BROOK PARENT (NPI# 1790210623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790210623 |
| Entity Type | Individual |
| Full Name | BROOK PARENT |
| Practice Address |
3919 Coon Rapids Blvd Nw Coon Rapids MN 55433-2520 |
| Practice Telephone | 7634215559 |
| Practice Fax Number | 7634219955 |
| Mailing Telephone | 7634215559 |
| Mailing Fax Number | 7634219955 |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | BC400829 | MN | Other Service Providers |
| Street Address |
3919 COON RAPIDS BLVD NW |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-2520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316455546 | Saada Oumer Shato | Contractor | 12161 Grouse St Nw Apt 302, Coon Rapids, MN 55448-1995 | 2018-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534730 | Linda Kellee Erickson | Contractor | 3810 Rum River Dr, Anoka, MN 55303-1103 | 2020-10-07 |
| 1235742115 | Berger Built Construction Co. Inc. | Contractor | 217 Maple Street, Mahtomedi, MN 55115 | 2020-08-28 |
| 1225641426 | Ibrahim Mohamud | Contractor | 1906 Clinton Ave Apt 105, Minneapolis, MN 55404-2752 | 2020-08-26 |
| 1669092003 | Jms Custom Homes, LLC | Contractor | 6035 Culligan Way, Minnetonka, MN 55345-5918 | 2020-04-24 |
| 1295366029 | Randall Jay Sampson | Contractor | 24668 Hamlet Ave, Forest Lake, MN 55025-8781 | 2020-01-30 |
| 1730710401 | Ashley Schaefer | Contractor | 36073 Dolphin St Nw, Princeton, MN 55371-5274 | 2020-01-30 |
| 1710536123 | Gavin Quinn | Contractor | 11519 Arnold Palmer Dr, Blaine, MN 55449-5490 | 2019-09-09 |
| 1306490917 | Rosie Walker | Contractor | 1875 Dell St, White Bear Lake, MN 55110-5365 | 2019-07-31 |
| 1265096374 | Brett Tupy | Contractor | 7548 236th St E, Lakeville, MN 55044-9813 | 2019-04-24 |
| 1770045072 | Regina Kristine Toensing | Contractor | 6270 141st Ln Nw, Ramsey, MN 55303-5686 | 2019-04-04 |
| Find all providers with the same taxonomy | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
Please comment or provide details below to improve the information on BROOK PARENT.
| 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.