KAITLYN MAE GRETSCH (NPI# 1821657065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821657065 |
| Entity Type | Individual |
| Full Name | KAITLYN MAE GRETSCH |
| Practice Address |
201 E Nicollet Blvd Burnsville MN 55337-5714 |
| Mailing Address |
5045 Kagan Ave Ne Albertville MN 55301-3521 |
| Practice Telephone | 9528922000 |
| Mailing Telephone | 3202198566 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5045 Kagan Ave Ne, Albertville, MN 553013521 | 3202198566 |
| Street Address |
201 E NICOLLET BLVD |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-5714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649265737 | South Metropolitan Anesthesia, Pa | Nurse Anesthetist, Certified Registered | 201 E Nicollet Blvd, Burnsville, MN 55337 | 2005-09-14 |
| 1467053389 | Dana Sotherland | Physical Therapist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2020-11-06 |
| 1770181265 | Ericka Maldonado Medina | Physical Therapist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2020-10-15 |
| 1477162196 | Kyle Webb | Registered Nurse | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2020-07-28 |
| 1568070936 | Fairview Express Care | General Practice | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2020-07-21 |
| 1972141315 | Whitney Paitra Hernlem | Dietitian, Registered | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2019-12-17 |
| 1962045187 | Robert Henry Steingraeber | Physical Therapist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2019-10-21 |
| 1447815600 | Jennifer Lynne Anderson | Occupational Therapist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2019-05-03 |
| 1881158350 | Alanna Burchman | Nurse Anesthetist, Certified Registered | 201 E Nicollet Blvd, Burnsville, MN 55337-5799 | 2019-01-29 |
| 1326518150 | Caitlin Marie Fortin | Occupational Therapist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2018-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972137081 | Ryan M Helf | Physician Assistant | 1000 W 140th St Ste 100, Burnsville, MN 55337-4835 | 2020-02-27 |
| 1508324328 | Alexa Jordan Stilp | Physician Assistant | 350 W Burnsville Pkwy Ste 200, Burnsville, MN 55337-2598 | 2019-03-11 |
| 1487043279 | Briana Rae Donald | Physician Assistant | 14000 Nicollet Ave So., Burnsville, MN 55337 | 2015-01-15 |
| 1629499249 | Emily Lynn Parenteau | Physician Assistant | 810 County Road 42w, Burnsville, MN 55337 | 2013-12-27 |
| 1396173746 | Matthew Michael Johnson | Physician Assistant | 14000 Nicollet Ave Fl 1, Burnsville, MN 55337-5790 | 2013-10-23 |
| 1780642082 | Geoffrey J Theobald | Physician Assistant | 1000 W 140th St, Suite 201, Burnsville, MN 55337-4480 | 2006-05-03 |
| 1568437879 | Kelly L Dziedzic | Physician Assistant | 1000 W 140th St Unit 201, Burnsville, MN 55337-4833 | 2006-02-21 |
| 1639163249 | Jennifer Lynn Smith | Physician Assistant | 810 County Road 42 W, Burnsville, MN 55337-4426 | 2005-09-09 |
| 1518509652 | Melissa Charron | Physician Assistant | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337-6772 | 2019-10-10 |
| 1326532235 | Nathan Joseph Marcus | Physician Assistant | 1000 W 140th St Unit 201, Burnsville, MN 55337 | 2018-06-15 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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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.