DR. KELSEY LESSARD (NPI# 1902254899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902254899 |
| Entity Type | Individual |
| Full Name | DR. KELSEY LESSARD |
| Credential | DNP, APRN, CNP |
| Practice Address |
1323 Coon Rapids Blvd Nw Coon Rapids MN 55433-5307 |
| Practice Telephone | 7637555300 |
| Mailing Telephone | 7637555300 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2017-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R 212074-2 | MN | Nursing Service Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
CNP4632 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1323 COON RAPIDS BLVD NW |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-5307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215131909 | Robyn Lynn Wagner | Nurse Practitioner | 1323 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-5362 | 2007-06-14 |
| 1881053056 | Nicole Leand | Nurse Practitioner | 1323 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-5307 | 2016-02-17 |
| 1932436136 | Kathryn Marie Svendsen | Nurse Practitioner | 1323 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-5307 | 2009-11-09 |
| 1982882742 | Nucleus Clinic | Public Health or Welfare | 1323 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-5362 | 2008-02-04 |
| 1184809139 | Diane Jane Willging | Nurse Practitioner | 1323 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-5362 | 2008-01-08 |
| 1932384088 | Bonnie Jean Olson | Nurse Practitioner | 1323 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-5362 | 2008-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215131909 | Robyn Lynn Wagner | Nurse Practitioner | 1323 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-5362 | 2007-06-14 |
| 1881053056 | Nicole Leand | Nurse Practitioner | 1323 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-5307 | 2016-02-17 |
| 1093191082 | Akia M Smith | Nurse Practitioner | 11850 Blackfoot St Nw Ste 100, Coon Rapids, MN 55433-2774 | 2015-08-03 |
| 1558696526 | Kimberly F Laxmana | Nurse Practitioner | 3960 Coon Rapids Blvd Nw, Suite 101, Coon Rapids, MN 55433-2569 | 2009-10-08 |
| 1184809139 | Diane Jane Willging | Nurse Practitioner | 1323 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-5362 | 2008-01-08 |
| 1932384088 | Bonnie Jean Olson | Nurse Practitioner | 1323 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-5362 | 2008-01-08 |
| 1831155050 | Viginia K Baeker-deutsch | Nurse Practitioner | 3960 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2569 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013547850 | Lexie Frances Polk | Nurse Practitioner | 3520 N Shore Dr, Wayzata, MN 55391-9360 | 2020-01-21 |
| 1790341865 | Natalie Nicole Johnson | Nurse Practitioner | 9550 Upland Ln N Ste 230, Maple Grove, MN 55369-4484 | 2019-05-14 |
| 1326519646 | Kelsey M Thompson | Nurse Practitioner | 2920 Aldrich Ave S Apt 145, Minneapolis, MN 55408-4275 | 2018-12-13 |
| 1134647274 | Lisa Bergman | Nurse Practitioner | 201 N Victory Dr Ste 211, Mankato, MN 56001-5398 | 2017-09-08 |
| 1528450053 | Stephanie Nielsen | Nurse Practitioner | 1979 Sotlich Rd, Ely, MN 55731-8239 | 2015-02-20 |
| 1366842734 | Meghan Stommes | Nurse Practitioner | 801 Nicollet Mall Ste 400, Minneapolis, MN 55402-2520 | 2014-09-03 |
| 1659710887 | Jessica Williams | Nurse Practitioner | 451 E Saint Germain St Ste 100, Saint Cloud, MN 56304-0761 | 2013-06-20 |
| 1437496700 | Toby Faye Sawyer | Nurse Practitioner | 1001 E Central Entrance Ste 200, Duluth, MN 55811-5525 | 2013-01-07 |
| 1093096927 | Laura J Wilner | Nurse Practitioner | 803 Belsly Blvd # 2, Moorhead, MN 56560-5057 | 2011-09-06 |
| 1861720062 | Linda Marie Christinsen-rengel | Nurse Practitioner | 640 Jackson Street Ms 11101a, Healthpartners Regions Specialty Clinics, Saint Paul, MN 55101 | 2009-11-27 |
| Find all providers with the same taxonomy | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
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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.