PATRICIA A COREY (NPI# 1922078724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922078724 |
| Entity Type | Individual |
| Full Name | PATRICIA A COREY |
| Credential | ANP |
| Practice Address |
505 S 12th Ave W Virginia MN 55792-3099 |
| Mailing Address |
7791 Mccarthy Beach Rd Side Lake MN 55781-8452 |
| Practice Telephone | 2187418192 |
| Mailing Telephone | 2182542530 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R0434236 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTH PARTNERS | HP22429 | 01 | |
| AMERICA'S PPO (ARAZ) | 1067919 | 01 | |
| MEDICA | 04-10545 | 01 | |
| MN | BCBS MN | 68G07CO | 01 |
| PREFERRED ONE | 1016952 | 01 | |
| UCARE | 111459 | 01 |
| Street Address |
505 S 12TH AVE W |
| City | VIRGINIA |
| State | MN |
| Zip Code | 55792-3099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568441889 | Planned Parenthood Minnesota, North Dakota, South Dakota | Specialist | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2006-01-13 |
| 1588227342 | Mark Anthony Coen | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2019-04-17 |
| 1336658533 | Jeris Jean Vaida | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2017-09-20 |
| 1255858510 | Carol Camille Peterson | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2017-08-28 |
| 1013434224 | Gregory Edward Golen | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2017-08-28 |
| 1588181952 | Rachel Marie Oivanti | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2017-08-27 |
| 1780101188 | Danielle Rae Spolarich | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2017-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598252983 | Teresa A Larrabee | Social Worker | 624 South 13th Street, Virginia, MN 55792 | 2018-04-20 |
| 1972874105 | Caryn M. Walters | Counselor | 504 1st St. S., Virginia, MN 55792 | 2012-01-19 |
| 1144502923 | Crystal Corrine Leal | Student in an Organized Health Care Education/Training Program | 624 S. 13th St., Virginia, MN 55792 | 2011-09-16 |
| 1417259110 | Ellen C. Taube | Pharmacist | 306 Chestnut, Virginia, MN 55792 | 2010-12-01 |
| 1518295567 | Virginia-gilbert Family Dental P.a | Dentist | 612-13th. St. So., Virginia, MN 55792 | 2009-12-03 |
| 1942442082 | Arrowhead Economic Opportunity Agency | In Home Supportive Care | 702 South Third Avenue, Virginia, MN 55792 | 2009-04-06 |
| 1609037324 | Stefan Leroy Kaiser | Preventive Medicine | 1101 9th St. N, Essentia Health Virginia Clinic, Virginia, MN 55792 | 2008-06-25 |
| 1457512915 | Duane Faccin Person | Legal Medicine | 910 6th St N, Duluth Clinic Virginia, Virginia, MN 55792 | 2008-06-18 |
| 1932368313 | Range Mental Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 731 3rd St S, Virginia, MN 55792 | 2008-06-02 |
| 1871634071 | Gary Frederick Miller | Social Worker | 624 S 13th Street, P O 1188, Virginia, MN 55792 | 2007-02-09 |
| Find all providers in zip 55792 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538552336 | Laura Jo Stauty | Nurse Practitioner | 1101 9th St N, Essentia Health Virginia Clinic, Virginia, MN 55792-2329 | 2015-03-18 |
| 1437563038 | Laura Sainio | Nurse Practitioner | 1101 9th St N, Essentia Health Virginia Clinic, Virginia, MN 55792 | 2014-06-12 |
| 1235462482 | Anthony Ray Teasck | Nurse Practitioner | 1101 9th St N, Virginia, MN 55792-2329 | 2009-09-04 |
| 1588897490 | Neissa Rhea Boehm | Nurse Practitioner | 1101 9th St N, Duluth Clinic Virginia, Virginia, MN 55792-2329 | 2009-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639731821 | Thomas Bieniek | Nurse Practitioner | 1900 Centracare Cir Ste 1600, Saint Cloud, MN 56303-5000 | 2019-07-08 |
| 1649830225 | Kimberly Dawn Hanson | Nurse Practitioner | 1884 Randolph Ave, Saint Paul, MN 55105-1747 | 2019-06-17 |
| 1942762828 | Jodi Lynn Martin | Nurse Practitioner | 720 Washington Ave Se Ste 300, Minneapolis, MN 55414-2904 | 2019-04-01 |
| 1831661123 | Sheryl Jo Rudolf | Nurse Practitioner | 705 Pleasant Avenue, Park Rapids, MN 56470-1440 | 2018-12-26 |
| 1043730310 | Alexis Oluwasheun Bakare | Nurse Practitioner | 1101 Paul Pkwy Ne Apt 215, Blaine, MN 55434-3977 | 2017-06-27 |
| 1528500360 | Judy Pauletich | Nurse Practitioner | 1255 Mayhill Rd N, Maplewood, MN 55119-7158 | 2016-11-10 |
| 1437506417 | Zahra Roble | Nurse Practitioner | 1801 Nicolllet Ave S, Minneapolis, MN 55403 | 2016-05-19 |
| 1932569035 | David Makonde Ogato | Nurse Practitioner | 5325 W 74th St, Edina, MN 55439-2231 | 2016-03-02 |
| 1164896379 | Brooke Johnson | Nurse Practitioner | 12700 Whitewater Dr, Minnetonka, MN 55343-9438 | 2015-11-25 |
| 1962879916 | Carrie Rose Lucio | Nurse Practitioner | 807 Albert St N, Saint Paul, MN 55104-1302 | 2015-08-25 |
| Find all providers with the same taxonomy | ||||
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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.