MR. EDDINGTON H. BOBBY TUDEE (NPI# 1861006397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861006397 |
| Entity Type | Individual |
| Full Name | MR. EDDINGTON H. BOBBY TUDEE |
| Credential | RN |
| Practice Address |
725 2nd Ave S Hopkins MN 55343-7782 |
| Mailing Address |
16313 50th Ave N Plymouth MN 55446-3667 |
| Practice Telephone | 9529353338 |
| Mailing Telephone | 6128409750 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 2097642 | MN | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
7 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
74 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
725 2ND AVE S |
| City | HOPKINS |
| State | MN |
| Zip Code | 55343-7782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164478483 | Beverly Enterprises - Minnesota LLC | Skilled Nursing Facility | 725 2nd Ave S, Hopkins, MN 55343-7782 | 2006-05-26 |
| 1487269890 | Donna Jean Saewert | Physical Therapy Assistant | 725 2nd Ave S, Hopkins, MN 55343-7782 | 2020-09-11 |
| 1477168136 | Alexandra L Hodgkins | Occupational Therapist | 725 2nd Ave S, Hopkins, MN 55343-7782 | 2020-09-10 |
| 1376158097 | Adam Jeffrey Flemming | Physical Therapist | 725 2nd Ave S, Hopkins, MN 55343-7782 | 2020-09-10 |
| 1093320616 | Nicole Lee Iverson | Occupational Therapy Assistant | 725 2nd Ave S, Hopkins, MN 55343-7782 | 2020-09-10 |
| 1801431127 | Lifesource of North Carolina | Psychologist | 725 2nd Ave S, Hopkins, MN 55343-7782 | 2019-11-11 |
| 1538600770 | Nsh Hopkins LLC | Skilled Nursing Facility | 725 2nd Ave S, Hopkins, MN 55343-7782 | 2017-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689230542 | Madison C Korus | Behavior Technician | 5501 Feltl Road, Minnetonka, MN 55343 | 2019-05-16 |
| 1942708508 | Teammd Physicians of Texas Inc | Case Manager/Care Coordinator | 9900 Bren Rd E # 8-b217, Minnetonka, MN 55343 | 2018-01-30 |
| 1659899284 | Midwest Medical Transit | Transportation Broker | 1001 Main Street #125, Hopkins, MN 55343 | 2017-09-04 |
| 1376070367 | Noor Translation and Interpretation Services LLC | Interpreter | 5620 Smetana Drive, Ste 300, Office D, Minnetonka, MN 55343 | 2017-05-22 |
| 1871043240 | Katherine Rae Skarphol | Speech-Language Pathologist | 5501 Feltl Rd, Hopkins, MN 55343 | 2016-10-10 |
| 1215481478 | Safi Care Transportation | Non-emergency Medical Transport (VAN) | 1001 Mainstreet, Ste 125, Hopkins, MN 55343 | 2016-08-05 |
| 1649723420 | Stephanie Stackhouse | Internal Medicine | 5520 Bristol Lane, Minnetonka, MN 55343 | 2016-07-28 |
| 1023479706 | Counter Point Recovery | Substance Abuse Rehabilitation Facility | 5022 Baker Rd, Minnetonka, MN 55343 | 2016-03-09 |
| 1851766356 | Enrique Mendoza Rojas | Nurse Practitioner | 9900 Ben Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2015-12-09 |
| 1013307230 | Susanna Monroe | Nurse Practitioner | Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343 | 2015-01-26 |
| Find all providers in zip 55343 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871708792 | S. Askia Davis | Nurse Practitioner | 9019 Garners Ferry Rd St B, Hopkins, SC 29061 | 2007-05-14 |
| 1841770716 | Marcia Callegari Bates | Nurse Practitioner | 9900 Bren Rd E, Hopkins, MN 55343-9664 | 2018-08-20 |
| 1457744260 | Emily Kratochwill | Nurse Practitioner | 10903 Excelsior Blvd, Hopkins, MN 55343 | 2015-03-18 |
| 1851790216 | Alexandra Byers Weathersby | Nurse Practitioner | 9023 Garners Ferry Rd, Hopkins, SC 29061 | 2014-08-21 |
| 1699063958 | Aimee Elise Esten | Nurse Practitioner | 9900 Bren Rd E, Hopkins, MN 55343-9664 | 2011-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466368 | Amalia Jo Folland Harvey | Nurse Practitioner | 19883 Evensong Ct, Farmington, MN 55024-8688 | 2020-10-29 |
| 1710586235 | Jackelyn Laura Peterson | Nurse Practitioner | 10101 Bren Rd E Unit 345, Minnetonka, MN 55343-0060 | 2020-10-26 |
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1861091704 | Morgan Rohl | Nurse Practitioner | 117 12th Ave Nw Apt 2, Rochester, MN 55901-2787 | 2020-10-21 |
| 1063010304 | Kalie R Mccauley | Nurse Practitioner | 11452 Brook Rd Nw, Elk River, MN 55330-8739 | 2020-10-09 |
| 1659978930 | Sarah Jean Mudge | Nurse Practitioner | 350 Harbor Dr, Duluth, MN 55802-2600 | 2020-10-08 |
| 1285231621 | Karlu Dorleh | Nurse Practitioner | 14151 Territorial Rd Unit 212, Maple Grove, MN 55369-5725 | 2020-10-08 |
| 1447857669 | Kimberly Dawn Bursch-tewalt | Nurse Practitioner | 11884 237th Ave Nw, Elk River, MN 55330-8255 | 2020-10-01 |
| 1639786312 | Peter Wahl | Nurse Practitioner | 4652 Lyndale Ave S, Minneapolis, MN 55419-5302 | 2020-09-28 |
| 1568078616 | Joanna Kay Rehm | Nurse Practitioner | 3025 Eagandale Pl Apt 338, Eagan, MN 55121-1236 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
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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.