AMY L SEVERSON (NPI# 1972597144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972597144 |
Entity Type | Individual |
Full Name | AMY L SEVERSON |
Credential | NP |
Practice Address |
401 Douglas Ave Tri-county Health Care - Henning Clinic Henning MN 56551 |
Mailing Address |
44310 230th St Henning MN 56551-9446 |
Practice Telephone | 2185832953 |
Practice Fax Number | 2185834521 |
Mailing Telephone | 2185832642 |
Enumeration Date | 2005-09-02 |
Last Update Date | 2014-05-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R137916-7 | MN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538102850 | Amy Marie Severson | Family Medicine | 5430 Main St, Egea Medical Weight Loss Center, Williamsville, NY 14221-6648 | 2006-06-14 |
Street Address |
401 DOUGLAS AVE TRI-COUNTY HEALTH CARE - HENNING CLINIC |
City | HENNING |
State | MN |
Zip Code | 56551 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720518913 | Jessica Jean Anderson | Physician Assistant | 401 Douglas Ave, Henning, MN 56551-4026 | 2017-06-19 |
1285868901 | Dylan G Folkestad | Family Medicine | 401 Douglas Ave, Tri-county Health Care Henning Clinic, Henning, MN 56551 | 2009-05-09 |
1891836409 | Jon Peter Wigert | Family Medicine | 401 Douglas Ave, Henning, MN 56551 | 2007-02-08 |
1902854649 | Kathleen Yvonne Harthun | Nurse Practitioner | 401 Douglas Ave, Henning, MN 56551-4026 | 2006-05-05 |
1609863026 | Stephen Gayle Henry | Family Medicine | 401 Douglas Ave, Henning, MN 56551-4026 | 2005-09-30 |
1194711986 | Tri-county Hospital Inc | Clinic/Center | 401 Douglas Ave, Henning, MN 56551-4026 | 2005-09-27 |
1598751695 | Ruth Ann Pallansch | Nurse Practitioner | 401 Douglas Ave, Henning, MN 56551-4026 | 2005-09-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871012104 | Patrick Dilly | Student in an Organized Health Care Education/Training Program | 209 Inman St., Henning, MN 56551 | 2017-09-19 |
1518289958 | Henning Chiropractic Clinic, P.a. | Chiropractor | 801 Inman St., Henning, MN 56551 | 2010-02-26 |
1821158643 | City of Henning | Ambulance | 607 2nd Street, Henning, MN 56551 | 2006-12-11 |
1174692032 | Jody Katharina Lohse | Assisted Living Facility | 609 Front Street, Henning, MN 56551 | 2006-11-07 |
1700981230 | Michael David Mortenson | Chiropractor | 801 Inman Street, Henning, MN 56551 | 2006-09-13 |
1841401197 | Michael R Berglund | Dentist | 404 Douglas Avenue, Henning, MN 56551-0337 | 2007-05-25 |
1992833198 | Seip Drug LLC | Pharmacy | 519 Douglas Ave, Henning, MN 56551-4000 | 2007-03-01 |
1871658062 | Otter Tail County | Local Education Agency (LEA) | 500 School Ave, Henning, MN 56551-4003 | 2006-12-27 |
1528019833 | Ggnsc Hennings LLC | Skilled Nursing Facility | 907 Marshall Ave, Henning, MN 56551-4011 | 2006-05-12 |
1962947226 | Henning Operations LLC | Skilled Nursing Facility | 907 Marshall Ave, Henning, MN 56551-4011 | 2016-12-22 |
Find all providers in zip 56551 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720288368 | Donald R. Willie | Nurse Practitioner | 480 Green Chapel Rd, Henning, TN 38041-5726 | 2007-07-23 |
1124544903 | Emily J Jallah | Nurse Practitioner | 480 Green Chapel Rd, Henning, TN 38041-5726 | 2017-08-14 |
1043645088 | Donna A. Chisholm | Nurse Practitioner | 480 Green Chapel Rd, Henning, TN 38041-5726 | 2013-09-10 |
1902854649 | Kathleen Yvonne Harthun | Nurse Practitioner | 401 Douglas Ave, Henning, MN 56551-4026 | 2006-05-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508466368 | Amalia Jo Folland Harvey | Nurse Practitioner | 19883 Evensong Ct, Farmington, MN 55024-8688 | 2020-10-29 |
1710586235 | Jackelyn Laura Peterson | Nurse Practitioner | 10101 Bren Rd E Unit 345, Minnetonka, MN 55343-0060 | 2020-10-26 |
1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
1861091704 | Morgan Rohl | Nurse Practitioner | 117 12th Ave Nw Apt 2, Rochester, MN 55901-2787 | 2020-10-21 |
1063010304 | Kalie R Mccauley | Nurse Practitioner | 11452 Brook Rd Nw, Elk River, MN 55330-8739 | 2020-10-09 |
1659978930 | Sarah Jean Mudge | Nurse Practitioner | 350 Harbor Dr, Duluth, MN 55802-2600 | 2020-10-08 |
1285231621 | Karlu Dorleh | Nurse Practitioner | 14151 Territorial Rd Unit 212, Maple Grove, MN 55369-5725 | 2020-10-08 |
1447857669 | Kimberly Dawn Bursch-tewalt | Nurse Practitioner | 11884 237th Ave Nw, Elk River, MN 55330-8255 | 2020-10-01 |
1639786312 | Peter Wahl | Nurse Practitioner | 4652 Lyndale Ave S, Minneapolis, MN 55419-5302 | 2020-09-28 |
1568078616 | Joanna Kay Rehm | Nurse Practitioner | 3025 Eagandale Pl Apt 338, Eagan, MN 55121-1236 | 2020-09-23 |
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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.