MR. DOUGLAS ROBERT BARD (NPI# 1831533629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831533629 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS ROBERT BARD |
| Credential | R.N. |
| Practice Address |
11842 Woodbine St. N.w Coon Rapids MN 55433 |
| Practice Telephone | 7633505084 |
| Practice Fax Number | 7634216448 |
| Mailing Telephone | 7633505084 |
| Mailing Fax Number | 7634216448 |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
R-73002-4 | MN | Nursing Service Providers |
| Street Address |
11842 WOODBINE ST. N.W |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433 |
| 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 | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013540392 | Edwin Moenga Barake | Registered Nurse | 11032 Swallow St Nw, Coon Rapids, MN 55433-4164 | 2020-02-15 |
| 1427532373 | Tiffany Johnson | Registered Nurse | 1425 109th Ln Nw, Coon Rapids, MN 55433-4214 | 2018-09-17 |
| 1407370240 | Emeka Linus Chikwelu Okafor | Registered Nurse | 3675 124th Cir Nw, Coon Rapids, MN 55433-1659 | 2017-08-02 |
| 1578835468 | Kathryn Ann Sivanich | Registered Nurse | 10134 Ibis St Nw, Coon Rapids, MN 55433-4714 | 2012-02-07 |
| 1811206030 | Karen Janell Barclay | Registered Nurse | 3664 121st Ln Nw, Coon Rapids, MN 55433-6731 | 2010-10-05 |
| 1568844389 | Fatou Jallow | Registered Nurse | 3040 113th Ave Nw, Coon Rapids, MN 55433-3490 | 2015-06-29 |
| 1972800365 | Ella Kathryn Hamilton | Registered Nurse | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2011-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043825284 | Charity Care Inc Professional Service Corporation | Registered Nurse | 10909 Brittany Dr N, Champlin, MN 55316-3838 | 2020-09-14 |
| 1932712346 | Optimum Healthcare Services LLC | Registered Nurse | 8400 Normandale Lake Blvd Ste 920, Bloomington, MN 55437-3843 | 2020-08-25 |
| 1649880303 | Nasra Amin | Registered Nurse | 2511 N 4th St, Minneapolis, MN 55411-2122 | 2020-08-06 |
| 1699384131 | Amazing Home LLC | Registered Nurse | 3220 County Road 10 Ste 117, Brooklyn Ctr, MN 55429-3073 | 2020-07-30 |
| 1942822200 | Rose Moraa Oyaro | Registered Nurse | 8315 Garfield Ave S, Bloomington, MN 55420-2228 | 2020-05-09 |
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1629607361 | Chelsea Elizabeth Jessen | Registered Nurse | 1414 Laurel Ave Apt L334, Minneapolis, MN 55403-1263 | 2020-04-05 |
| 1467088781 | Angel Hearts Health Care Services LLC | Registered Nurse | 6509 76th Ave N, Brooklyn Park, MN 55428-1433 | 2020-03-18 |
| 1578198677 | Home Care Nurse Solutions | Registered Nurse | 1902 Fairmount Ave, Saint Paul, MN 55105-1538 | 2020-03-09 |
| 1285267484 | Joanna Shady | Registered Nurse | 60 Himango Rd, Esko, MN 55733-9523 | 2020-02-15 |
| Find all providers with the same taxonomy | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
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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.