
| Practice Telephone | 9524434600 |
| Practice Fax Number | 9524434604 |
| Mailing Telephone | 9524434600 |
| Mailing Fax Number | 9524434604 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2930 146TH ST W STE 114 |
| City | ROSEMOUNT |
| State | MN |
| Zip Code | 55068-3749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639613854 | Serena Ann Vruno | Social Worker | 2930 146th St W Ste 114, Rosemount, MN 55068-3749 | 2016-12-07 |
| 1770960015 | Andrew Philip Clemens | Marriage & Family Therapist | 2930 146th St W Ste 114, Rosemount, MN 55068-3749 | 2015-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740744911 | Scott Hogan | Chiropractor | 2930 146th St. W #110, Rosemount, MN 55068 | 2019-01-22 |
| 1184133357 | Green Medical Solutions | Durable Medical Equipment & Medical Supplies | 15170 Chippendale Ave W., Suite 101, Rosemount, MN 55068 | 2017-09-20 |
| 1215382767 | Jessica Warren | Chiropractor | 15170 Chippendale Ave S, Suite 200, Rosemount, MN 55068 | 2016-05-03 |
| 1033596275 | Leslie Wight | Marriage & Family Therapist | 2930 146th St. W, #114, Rosemount, MN 55068 | 2015-04-27 |
| 1871914044 | Jeanine Martin | Occupational Therapy Assistant | 2930 146th St W Apt 239, Rosemount, MN 55068 | 2013-12-13 |
| 1699097394 | Colleen Renee Mens | Social Worker | 15170 Chippendale Ave W Ste 300, Rosemount, MN 55068 | 2010-02-22 |
| 1306005111 | Jaclyn J Bohm | Podiatrist | 15705 Cimarron Ave, Rosemount, MN 55068 | 2008-06-06 |
| 1619185196 | John J Benson | Marriage & Family Therapist | 14555 South Robert Trl, Rosemount, MN 55068 | 2007-05-18 |
| 1316062557 | Orthodontic Care Group | Dentist | 14455 South Robert Trail, Inver Grove Heights, MN 55068 | 2007-03-20 |
| 1063400901 | Mark John Nelson | Dentist | 14450 S Rober Tr, Dakota Dental and Implant Center, Rosemount, MN 55068 | 2005-10-13 |
| Find all providers in zip 55068 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137855 | Brittany Dale Leitch | Student in an Organized Health Care Education/Training Program | 15265 Carrousel Way, Rosemount, MN 55068-1760 | 2020-09-01 |
| 1982250072 | Haley Guetter | Student in an Organized Health Care Education/Training Program | 2930 146th St W, Rosemount, MN 55068-3189 | 2019-08-14 |
| 1518523596 | Abbie Poush | Student in an Organized Health Care Education/Training Program | 2930 146th St W, Rosemount, MN 55068-3189 | 2019-05-15 |
| 1346805488 | Brittany Diane Henderson | Student in an Organized Health Care Education/Training Program | 2930 146th St W, Rosemount, MN 55068-3189 | 2019-05-03 |
| 1770052706 | Katie Immerfall | Student in an Organized Health Care Education/Training Program | 2930 146th St W, Rosemount, MN 55068-3189 | 2018-11-20 |
| 1750856134 | Chantel Alexus Jordan | Student in an Organized Health Care Education/Training Program | 2930 146th St W, Rosemount, MN 55068-3189 | 2018-10-11 |
| 1639660582 | Aimee Kathleen Hubbard | Student in an Organized Health Care Education/Training Program | 2930 146th St W, Rosemount, MN 55068-3189 | 2018-05-27 |
| 1538686316 | Gwynneth Victoria Faith Thompson | Student in an Organized Health Care Education/Training Program | 2930 146th St W, Rosemount, MN 55068-3189 | 2017-08-23 |
| 1215319850 | Georgia Nesbitt | Student in an Organized Health Care Education/Training Program | 2930 146th St W, Suite 114, Rosemount, MN 55068-3189 | 2015-06-19 |
| 1033596879 | Kimberly Dawn Stewart | Student in an Organized Health Care Education/Training Program | 2930 146th St W, Suite 114, Rosemount, MN 55068-3189 | 2015-04-30 |
| Find all providers in ROSEMOUNT | ||||
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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.