ALISSA PAUL (NPI# 1871789123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871789123 |
| Entity Type | Individual |
| Full Name | ALISSA PAUL |
| Credential | PA-C |
| Practice Address |
449 Commerce Dr Woodbury MN 55125-4872 |
| Practice Telephone | 8663892727 |
| Mailing Telephone | 8663892727 |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
10330 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
449 COMMERCE DR |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-4872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043847098 | Kelsey Krause | Pharmacist | 449 Commerce Dr, Woodbury, MN 55125-4872 | 2020-03-26 |
| 1194350595 | Amy Kukacka | Pharmacist | 449 Commerce Dr, Woodbury, MN 55125-4872 | 2020-03-05 |
| 1528495397 | Brenda Deutsch | Nurse Practitioner | 449 Commerce Dr, Woodbury, MN 55125-4872 | 2013-10-10 |
| 1437582301 | Aretha Baidoo | Pharmacist | 449 Commerce Dr, Woodbury, MN 55125-4872 | 2013-08-15 |
| 1518254465 | Erinne Hess | Pharmacist | 449 Commerce Dr, Woodbury, MN 55125-4872 | 2011-06-29 |
| 1013203264 | Melissa N Nord | Pharmacist | 449 Commerce Dr, T2406, Woodbury, MN 55125-4872 | 2011-06-27 |
| 1992090534 | Traci Diane Robinson | Pharmacist | 449 Commerce Dr, T-2406, Woodbury, MN 55125-4872 | 2011-06-11 |
| 1871890905 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 449 Commerce Dr, Woodbury, MN 55125-4872 | 2011-02-25 |
| 1699079483 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 449 Commerce Dr, Woodbury, MN 55125-4872 | 2011-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013496892 | Daniel Louis Fazzino | Physician Assistant | 76 Barnhill Rd, Woodbury, CT 06798-2219 | 2018-08-12 |
| 1457460743 | Anthony F Orlando | Physician Assistant | 608 N Broad St, Suite 100, Woodbury, NJ 08096-1794 | 2006-08-30 |
| 1992746242 | Susan Tamagni | Physician Assistant | 159 S Broad St, Woodbury, NJ 08096-2410 | 2006-06-09 |
| 1437523248 | Abigail House Tierney | Physician Assistant | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2015-11-17 |
| 1396149910 | Matthew Voit | Physician Assistant | 509 N Broad St, Woodbury, NJ 08096-1617 | 2014-10-09 |
| 1588086821 | Krystina Zeliff | Physician Assistant | 875 Mantua Pike, Woodbury, NJ 08096 | 2014-01-06 |
| 1326312430 | Brian W. Boockoff | Physician Assistant | 414 Tatum St, Woodbury, NJ 08096-3499 | 2012-03-07 |
| 1790068989 | Leslie Ann Davis | Physician Assistant | 45 Crossways Park Dr W, Woodbury, NY 11797-2037 | 2011-09-23 |
| 1467733816 | Andrea M Bolesta | Physician Assistant | 509 N Broad St, Woodbury, NJ 08096-1617 | 2011-08-30 |
| 1679897060 | Jacqueline Marjorie Lichtenstein | Physician Assistant | 45 Crossways Park Dr W, Woodbury, NY 11797-2037 | 2010-03-15 |
| Find all providers in WOODBURY | ||||
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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.