STUDENT HEALTH SERVICE UNIVERSITY OF ST. THOMAS (NPI# 1881819886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881819886 |
| Entity Type | Organization |
| Organization Name | STUDENT HEALTH SERVICE UNIVERSITY OF ST. THOMAS |
| Practice Address |
2115 Summit Ave Mailbox #5056 Saint Paul MN 55105-1048 |
| Practice Telephone | 6519626750 |
| Practice Fax Number | 6519626751 |
| Mailing Telephone | 6519626750 |
| Mailing Fax Number | 6519626751 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MADONNA K MC DERMOTT (DIRECTOR STUDENT HEALTH SERVICE) |
| Authorized Official Telephone | 6519626750 |
| Authorized Official Credential | MS, MPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
MN32783 | MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | NPI KATE BOOTH, NP | 1114057510 | 01 |
| MN | NPI GAIL CONZEMIUS | 1225156227 | 01 |
| MN | NPI DR. THOMAS THUL | 1669443222 | 01 |
| MN | NPI MADONNA MCDERMOTT | 1184740664 | 01 |
| MN | NPI DR. MARILEE VOTEL-KVA | 1215999081 | 01 |
| Street Address |
2115 SUMMIT AVE MAILBOX #5056 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55105-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568422244 | Amy Gilbertson | Specialist/Technologist | 2115 Summit Ave, Ste 5003, Saint Paul, MN 55105-1048 | 2006-03-25 |
| 1497113377 | Robert Zelesnikar | Specialist/Technologist | 2115 Summit Ave, Arc 117e, Saint Paul, MN 55105-1048 | 2016-02-05 |
| 1255549267 | Sarah K Armstrong | Psychologist | 2115 Summit Ave, Mail 4040, Saint Paul, MN 55105-1048 | 2007-05-21 |
| 1225156227 | Gail Ann Conzemius | Registered Nurse | 2115 Summit Ave, #5056, Saint Paul, MN 55105-1096 | 2007-03-27 |
| 1184740664 | Madonna Kathryn Mcdermott | Nurse Practitioner | 2115 Summit Ave, Mail Box 5056, Saint Paul, MN 55105-1048 | 2007-03-22 |
| 1881764876 | Shannon Marie Ristau | Student in an Organized Health Care Education/Training Program | 2115 Summit Ave, Loras Hall 406, Saint Paul, MN 55105-1048 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704020 | Grand Avenue Smiles | Dentist | 1845 Grand Avenue, St. Paul, MN 55105 | 2019-08-09 |
| 1205304839 | Michelle Marie Loken Price | Acupuncturist | 877 Lincoln Ave, Saint Paul, MN 55105 | 2018-11-13 |
| 1326566936 | Becky Lynn Lawyer | Counselor | 1704 Palace Ave, St Paul, MN 55105 | 2017-09-04 |
| 1679020226 | Internal Revolution Counseling and Consulting, L.L.C. | Psychologist | 1123 Grand Avenue, Suite 201, Saint Paul, MN 55105 | 2016-09-01 |
| 1487059689 | Jennifer Mason | Lactation Consultant, Non-RN | 1382 Summit Ave, Saint Paul, MN 55105 | 2014-10-30 |
| 1679818850 | Marc Lane Wolfson | Registered Nurse | 1148 Grand Avenue, St. Paul, MN 55105 | 2012-11-29 |
| 1457602781 | Charting Your Success | Social Worker | 2050 St Clair Avenue, Suite 1e, St Paul, MN 55105 | 2012-09-26 |
| 1871867549 | Stacia Hanson Ma Lp LLC | Psychologist | 889 Grand Avenue, Suite 203, St Paul, MN 55105 | 2012-02-28 |
| 1265718142 | Caitlin Marie Young | Midwife | 968 Grand Ave., St. Paul, MN 55105 | 2011-10-24 |
| 1659512622 | Wellness Cooperative LLC | Chiropractor | 976 Grand Ave., St. Paul, MN 55105 | 2009-03-20 |
| Find all providers in zip 55105 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265857460 | Bethel University | Clinic/Center | 3900 Bethel Dr, Msc2376, Saint Paul, MN 55112-6902 | 2014-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841762754 | Southwest Minnesota State University Student Health Services | Clinic/Center | 1501 State St # Ba158, Marshall, MN 56258-3306 | 2018-12-18 |
| 1619332640 | Rochester Students' Health Services Service Corporation | Clinic/Center | 37 Woodlake Dr Se, Rochester, MN 55904-5509 | 2015-12-17 |
| 1427466234 | Hennepin County | Clinic/Center | 501 Irving Ave N, Minneapolis, MN 55405-1263 | 2014-07-24 |
| 1205145448 | Hennepin County | Clinic/Center | 1500 James Ave N, Minneapolis, MN 55411-3161 | 2010-10-06 |
| 1831408988 | Hennepin County | Clinic/Center | 2210 Oliver Ave N, Minneapolis, MN 55411-1821 | 2010-10-06 |
| 1700199304 | College of St. Benedict | Clinic/Center | 37 College Ave S, Lottie Hall, Saint Joseph, MN 56374-2001 | 2010-07-23 |
| 1215169909 | Trustees of The Hamline University of Minnesota | Clinic/Center | 1513 Englewood Ave, St. Paul, MN 55104-1284 | 2009-08-14 |
| 1497881494 | Hendrix Health Center | Clinic/Center | 1308 9th Ave. S., Moorhead, MN 56560 | 2007-02-26 |
| 1265671531 | Carleton College | Clinic/Center | 1 N College St, Northfield, MN 55057-4001 | 2009-02-10 |
| 1295948818 | Regents of The University of Minnesota | Clinic/Center | 410 Church St Se, Minneapolis, MN 55455-0340 | 2007-05-08 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55105 |
Please comment or provide details below to improve the information on STUDENT HEALTH SERVICE UNIVERSITY OF ST. THOMAS.
| 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.