PAM J DOEBBELING (NPI# 1881239069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881239069 |
| Entity Type | Individual |
| Full Name | PAM J DOEBBELING |
| Credential | RN |
| Practice Address |
415 Jefferson St N Wadena MN 56482-1297 |
| Practice Telephone | 2186327115 |
| Mailing Telephone | 2186327115 |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
160319-2 | MN | Nursing Service Providers |
| Street Address |
415 JEFFERSON ST N |
| City | WADENA |
| State | MN |
| Zip Code | 56482-1297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477545333 | Tri-county Hospital, Inc. | General Acute Care Hospital | 415 Jefferson St N, Wadena, MN 56482-1264 | 2005-08-17 |
| 1669098661 | Matthew James Cary | Nurse Practitioner | 415 Jefferson St N, Wadena, MN 56482-1264 | 2020-06-25 |
| 1578020442 | Caitlyn Ann Wolter | Occupational Therapist | 415 Jefferson St N, Wadena, MN 56482-1264 | 2019-02-26 |
| 1740746924 | Emily L Bitter | Dietitian, Registered | 415 Jefferson St N, Wadena, MN 56482-1264 | 2019-02-13 |
| 1316424567 | Trenda Schwantz | Physical Therapist | 415 Jefferson St N, Wadena, MN 56482-1264 | 2018-07-20 |
| 1487140133 | Ashley Jill Schultz | Physician Assistant | 415 Jefferson St N, Wadena, MN 56482-1264 | 2018-07-05 |
| 1013417344 | Jenny Lynn Roller | Registered Nurse | 415 Jefferson St N, Wadena, MN 56482-1264 | 2018-02-13 |
| 1013422021 | Macayla Rose Lindenfelser | Registered Nurse | 415 Jefferson St N, Wadena, MN 56482-1264 | 2017-12-13 |
| 1457877086 | Crystal Haskin | Physician Assistant | 415 Jefferson St N, Wadena, MN 56482-1264 | 2017-08-15 |
| 1669993192 | Sara Lynn Truax | Speech-Language Pathologist | 415 Jefferson St N, Wadena, MN 56482-1264 | 2017-07-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033633904 | Hadc Wadena, LLC | Assisted Living Facility | 110 Hemlock Ave. Nw, Wadena, MN 56482 | 2017-08-01 |
| 1457665986 | Jill M Wilkens | Physician Assistant | 4 Deerwood Ave, Wadena, MN 56482 | 2010-07-26 |
| 1053525931 | Gerald Henry Gammell | Psychiatry & Neurology | 240 Shady Lane Drive, Wadena, MN 56482 | 2007-05-09 |
| 1336286228 | Wayne Calvin Howard | Dentist | 122 Sw Colfax, Wadena, MN 56482 | 2007-01-31 |
| 1699839399 | Peter W Finke | Physical Therapist | 311jefferson St. North, Tri County Hosptial, Wadena, MN 56482 | 2006-12-20 |
| 1902874480 | Corey H Tabbert | Optometrist | 222 Se First Street, Wadena, MN 56482 | 2006-03-09 |
| 1447333547 | Woodland Dental Inc | Dentist | 206 1st St Se, Wadena, MN 56482 | 2006-10-23 |
| 1306948245 | Wendy Amanda Gravelle | Nurse Anesthetist, Certified Registered | 415 Jefferson St North, Wadena, MN 56482 | 2006-09-01 |
| 1255312013 | Alfredmy G Chessor | General Practice | 4 Deerwood Ave Nw, Wadena, MN 56482 | 2005-11-09 |
| 1902961048 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 100 Juniper Ave, Wadena, MN 56482-1041 | 2006-12-27 |
| Find all providers in zip 56482 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992241590 | Andrea Pierson | Registered Nurse | 1185 Town Centre Dr Ste 220, Eagan, MN 55123-1186 | 2017-01-06 |
| 1093169567 | Kirsten Lee Johnson | Registered Nurse | 112033 Warner Cir, Chaska, MN 55318-1437 | 2016-04-20 |
| 1073905881 | Cindy Moldan | Registered Nurse | 100 Fallwood Road, Redwood Area Hospital, Redwood Falls, MN 56283 | 2015-03-03 |
| 1063815355 | Patricia Ann Osbourn | Registered Nurse | 1900 Centracare Cir # 2500, Centracare Clinic Health Plaza/endocrinology, Saint Cloud, MN 56303-5000 | 2014-10-01 |
| 1942472501 | Margaret Rose Noe | Registered Nurse | Hiwy 84 Cr0324 House#14, Tierra Amarilla, MN 87575 | 2008-03-24 |
| 1881638054 | Joy M Smetanka | Registered Nurse | 6939 Pine Arbor Dr S Ste 100, Cottage Grove, MN 55016-4643 | 2006-06-16 |
| 1104326636 | Rebekah Lynn Gorny | Registered Nurse | 320 E Main St, Crosby, MN 56441-1645 | 2018-02-21 |
| 1467971572 | Rose Marie Mader | Registered Nurse | 1000 Coney St W, Perham, MN 56573-2102 | 2017-09-11 |
| 1477074300 | Cortney Steen | Registered Nurse | 1013 Hart Blvd, Monticello, MN 55362-8575 | 2017-06-30 |
| 1134663685 | Patricia Stegeman | Registered Nurse | 1900 Centracare Cir, #2500, Saint Cloud, MN 56303-5000 | 2016-12-16 |
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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.