PHILLIP HUERTA (NPI# 1922573666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922573666 |
| Entity Type | Individual |
| Full Name | PHILLIP HUERTA |
| Credential | LADC |
| Practice Address |
855 Mankato Ave Winona MN 55987-4868 |
| Practice Telephone | 5074574447 |
| Mailing Telephone | 5074574447 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
304385 | MN | Behavioral Health & Social Service Providers |
| Street Address |
855 MANKATO AVE |
| City | WINONA |
| State | MN |
| Zip Code | 55987-4868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952390338 | Robert W. Neilson | Internal Medicine | 855 Mankato Ave, Winona, MN 55987-4868 | 2005-10-18 |
| 1386281327 | Joshua John Dahl | Physical Medicine & Rehabilitation | 855 Mankato Ave, Winona, MN 55987-4868 | 2019-12-10 |
| 1174165146 | Courtney Mae Beyer | Nurse Practitioner | 855 Mankato Ave, Winona, MN 55987-4868 | 2019-10-11 |
| 1194367409 | Lynsey Laxton | Physician Assistant | 855 Mankato Ave, Winona, MN 55987-4868 | 2019-10-09 |
| 1811546740 | Mariah Sendelbach | Specialist/Technologist | 855 Mankato Ave, Winona, MN 55987-4868 | 2019-09-04 |
| 1720645492 | Garrett Fooshee | Physician Assistant | 855 Mankato Ave, Winona, MN 55987-4868 | 2019-05-28 |
| 1912560699 | Ayesha Lundi Carlson | Physician Assistant | 855 Mankato Ave, Winona, MN 55987-4868 | 2019-04-17 |
| 1023571270 | Mary Dorrie Vang | Nurse Practitioner | 855 Mankato Ave, Winona, MN 55987-4868 | 2019-04-12 |
| 1457818270 | Kristin Badenhorst | Physician Assistant | 855 Mankato Ave, Winona, MN 55987-4868 | 2019-02-28 |
| 1487118345 | Lisa Ann Mccabe-evans | Nurse Practitioner | 855 Mankato Ave, Winona, MN 55987-4868 | 2019-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891277232 | Jamie Sanders | Social Worker | 51 East 4th St Suite 307, Winona, MN 55987 | 2018-09-01 |
| 1841727823 | Stacey A Czaplewski | Specialist/Technologist | 175 West Mark Street, Winona State University-139 Memorial Hall, Winona, MN 55987 | 2017-05-22 |
| 1083145361 | Kevin Lee Knack | Counselor | 902 E. Second St. Suite 326, Acumen Counseling, Winona, MN 55987 | 2017-03-27 |
| 1467993865 | Melissa Lee Peterson | Specialist/Technologist | 23559 Co. Rd. 20, Winona, MN 55987 | 2017-03-17 |
| 1790226280 | Nikolas Porter Lyon | Specialist/Technologist | 634 Franklin St, East Lake B 306-4, Winona, MN 55987 | 2017-03-16 |
| 1821424953 | Sara Beth Borchardt | Chiropractor | 1423 West Service Drive, Winona, MN 55987 | 2013-09-20 |
| 1952614273 | Kristin Janelle Noble | Chiropractor | 117 W. 3rd St., Winona, MN 55987 | 2010-07-15 |
| 1033435615 | Christine E. Clark | Pharmacist | 1122 Hwy 61, Winona, MN 55987 | 2010-04-08 |
| 1346401544 | Andrew Dean Mork | Dentist | 50 W Second Street, Winona, MN 55987 | 2008-06-19 |
| 1508073693 | Lawrence J Green | Psychologist | 61 W 4th St, Winona, MN 55987 | 2007-05-17 |
| Find all providers in zip 55987 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205092210 | Hoffe Counseling, Inc. | Counselor | 157 Franklin St, Winona, MN 55987-3740 | 2008-07-30 |
| 1992900070 | Denis Robert Carter | Counselor | 53 E 3rd St, Suite 201, Winona, MN 55987-3460 | 2007-06-18 |
| 1225153265 | Richard Kenneth Dahl | Counselor | 111 Market St Ste 3a, Winona, MN 55987-5532 | 2007-03-20 |
| 1760514699 | Wenden Recovery Services, Inc | Counselor | 69 Lafayette St, Winona, MN 55987-3453 | 2007-03-09 |
| 1447290374 | Robert E Mcmanimon Moe | Counselor | 131 Harriet St, Winona, MN 55987-3177 | 2006-06-08 |
| 1619509205 | Theodore Donald Barthel | Counselor | 420 E Sarnia St Ste 2100, Winona, MN 55987-6414 | 2020-02-11 |
| 1114568763 | Silas Richardson | Counselor | 902 E 2nd St Ste 224, Winona, MN 55987-6354 | 2019-10-04 |
| 1770007569 | Morgan Leigh Popp | Counselor | 420 E Sarnia St, Winona, MN 55987-6365 | 2017-08-02 |
| 1255875241 | Stephanie Wachter-papenfuss | Counselor | 166 Main St, Winona, MN 55987-6442 | 2016-12-09 |
| 1669915112 | Laura Modrich | Counselor | 166 Main St, Winona, MN 55987-6442 | 2016-11-30 |
| Find all providers in WINONA | ||||
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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.