KELSE SANDBERG (NPI# 1891321048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891321048 |
| Entity Type | Individual |
| Full Name | KELSE SANDBERG |
| Practice Address |
1104 W River Rd Detroit Lakes MN 56501-2723 |
| Mailing Address |
891 Belsly Blvd Moorhead MN 56560-5055 |
| Practice Telephone | 2182874338 |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
1104 W RIVER RD |
| City | DETROIT LAKES |
| State | MN |
| Zip Code | 56501-2723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104183326 | Tessie Blake | Psychologist | 1104 W River Rd, Detroit Lakes, MN 56501-2723 | 2012-04-12 |
| 1205443785 | Alexis Fritz | Specialist | 1104 W River Rd, Detroit Lakes, MN 56501-2723 | 2020-09-28 |
| 1669083945 | Alyssa Mertens | Specialist | 1104 W River Rd, Detroit Lakes, MN 56501-2723 | 2020-08-11 |
| 1780208314 | Austin Askelson | Specialist | 1104 W River Rd, Detroit Lakes, MN 56501-2723 | 2020-05-29 |
| 1932734001 | Jennifer Lehmann | Specialist | 1104 W River Rd, Detroit Lakes, MN 56501-2723 | 2020-03-09 |
| 1316571706 | Rachael Mcarthur | Technician, Other | 1104 W River Rd, Detroit Lakes, MN 56501-2723 | 2020-02-25 |
| 1811520273 | Jennifer Wendlandt | Social Worker | 1104 W River Rd, Detroit Lakes, MN 56501-2723 | 2020-02-13 |
| 1568008522 | Erica Johnson | Specialist | 1104 W River Rd, Detroit Lakes, MN 56501-2723 | 2019-11-25 |
| 1669016994 | Lauren Harting | Specialist | 1104 W River Rd, Detroit Lakes, MN 56501-2723 | 2019-10-30 |
| 1790327708 | Riley Bourdon | Technician, Other | 1104 W River Rd, Detroit Lakes, MN 56501-2723 | 2019-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1679068407 | Strive Chiropractic Detroit Lakes LLC | Chiropractor | 1852 Nodaway Drive, Detroit Lakes, MN 56501 | 2018-06-25 |
| 1194215830 | Jordan James Reese | Registered Nurse | 1295 Bay Ridge Dr, Detroit Lakes, MN 56501 | 2018-05-17 |
| 1992179386 | Compassion House | Substance Abuse Rehabilitation Facility | 811 8th St. Se, Detroit Lakes, MN 56501 | 2015-11-23 |
| 1720344286 | Lakes Crisis & Resource Center | Clinic/Center | 1339 Pelican Lane, Detroit Lakes, MN 56501 | 2012-04-09 |
| 1063657120 | Diane Jean Mccormack | Occupational Therapist | 15840 Long Lake Road, Detroit Lakes, MN 56501 | 2008-12-03 |
| 1588817928 | Darcy Caleb Olson | Counselor | 925 Lake Ave, Detroit Lakes, MN 56501 | 2008-10-29 |
| 1760651079 | Rapidcare Urgent Care Pllc | Family Medicine | 1361 Wenner Road, Detroit Lakes, MN 56501 | 2008-02-21 |
| 1427274729 | Jeffrey C Gregory | Psychologist | 910 Lincoln Ave, Detroit Lakes, MN 56501 | 2007-04-17 |
| 1144364894 | Midwest Vision Centers Inc | Eyewear Supplier (Equipment, not the service) | 830 Washington Avenue, Detroit Lakes, MN 56501 | 2007-02-16 |
| Find all providers in zip 56501 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659565414 | Diane Elizabeth Cashman | Specialist | 49902 County Highway 31, Detroit Lakes, MN 56501-9456 | 2007-09-04 |
| 1205443785 | Alexis Fritz | Specialist | 1104 W River Rd, Detroit Lakes, MN 56501-2723 | 2020-09-28 |
| 1669083945 | Alyssa Mertens | Specialist | 1104 W River Rd, Detroit Lakes, MN 56501-2723 | 2020-08-11 |
| 1780208314 | Austin Askelson | Specialist | 1104 W River Rd, Detroit Lakes, MN 56501-2723 | 2020-05-29 |
| 1932734001 | Jennifer Lehmann | Specialist | 1104 W River Rd, Detroit Lakes, MN 56501-2723 | 2020-03-09 |
| 1568008522 | Erica Johnson | Specialist | 1104 W River Rd, Detroit Lakes, MN 56501-2723 | 2019-11-25 |
| 1669016994 | Lauren Harting | Specialist | 1104 W River Rd, Detroit Lakes, MN 56501-2723 | 2019-10-30 |
| 1548815830 | Elizabete Romanovska | Specialist | 1104 W River Rd, Detroit Lakes, MN 56501-2723 | 2019-08-05 |
| 1568024446 | Jennifer Mernitz | Specialist | 1104 W River Rd, Detroit Lakes, MN 56501-2723 | 2019-07-01 |
| 1285292904 | Ashley Olson | Specialist | 1104 W River Rd, Detroit Lakes, MN 56501-2723 | 2019-05-29 |
| Find all providers in DETROIT LAKES | ||||
| City | DETROIT LAKES |
| Zip Code | 56501 |
Please comment or provide details below to improve the information on KELSE SANDBERG.
| 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.