LISA PIVOTTO KROENING (NPI# 1821173956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821173956 |
| Entity Type | Individual |
| Full Name | LISA PIVOTTO KROENING |
| Credential | CPNP |
| Practice Address |
18315 Cascade Dr Ste 170 Eden Prairie MN 55347-1180 |
| Mailing Address |
3955 Parklawn Ave Edina MN 55435-5655 |
| Practice Telephone | 9528311944 |
| Practice Fax Number | 9522786947 |
| Mailing Telephone | 9528311944 |
| Mailing Fax Number | 9522786947 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R111593 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PREFERRED ONE | FP9021013319 | 01 |
| MN | MEDICA | 1200184 | 01 |
| MN | BC/BS | 9G994KR | 01 |
| Street Address |
18315 CASCADE DR STE 170 |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55347-1180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518070457 | Stephen George Lutz | Pediatrics | 18315 Cascade Dr, Ste 170, Eden Prairie, MN 55347-1180 | 2006-08-16 |
| 1396290334 | Eve R. Boaheng | Audiologist-Hearing Aid Fitter | 18315 Cascade Dr, 100, Eden Prairie, MN 55347 | 2016-08-19 |
| 1790143378 | Mahlen Psychological Services LLC | Community/Behavioral Health | 18315 Cascade Dr, Ste: 165, Eden Prairie, MN 55347-1180 | 2016-02-10 |
| 1477931095 | Connect Hearing, Inc. | Audiologist | 18315 Cascade Dr, 100, Eden Prairie, MN 55347-1190 | 2015-05-14 |
| 1205136231 | Jason Lee Mahlen | Psychologist | 18315 Cascade Dr, Ste: 165, Eden Prairie, MN 55347-1180 | 2010-10-25 |
| 1508018623 | Expert Hearing & Audiology, Inc. | Audiologist | 18315 Cascade Dr, Suite 100, Eden Prairie, MN 55347-1180 | 2008-10-21 |
| 1710139837 | Giselle Mary Matsui | Audiologist | 18315 Cascade Dr, Suite 100, Eden Prairie, MN 55347-1180 | 2008-10-21 |
| 1316009673 | Sarah Lynn Hermanson | Dentist | 18315 Cascade Dr, #120, Eden Prairie, MN 55347-1180 | 2006-12-14 |
| 1437218088 | John Edward Gulon | Dentist | 18315 Cascade Dr, #120, Eden Prairie, MN 55347-1180 | 2006-12-08 |
| 1467511956 | Stacey Kay Wolken | Dentist | 18315 Cascade Dr, Suite 120, Eden Prairie, MN 55347-1180 | 2006-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013765 | Wellspring Women's Counseling Pllc | Counselor | 8688 Shiloh Court, Eden Prairie, MN 55347 | 2020-05-01 |
| 1588156525 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 18315 Cascade Dr Ste 110, Eden Prairie, MN 55347 | 2018-06-05 |
| 1013436591 | Peter Joseph Dorsen | Counselor | 14377 Chestnut Drive, Eden Prairie, MN 55347 | 2017-09-15 |
| 1144508490 | Jenny Marie Heidt | Chiropractor | 8941 Aztec Drive, Eden Prairie, MN 55347 | 2011-08-03 |
| 1023337946 | Holly Christine Hanson | Dermatology | 18315 Cascade Dr., Suite 150, Eden Prairie, MN 55347 | 2010-05-18 |
| 1083635635 | Michael H Hoxie | Dentist | 7825 Terrey Pine Court, Suite 101, Eden Prairie, MN 55347 | 2006-07-21 |
| 1316380934 | Sima Kavand | Internal Medicine | 1925 Woodwinds Dr, Woodbury, MN 55347 | 2013-04-12 |
| 1073534632 | Bruce W Hultgren | Dentist | 7825 Terrey Pine Court, Suite 101, Eden Prairie, MN 55347 | 2006-07-21 |
| 1407258239 | Audrey Butler | Speech-Language Pathologist | 18117 Settlers Way, Eden Prairie, MN 55347-1029 | 2014-09-24 |
| 1790993798 | Daniel L Bachicha | Counselor | 18700 Wynnfield Rd, Eden Prairie, MN 55347-1066 | 2007-05-21 |
| Find all providers in zip 55347 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740799246 | Maya Bastian | Nurse Practitioner | 12220 Travois Rd, Eden Prairie, MN 55347-4241 | 2017-09-27 |
| 1679555171 | Nancy Fox Carlson | Nurse Practitioner | 12200 Middle Set Rd, 100, Eden Prairie, MN 55344-5415 | 2005-11-18 |
| 1497277438 | Katie Ann Eagle | Nurse Practitioner | 6452 City West Pkwy, Eden Prairie, MN 55344-3245 | 2017-07-12 |
| 1417494998 | Amanda Lee Johnson Fleming | Nurse Practitioner | 11010 Prairie Lakes Dr, #350, Eden Prairie, MN 55344-3884 | 2017-01-23 |
| 1902182496 | Amanda Beth Kack Flannery | Nurse Practitioner | 12200 Middle Set Rd Ste 100, Eden Prairie, MN 55344-5420 | 2011-10-27 |
| 1447582028 | Pamela Shapiro Kaplan | Nurse Practitioner | 8455 Flying Cloud Dr, Suite 205, Eden Prairie, MN 55344-3974 | 2010-02-05 |
| 1215155643 | Patricia Leah Solinger | Nurse Practitioner | 800 Prairie Center Dr, Ste 120, Eden Prairie, MN 55344 | 2007-04-23 |
| 1295712289 | Amy Tannahill | Nurse Practitioner | 11455 Viking Dr, Ste 300, Eden Prairie, MN 55344-7251 | 2005-12-29 |
| 1215910492 | Marilou Pederson | Nurse Practitioner | 12200 Middle Set Rd, 100, Eden Prairie, MN 55344-5415 | 2005-11-22 |
| 1336121847 | Susan Kay Fix | Nurse Practitioner | 12200 Middle Set Rd, 100, Eden Prairie, MN 55344-5415 | 2005-11-18 |
| Find all providers in EDEN PRAIRIE | ||||
| City | EDEN PRAIRIE |
| Zip Code | 55347 |
Please comment or provide details below to improve the information on LISA PIVOTTO KROENING.
| 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.