ROLLA CRANDALL (NPI# 1801029491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801029491 |
| Entity Type | Individual |
| Full Name | ROLLA CRANDALL |
| Credential | TM |
| Practice Address |
7033 Idaho Ave N Brooklyn Park MN 55428-1781 |
| Practice Telephone | 6127350396 |
| Mailing Telephone | 6127350396 |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2009-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175M00000X | Midwife, Lay | Other Service Providers |
| Street Address |
7033 IDAHO AVE N |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55428-1781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940025 | Gerard Idrissa Omari | Registered Nurse | 5844 Jersey Avenue North, Crystal, MN 55428 | 2020-01-06 |
| 1538706726 | Mary Sue Wester | Preventive Medicine | 6101 Virginia Ave. N, New Hope, MN 55428 | 2019-12-06 |
| 1194237479 | Stacy Shrestha | Nurse Practitioner | 7100 Northland Circle N, Ste 119, Brooklyn Park, MN 55428 | 2017-10-26 |
| 1023537115 | Cynthia Mcquade-brinkman | Massage Therapist | 6617 Jersey Ave N, Brooklyn Park, MN 55428 | 2017-09-11 |
| 1255792818 | Sadiya Ali | Non-emergency Medical Transport (VAN) | 7164 72nd Lane N Apt 244, Brooklyn Park, MN 55428 | 2016-03-10 |
| 1962867606 | Heart Felt Home Health Care Inc. | Home Health | 36 Fremont St., Lowell, MA 55428 | 2015-12-23 |
| 1992126155 | North Memorial Health Care | Clinic/Center | 8100 42nd Avenue North, New Hope, MN 55428 | 2013-12-13 |
| 1508105370 | Guardian Home Health Care LLC | Home Health | 6708 Dutton Ave N, Brooklyn Park, MN 55428 | 2013-02-13 |
| 1265709182 | Mark David Wermers | Pharmacist | 4200 Winnetka Ave, New Hope, MN 55428 | 2011-11-21 |
| 1841424868 | Cozy Clalm LLC | Durable Medical Equipment & Medical Supplies | 6616 Hillsboro Ave N, Brooklyn Park, MN 55428 | 2009-05-05 |
| Find all providers in zip 55428 | ||||
| Taxonomy Code | 175M00000X |
| Grouping | Other Service Providers |
| Classification | Midwife, Lay |
| A person qualified by experience and limited specialized training to provide obstetric and neo-natal care in the management of women having normal pregnancy, labor and childbirth. The lay midwife is licensed in some states. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114459062 | Serena Lynch | Midwife, Lay | 205 W 2nd St Ste 337, Duluth, MN 55802-1928 | 2017-03-30 |
| 1477001113 | Margo Nelson | Midwife, Lay | 1115 E 7th St, Duluth, MN 55805-1627 | 2016-09-12 |
| 1649638099 | Brieana Davison | Midwife, Lay | 1709 4th Ave N, Minneapolis, MN 55405-1110 | 2016-01-31 |
| 1811395056 | Amber Labancz | Midwife, Lay | 6922 Keats Ave N, Stillwater, MN 55082-9357 | 2014-12-19 |
| 1548689557 | Anna Bosch | Midwife, Lay | 4234 Stevens Ave, Minneapolis, MN 55409-2004 | 2014-04-08 |
| 1225455595 | Margaret Novak | Midwife, Lay | 4500 Longfellow Ave, Minneapolis, MN 55407-3637 | 2014-03-25 |
| 1366871733 | Rosa Oesterreich | Midwife, Lay | 3249 Elliot Ave Apt 1, Minneapolis, MN 55407-4066 | 2013-11-06 |
| 1457584575 | Jane M Kirby | Midwife, Lay | 211 7th St E Apt 503, Saint Paul, MN 55101-2390 | 2009-08-24 |
| 1003055328 | Vanessa Stephens | Midwife, Lay | 3204 Elliot Ave, Minneapolis, MN 55407-2123 | 2009-02-10 |
| 1720291669 | Jeanne Diane Bazille | Midwife, Lay | 2405 Eldridge Ave E, Saint Paul, MN 55109-4087 | 2007-05-08 |
| Find all providers with the same taxonomy | ||||
| City | BROOKLYN PARK |
| Zip Code | 55428 |
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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.