ANDREA MARIE BALSIMO (NPI# 1912352188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912352188 |
| Entity Type | Individual |
| Full Name | ANDREA MARIE BALSIMO |
| Credential | FNP |
| Practice Address |
2945 Hazelwood St Ste 200 Maplewood MN 55109-1243 |
| Mailing Address |
4133 Morning Dove Ave N Stillwater MN 55082-1274 |
| Practice Telephone | 6512276351 |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R184567-5 | MN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP 4651 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8450 Seasons Pkwy, Woodbury, MN 551254402 | 9528538800 | 6517025305 |
| Street Address |
2945 HAZELWOOD ST STE 200 |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-1243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619913621 | Ali Sajjad | Internal Medicine | 2945 Hazelwood St Ste 200, Maplewood, MN 55109-5841 | 2006-06-20 |
| 1245846542 | Alanna Marie Wallerstein | Audiologist | 2945 Hazelwood St Ste 200, Maplewood, MN 55109-1243 | 2020-09-22 |
| 1396040911 | Bagdade and Associates, LLC | Psychologist | 2945 Hazelwood St Ste 200, Maplewood, MN 55109-1243 | 2011-01-12 |
| 1699785196 | Paul S Bagdade | Psychologist | 2945 Hazelwood St Ste 200, Maplewood, MN 55109-1243 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466675 | Neela Xiong | Nurse Practitioner | 2712 Brand Ave E, Maplewood, MN 55119-3801 | 2020-08-03 |
| 1114496478 | Barbara Ann Chubb | Nurse Practitioner | 626 Prospect St, Maplewood, NJ 07040-2724 | 2018-11-16 |
| 1972788008 | Carla Sue Strater | Nurse Practitioner | 21075 State Route 47, Maplewood, OH 45340-8724 | 2008-01-08 |
| 1215404504 | Rejane Signor | Nurse Practitioner | 1973 Springfield Ave, Maplewood, NJ 07040 | 2018-10-25 |
| 1205311156 | Jessica Anne Lemker | Nurse Practitioner | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2018-09-26 |
| 1386151413 | Nasra Thakur | Nurse Practitioner | 1850 Beam Ave, Maplewood, MN 55109 | 2018-01-10 |
| 1326574732 | Laura Donatelle | Nurse Practitioner | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-05-04 |
| 1417493396 | Pilar Boril | Nurse Practitioner | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-01-16 |
| 1487190633 | Hyohyun Jang | Nurse Practitioner | 2010 Springfield Ave, #101, Maplewood, NJ 07040-3437 | 2017-01-12 |
| 1730621467 | Christin Radtke | Nurse Practitioner | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1241 | 2016-11-11 |
| Find all providers in MAPLEWOOD | ||||
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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.