MRS. LISA MARIE RUTFORD (NPI# 1821658253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821658253 |
| Entity Type | Individual |
| Full Name | MRS. LISA MARIE RUTFORD |
| Other Name | MISS LISA MARIE CAPONIGRI |
| Credential | MA, LPCC |
| Practice Address |
6550 York Ave S Ste 503 Edina MN 55435-2336 |
| Mailing Address |
3531 10th Ave S Unit 2 Minneapolis MN 55407-2115 |
| Practice Telephone | 9524263034 |
| Mailing Telephone | 8472939649 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC01825 | MN | Behavioral Health & Social Service Providers |
| Street Address |
6550 YORK AVE S STE 503 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-2336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639351844 | James Dennis Gitar | Social Worker | 6550 York Ave S Ste 503, Edina, MN 55435 | 2007-11-29 |
| 1760029730 | Heather Stras | Social Worker | 6550 York Ave S Ste 503, Edina, MN 55435-2336 | 2019-12-09 |
| 1104325927 | Anthony Robert Turner | Social Worker | 6550 York Ave S Ste 503, Edina, MN 55435-2336 | 2018-02-07 |
| 1265836597 | Sarah Weber | Marriage & Family Therapist | 6550 York Ave S Ste 503, Edina, MN 55435 | 2014-10-15 |
| 1972869527 | Marjorie Rita Keyes | Social Worker | 6550 York Ave S Ste 503, Edina, MN 55435-2336 | 2012-04-09 |
| 1477847697 | Reka Kerlin | Counselor | 6550 York Ave S Ste 503, Edina, MN 55435-2336 | 2011-06-06 |
| 1215115951 | Sara Elizabeth Zimmerman | Social Worker | 6550 York Ave S Ste 503, Edina, MN 55435-2336 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598389587 | Madeline Rose Malowney | Counselor | 5200 Willson Rd Ste 445, Edina, MN 55424-2303 | 2020-06-04 |
| 1285266692 | Roseina Britton | Counselor | 5995 Lincoln Dr Apt 216, Edina, MN 55436-6112 | 2020-02-04 |
| 1942729777 | Gala Yvette Oliver | Counselor | 6363 France Ave S Ste 525, Edina, MN 55435-2143 | 2017-09-13 |
| 1659811826 | Cortney Lynn Amundson | Counselor | 7400 Metro Blvd Ste 335, Edina, MN 55439-2356 | 2017-03-07 |
| 1003284886 | Stephen Peterson | Counselor | 7400 Metro Blvd Ste 220, Edina, MN 55439-2321 | 2015-09-09 |
| 1083911531 | Debra Maria Miller-rasmussen | Counselor | 4401 Dunberry Ln, Edina, MN 55435-1618 | 2011-02-18 |
| 1639303928 | Melissa Dawn Mccauley | Counselor | 107 N 6th St, Edina, MO 63537-1467 | 2009-05-14 |
| 1538367966 | Sarah A Doll | Counselor | 5100 Edina Industrial Blvd, Suite 231 D, Edina, MN 55439-3000 | 2007-07-06 |
| 1952910416 | Sara Mehalick | Counselor | 6750 France Ave S Ste 200, Edina, MN 55435-1904 | 2020-07-30 |
| 1316589443 | Erika Nicole Nelson | Counselor | 5200 Willson Rd Ste 215, Edina, MN 55424-1316 | 2019-10-09 |
| Find all providers in EDINA | ||||
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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.