PATRICIA KOERNER (NPI# 1790193407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790193407 |
Entity Type | Individual |
Full Name | PATRICIA KOERNER |
Practice Address |
107 Dupont Ave. Nw Renville MN 56284 |
Mailing Address |
6056 Bartlett Blvd Mound MN 55364 |
Practice Telephone | 9522126756 |
Enumeration Date | 2014-07-25 |
Last Update Date | 2014-07-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 125J00000X | Dental Therapist | DT47 | MN | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154870384 | Patricia Pauline Koerner | Nurse Practitioner | 245 N Causeway, New Smyrna Beach, FL 32169-5239 | 2016-09-29 |
1578636445 | Patricia Ann Koerner | Occupational Therapist | 17352 Vinewood Ave, Tustin, CA 92780-2551 | 2006-11-16 |
Street Address |
107 DUPONT AVE. NW |
City | RENVILLE |
State | MN |
Zip Code | 56284 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225234586 | Christopher Dean Lindquist | Dentist | 107 Dupont Ave. Nw, Renville, MN 56284 | 2007-06-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205444106 | Sidra Zahooruddin | Dentist | 107 Dupont Ave, Nw, Renville, MN 56284 | 2020-07-16 |
1104363829 | Stephanie Ashburn | Social Worker | 314 Colfax Ave Nw, Renville, MN 56284 | 2017-01-20 |
1396055976 | Heather Bickford | Dentist | 107 Dupont Ave Nw, Renville, MN 56284 | 2010-10-15 |
1194998849 | Jeremy Steven Hinderks | Chiropractor | 317 N Main Street, Renville, MN 56284 | 2008-04-02 |
1578579371 | Renville Ambulance Service, Inc | Ambulance | 115 E Park Ave, Renville, MN 56284 | 2006-08-01 |
1073940771 | Hinderks Chiropractic, P.a. | Chiropractor | 317 N Main St., Renville, MN 56284 | 2013-09-26 |
1679853451 | Modern Dental Professionals, Mn PC | Dentist | 107 Dupont Ave Nw, Renville, MN 56284 | 2011-08-24 |
1164484226 | Renville County Hospital & Clinics | Clinic/Center | 420 Main St, Renville, MN 56284 | 2006-04-04 |
1609176049 | Wendie Lee Discher | Counselor | 316 Park Ave East, Renville, MN 56284-0001 | 2010-11-02 |
1558608356 | Discher & Associates, Life Center P.l.l.c | Counselor | 317 North Main Street, Renville, MN 56284-0001 | 2013-01-14 |
Find all providers in zip 56284 |
Taxonomy Code | 125J00000X |
Grouping | Dental Providers |
Classification | Dental Therapist |
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations. |
Notes: Source: Summarized from Minnesota Statute 150A.105. [7/1/2012: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487264446 | Amber Nichelle Irby | Dental Therapist | 903 W Center St #130, Rochester, MN 55902 | 2020-08-05 |
1558835942 | Jennifer Iacobelli | Dental Therapist | 13899 Highway 13 South Frontage Road, Savage, MN 55378 | 2019-01-18 |
1992288781 | Katie Ask | Dental Therapist | 13889 Highway 13 S, Frontage Rd, Savage, MN 55378 | 2018-09-08 |
1487154092 | Sunny Moon | Dental Therapist | 10584 France Ave S, Bloomington, MN 55431-3538 | 2018-02-20 |
1326548454 | Julie Bonham | Dental Therapist | 803 3rd St. Se, Suite 330, Little Falls, MN 56345 | 2018-02-15 |
1376077974 | Saritha Gajawada | Dental Therapist | 15354 Plumstone Dr, Eden Prairie, MN 55347-2061 | 2017-04-20 |
1649644063 | Brittany Gronland | Dental Therapist | 25730 Smithtown Rd, Excelsior, MN 55331-8592 | 2015-11-23 |
1124405857 | Jenna Susanne Marquardt | Dental Therapist | 209 South 1st Street, Montevideo, MN 56265 | 2015-05-01 |
1558751495 | Weston Mark Schmidt | Dental Therapist | 411 East Howard St., Jacobson Family Dentistry PC, Hibbing, MN 55746 | 2015-01-30 |
1003230137 | Janelle Jehn | Dental Therapist | 4342 4th Ave S, Minneapolis, MN 55409-2155 | 2014-02-10 |
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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.