INGRID ESTEPHAN


Address: 2929 21st Ave S Apt 301, Minneapolis, MN 55407-4515
Phone: 3202503019

INGRID ESTEPHAN (NPI# 1831646108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831646108
Entity Type Individual
Full Name INGRID ESTEPHAN
Other Name INGRID MILLER
Credential AGACNP-BC
Practice Address 2929 21st Ave S Apt 301
Minneapolis
MN 55407-4515
Mailing Address 148 Timber Ct
Wood Dale
IL 60191-1356
Practice Telephone 3202503019
Mailing Telephone 8772196822
Mailing Fax Number 8772196822
Enumeration Date 2016-09-05
Last Update Date 2019-04-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 041461373 IL Physician Assistants & Advanced Practice Nursing Providers
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
CNP 4517 MN Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
CNP 4517 MN Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
CNP 4517 MN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
120 S 6th St, Minneapolis, MN 554021803 6128735955
148 Timber Ct, Wood Dale, IL 60191 3202503019
148 Timber Ct, Wood Dale, IL 601911356 8004413667 8004413667
148 Timber Ct, Wood Dale, IL 601911356 8772196822 0000000000
2929 21st Ave S Apt 301, Minneapolis, MN 554074515 3202503019
420 S. Schmidt Rd, Bolingbrook, IL 60440 6303124562 6303126651

Office Location

Street Address 2929 21ST AVE S APT 301
City MINNEAPOLIS
State MN
Zip Code 55407-4515

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720644057 Amana Home Care Home Health 2833 13th Ave S Suite 118, Minneapolis, MN 55407 2019-05-13
1356802979 Aaron Randy Pickrel Student in an Organized Health Care Education/Training Program 2800 Chicago Avenue, #250, Minneapolis, MN 55407 2019-03-27
1053881631 Naimo Abdisalam Registered Nurse 1229 East Lake Street, Minneapolis, MN 55407 2018-11-27
1437639614 Kelly Usitalo Nurse Practitioner 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 2018-08-17
1952880346 Allison Hall Internal Medicine Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 2018-08-07
1780176370 Rebekah Sand Physical Therapist 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 2018-05-31
1417448663 Vivian T.c. Liu Student in an Organized Health Care Education/Training Program 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 2018-05-23
1053802397 Isuroon Counselor 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 2018-05-22
1154811404 Mohamed Mukhtar Ali Dentist 4700 Cedar Ave S, Minneapolis, MN 55407 2018-05-12
1396254280 Erin Elizabeth Casper Registered Nurse 3621 Oakland Ave, Minneapolis, MN 55407 2017-09-25
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841803970 Kelsey Olson Nurse Practitioner 2450 Riverside Ave Fl 9, Minneapolis, MN 55454-1450 2020-08-28
1396373932 Hayley Starr Gifford Nurse Practitioner 33 105th Ave Nw, Minneapolis, MN 55448-5044 2020-03-30
1225535701 Karissa Dougherty Nurse Practitioner 2200 E Franklin Ave # 199, Minneapolis, MN 55404 2018-04-10
1730532631 Allina Health System Nurse Practitioner 913 E 26th St Ste 305, Minneapolis, MN 55404-4515 2016-07-15
1619376860 Amy Cooley Nurse Practitioner 800 E 28th St # H2100, Minneapolis, MN 55407 2014-08-13
1710265368 Kimberly Dawn Moore Nurse Practitioner 814 South 3rd Street, Minneapolis, MN 55415 2011-08-01
1164700878 Katherine Casey Martin Caughel Nurse Practitioner Hcmc, 701 Park Ave, Surgery Department, P-5, Minneapolis, MN 55415-1623 2011-07-29
1386951358 Jody Michelle Schoenecker Nurse Practitioner 615 1st Ave Ne Ste 310, Minneapolis, MN 55413-2419 2010-09-10
1043543093 Therese Mary Maas Nurse Practitioner 909 Fulton St Se Ste 300, Minneapolis, MN 55455 2009-09-09
1619050184 Robin E. Shannon Nurse Practitioner 420 Delaware St Se Mmc 185, University of Minnesota Physicians, Minneapolis, MN 55455 2006-10-20
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Competitor

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City MINNEAPOLIS
Zip Code 55407

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Dataset Information

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.

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