MRS. KELLY MARY STEDMAN (NPI# 1912490988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912490988 |
| Entity Type | Individual |
| Full Name | MRS. KELLY MARY STEDMAN |
| Other Name | MS. KELLY MARY THEEDE |
| Practice Address |
606 24th Ave S Minneapolis MN 55454-1455 |
| Mailing Address |
6618 Stillwater Blvd N Oakdale MN 55128-3811 |
| Practice Telephone | 6122732236 |
| Mailing Telephone | 6512536269 |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 303 E Nicollet Blvd Ste 363, Burnsville, MN 553374594 | 6122732236 | |
| 6545 France Ave S Bldg Suite250, Edina, MN 554352131 | 6122732236 |
| Street Address |
606 24TH AVE S |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55454-1455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033111018 | Gregory M Amer | Family Medicine | 606 24th Ave S, Suite 700, Minneapolis, MN 55454-1455 | 2005-08-10 |
| 1659978088 | Sean Kenny | Pharmacist | 606 24th Ave S, Minneapolis, MN 55454-1455 | 2020-10-08 |
| 1962011973 | Galina Alexandra Yakovlev | Dentist | 606 24th Ave S, Minneapolis, MN 55454-1455 | 2020-07-26 |
| 1316564875 | Lawrence Lam | Dentist | 606 24th Ave S, Minneapolis, MN 55454-1455 | 2020-07-01 |
| 1285296996 | Ian Jerrod Huxford | Dentist | 606 24th Ave S, Riverside Professional Building Suite 200, Minneapolis, MN 55454 | 2019-07-02 |
| 1255992244 | Joshua Dale | Dentist | 606 24th Ave S, Minneapolis, MN 55454-1455 | 2019-06-21 |
| 1912433988 | Cody Kendera | Dentist | 606 24th Ave S, Suite 200, Minneapolis, MN 55454-1455 | 2017-05-11 |
| 1295275303 | Emily Chang | Student in an Organized Health Care Education/Training Program | 606 24th Ave S, Suite 200, Minneapolis, MN 55454-1455 | 2017-03-08 |
| 1598203432 | Fairview Express Care | Family Medicine | 606 24th Ave S, Suite 106, Minneapolis, MN 55454-1455 | 2017-02-10 |
| 1184177370 | Darrah Jean Steingraber | Advanced Practice Midwife | 606 24th Ave S, Riverside Professional Building, Minneapolis, MN 55454-1455 | 2016-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
| 1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
| 1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
| 1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
| 1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
| 1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
| 1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
| 1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
| 1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
| Find all providers in zip 55454 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639704794 | Iman Erika Kashmola-perez | Genetic Counselor, MS | 606 24th Ave S Fl 4, Minneapolis, MN 55454-1455 | 2020-03-10 |
| 1265922082 | Rachel Brite Saunders | Genetic Counselor, MS | 2545 Chicago Ave # Mdb17700, Minneapolis, MN 55404-4522 | 2018-05-16 |
| 1639615156 | My Genetic Ally LLC | Genetic Counselor, MS | 602 N 1st St Apt 714, Minneapolis, MN 55401-2251 | 2017-01-07 |
| 1952765133 | Hallee Christine Adamsheck | Genetic Counselor, MS | 800 E 28th St Ste Mr 39105, Minneapolis, MN 55407-3723 | 2016-04-13 |
| 1841629268 | Lindsay Diaz Mcneely | Genetic Counselor, MS | 1015 Glenwood Ave, Minneapolis, MN 55405-4402 | 2013-11-06 |
| 1235483702 | Katherine Alyssa Wiens | Genetic Counselor, MS | 321 Church St Se, 6-160 Jackson Hall, Minneapolis, MN 55455-0250 | 2012-11-05 |
| 1447523329 | Karen Nyaikamba Kamiri Buser | Genetic Counselor, MS | 2101 6th St Se, 4-182, Minneapolis, MN 55455-3008 | 2012-02-22 |
| 1861661712 | Maria Ronningen Johnson | Genetic Counselor, MS | 516 Delaware St. S.e., 12 Phillips Wangensteen Bldg., Minneapolis, MN 55455-0001 | 2008-02-25 |
| 1134212657 | Bonnie Ann Hatten | Genetic Counselor, MS | 800 E 28th St Ste 105, Minneapolis, MN 55407-3723 | 2006-10-02 |
| 1184602187 | Karol Roselyn Rubin | Genetic Counselor, MS | 420 Delaware St. Se, Mmc 485, Minneapolis, MN 55454 | 2006-01-09 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55454 |
Please comment or provide details below to improve the information on MRS. KELLY MARY STEDMAN.
| 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.