MARY PRESCOTT (NPI# 1881007110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881007110 |
| Entity Type | Individual |
| Full Name | MARY PRESCOTT |
| Credential | NP |
| Practice Address |
6200 Shingle Creek Pkwy Suite 300 Brooklyn Center MN 55430-2128 |
| Practice Telephone | 7635440696 |
| Mailing Telephone | 7635440696 |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R115823-6 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740558907 | Mary K Prescott | Counselor | 1120 Range Rd, York, PA 17406-8303 | 2011-12-02 |
| Street Address |
6200 SHINGLE CREEK PKWY SUITE 300 |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55430-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255305355 | Brett W Nyholm | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2006-02-15 |
| 1619265444 | Cari A Bushey | Nurse Practitioner | 6200 Shingle Creek Pkwy, Suite 260, Brooklyn Center, MN 55430-2128 | 2011-07-14 |
| 1427285030 | Carl Dean | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2009-06-22 |
| 1023253069 | Katherine M Carlson | Dietitian, Registered | 6200 Shingle Creek Pkwy, Ste 300, Brooklyn Center, MN 55430-2128 | 2008-12-04 |
| 1497906242 | Zeeraq Rahmatullah | Internal Medicine | 6200 Shingle Creek Pkwy, 300, Brooklyn Center, MN 55430-2128 | 2008-10-09 |
| 1568670867 | Kyle P Onan | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2007-05-18 |
| 1275680407 | Jeffrey Brown, Ma, Lp | Psychologist | 6200 Shingle Creek Pkwy, Suite460-2, Brooklyn Center, MN 55430-2128 | 2007-01-03 |
| 1881754471 | Eileen O Mundenar | Physician Assistant | 6200 Shingle Creek Pkwy, Suite 300, Brooklyn Center, MN 55430-2128 | 2006-12-12 |
| 1205940798 | Marc Weber | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 260, Brooklyn Center, MN 55430-2128 | 2006-08-19 |
| 1174537542 | Michelle Busch I | Nurse Practitioner | 6200 Shingle Creek Pkwy, Suite 260, Brooklyn Center, MN 55430-2128 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362182 | Graceland Homes | Home Health | 6843 Colfax Ave N, Brooklyn Center, MN 55430 | 2020-06-29 |
| 1912549742 | His Services Home Care, LLC | Home Health | 2108 70th Avenue North, Brooklyn Park, MN 55430 | 2019-10-14 |
| 1336612969 | Jeremiah Sk Pojah Sr. | Registered Nurse | 5201 Bryant Avenue North, Suite 108, Minneapolis, MN 55430 | 2019-01-07 |
| 1891219697 | Tamika Yvette Spicer | Home Health Aide | 6640 Humboldt Ave N, 101, Brooklyn Center, MN 55430 | 2017-08-02 |
| 1265973358 | James Contois | Community Based Residential Treatment Facility, Mental Illness | 6120 Earle Brown Drive, Suite 100, Brooklyn Center, MN 55430 | 2017-03-09 |
| 1336693746 | Sara Jean Cooper | Dentist | 1090 Shingle Creek Pkwy, Brooklyn Center, MN 55430 | 2016-08-15 |
| 1750732202 | Miriam Home Health Corporation | Residential Treatment Facility, Physical Disabilities | 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 | 2016-06-27 |
| 1649628561 | Tranquility Health LLC | Community/Behavioral Health | 6040 Earle Brown Dr Ste 250, Brooklyn Center, MN 55430 | 2016-06-01 |
| 1104233790 | Lillie's Helping Hands | In Home Supportive Care | 6407 Camden Ave N, #303, Brooklyn Center, MN 55430 | 2014-07-16 |
| 1063760817 | Wal-mart Stores Inc | Technician/Technologist | 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2012-08-28 |
| Find all providers in zip 55430 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083114300 | Sanouk Xiong | Nurse Practitioner | 4112 Joyce Ln, Brooklyn Center, MN 55429-4008 | 2018-02-13 |
| 1881175560 | Tabitha Vickie Briggs | Nurse Practitioner | 5701 Shingle Creek Pkwy Ste 210i, Brooklyn Center, MN 55430-2330 | 2018-08-22 |
| 1952838997 | Mercy Kilikpo Miantona | Nurse Practitioner | 5801 Brooklyn Blvd, Brooklyn Center, MN 55429-2521 | 2017-05-22 |
| 1922557776 | Omolayo Taiwo | Nurse Practitioner | 5801 Brooklyn Blvd, Brooklyn Center, MN 55429-2521 | 2016-09-21 |
| 1306286505 | Michaela Lubke | Nurse Practitioner | 5801 Brooklyn Blvd, Brooklyn Center, MN 55429-2521 | 2013-07-02 |
| 1215285747 | Kathryn Claire Schulz | Nurse Practitioner | 6000 Earle Brown Dr, Brooklyn Center, MN 55430-2506 | 2012-08-15 |
| 1013179217 | Andrea Bergstrom | Nurse Practitioner | 6845 Lee Ave N - Mail Stop 31400a, Healthpartners Brooklyn Center Clinic, Brooklyn Center, MN 55429-1717 | 2008-06-28 |
| 1851378541 | Nissa L Fell | Nurse Practitioner | 6000 Earle Brown Dr, Brooklyn Center, MN 55430-2506 | 2005-12-23 |
| 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 | ||||
| City | BROOKLYN CENTER |
| Zip Code | 55430 |
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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.