MRS. HEIDI ANN EISENMAN (NPI# 1871945469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871945469 |
| Entity Type | Individual |
| Full Name | MRS. HEIDI ANN EISENMAN |
| Credential | CNP |
| Practice Address |
500 W Grant St Lake City MN 55041 |
| Mailing Address |
500 W Grant St Lake City MN 55041-1143 |
| Practice Telephone | 6513453321 |
| Mailing Telephone | 6513453321 |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
1795330 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP 4574 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 275 1st St Sw, Plainview, MN 559641359 | 5075343169 |
| Street Address |
500 W GRANT ST |
| City | LAKE CITY |
| State | MN |
| Zip Code | 55041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689650350 | Ann Marie Lowe | Family Medicine | 500 W Grant St, Lake City, MN 55041-1143 | 2005-12-15 |
| 1689280406 | Kelly Marie Kennedy | Pharmacist | 500 W Grant St, Lake City, MN 55041-1143 | 2020-09-17 |
| 1447863972 | Mayo Clinic Health System-lake City | Non-Pharmacy Dispensing Site | 500 W Grant St, Lake City, MN 55041-1143 | 2020-08-25 |
| 1124638341 | Rebekah Richter | Physical Therapist | 500 W Grant St, Lake City, MN 55041-1143 | 2020-08-03 |
| 1225661416 | Patricia Elena Servin-hughes | Nurse Practitioner | 500 W Grant St, Lake City, MN 55041-1143 | 2020-02-17 |
| 1598318016 | Shannon Campbell | Physical Therapist | 500 W Grant St, Lake City, MN 55041-1143 | 2019-07-23 |
| 1861965774 | Cole James Kriett | Physician Assistant | 500 W Grant St, Lake City, MN 55041-1143 | 2019-01-03 |
| 1992217673 | Tina Marie Montgomery | Speech-Language Pathologist | 500 W Grant St, Lake City, MN 55041-1143 | 2017-11-02 |
| 1972015923 | Heather Nagel | Physical Therapist | 500 W Grant St, Lake City, MN 55041-1143 | 2017-10-31 |
| 1821500265 | Simone Leanne Lenertz | Occupational Therapist | 500 W Grant St, Lake City, MN 55041-1143 | 2017-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285136242 | Perry Dental, Ltd. | Dentist | 210 N. Lakeshore Dr., Lake City, MN 55041 | 2018-03-06 |
| 1790182335 | Innovative Chiropractic Center | Chiropractor | 201 D East Ave., Red Wing, MN 55041 | 2014-11-25 |
| 1245327147 | David F Valkos | Chiropractor | 106 So Washington St, Lake City, MN 55041 | 2006-10-10 |
| 1063441830 | Michael D Ackermann | Optometrist | 117 W Center St, Lake City, MN 55041 | 2006-07-02 |
| 1760668693 | Elizabeth Agnes Olson | Chiropractor | 106 S Washington St, Lake City, MN 55041-1034 | 2008-01-10 |
| 1194900936 | Valkos Chiropractic Office, LLC | Clinic/Center | 106 S Washington St, Lake City, MN 55041-1034 | 2007-12-28 |
| 1417333428 | River Oaks At Lake Pepin, LLC. | Home Health | 815 N High St, Lake City, MN 55041-1225 | 2015-08-03 |
| 1124189444 | Stephen Lee Brown | Dentist | 1350 N 7th St, Lake City, MN 55041-1251 | 2006-12-12 |
| 1114188307 | Pepin Valley Dental | Clinic/Center | 1350 N 7th St, Lake City, MN 55041-1251 | 2008-06-19 |
| 1366627564 | Lesa Ann Funke | Dental Hygienist | 1350 N 7th St, Lake City, MN 55041-1251 | 2008-01-07 |
| Find all providers in zip 55041 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151530 | Anne M Egan | Nurse Practitioner | 1608 N Oak St, Lake City, MN 55041-9031 | 2020-07-14 |
| 1104462225 | Markie Hunter | Nurse Practitioner | 236 Sw Birch Gln, Lake City, FL 32024-0795 | 2019-11-24 |
| 1255983854 | Carlon Darneil Jenkins | Nurse Practitioner | 126 Williamsburg Ave, Lake City, SC 29560-2734 | 2019-07-13 |
| 1811477078 | Jordan Budwick | Nurse Practitioner | 2970 W Us Highway 90 Ste 120, Lake City, FL 32055-4703 | 2018-08-17 |
| 1508343526 | Ashton Cagle Godwin | Nurse Practitioner | 1236 Mccutcheon Rd, Lake City, SC 29560-5619 | 2018-07-23 |
| 1811411754 | David Charles Terrell Jr. | Nurse Practitioner | 410 Sw Silver Palm Dr, Lake City, FL 32024-6757 | 2017-08-02 |
| 1164811576 | Sharma Atkinson-staten | Nurse Practitioner | 619 Sw Baya Dr Ste 102, Lake City, FL 32025-4204 | 2015-01-22 |
| 1750587002 | Jennifer Haith Scott | Nurse Practitioner | 221 Sw Stonegate Ter, Suite 101, Lake City, FL 32024-3463 | 2007-06-25 |
| 1902008857 | Laura Ann Parks | Nurse Practitioner | 4241 Nw American Ln, Lake City, FL 32055-4881 | 2007-06-04 |
| 1760693022 | Stephanie Kate Finnell | Nurse Practitioner | 351 Nw Franklin St, Suite 2, Lake City, FL 32055 | 2007-05-25 |
| Find all providers in LAKE CITY | ||||
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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.