MINNESOTA STATE UNIVERSITY (NPI# 1972683183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972683183 |
| Entity Type | Organization |
| Organization Name | MINNESOTA STATE UNIVERSITY |
| Practice Address |
3 Morris Hall Dental Clinic Mankato MN 56001-6043 |
| Practice Telephone | 5073891313 |
| Practice Fax Number | 5073895850 |
| Mailing Telephone | 5073891313 |
| Mailing Fax Number | 5073895850 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LYNNETTE M ENGESWICK (CHAIRPERSON) |
| Authorized Official Telephone | 5073895848 |
| Authorized Official Credential | R.D.H., M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | 8361 | MN | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528438116 | Minnesota State University | Orthopaedic Surgery | 135 Myers Fieldhouse, Mankato, MN 56001-6171 | 2015-09-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MINNESOTA STATE UNIVERSITY MOORHEAD | 1104 7th Ave S, Moorhead, MN 56563-0002 |
| System for Award Management (SAM) Entities | MINNESOTA STATE UNIVERSITY, MANKATO | 236 Wigley Administration Ctr, Mankato, MN 56001-6067 |
| Colorado Business Entities | Minnesota State University, Mankato Foundation, Inc. | 224 Alumni & Foundation Center, Mankato, MN 56001 |
| Street Address |
3 MORRIS HALL DENTAL CLINIC |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-6043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003869603 | Brigette Rebecca Cooper | Dental Hygienist | 3 Morris Hall, Mankato, MN 56001-6043 | 2006-05-18 |
| 1730377615 | Thomas Dean Larson | Dentist | 3 Morris Hall, Mankato, MN 56001-6043 | 2007-10-04 |
| 1437103272 | Angela Lou Monson | Dental Hygienist | 3 Morris Hall, Mankato, MN 56001-6043 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578817094 | Kato Public Charter School | Local Education Agency (LEA) | 110 North 6th Street, Mankato, MN 56001 | 2012-11-06 |
| 1306079686 | Usd 107 | Local Education Agency (LEA) | 109 E Main St, Mankato, KS 66956-2214 | 2009-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870056 | Great Oaks Academy | Local Education Agency (LEA) | 6300 212th St W, Farmington, MN 55024-8903 | 2020-10-27 |
| 1417562117 | The Journeys School Inc | Local Education Agency (LEA) | 775 Lexington Pkwy N, Saint Paul, MN 55104-1436 | 2020-09-10 |
| 1891303145 | Skyline Math and Science Academy | Local Education Agency (LEA) | 2600 26th Ave S Ste 100, Minneapolis, MN 55406-4527 | 2020-07-22 |
| 1447878210 | Minnesota Internship Center | Local Education Agency (LEA) | 511 Groveland Ave, Minneapolis, MN 55403-3223 | 2020-07-08 |
| 1902443286 | Modern Montessori Charter School | Local Education Agency (LEA) | 111 Dean Ave W, Champlin, MN 55316-1343 | 2019-12-05 |
| 1235601121 | St Croix River Education District | Local Education Agency (LEA) | 425 South Dana Ave, Rush City, MN 55069 | 2018-12-18 |
| 1174094601 | Gateway Stem Academy | Local Education Agency (LEA) | 12119 16th Ave S, Burnsville, MN 55337-2982 | 2018-12-10 |
| 1396210761 | Phoenix Academy of Art and Science | Local Education Agency (LEA) | 38460 Lincoln Trl Ste 1, North Branch, MN 55056-5834 | 2018-10-11 |
| 1538649421 | Career Pathways | Local Education Agency (LEA) | 1355 Pierce Butler Rte, Saint Paul, MN 55104-1359 | 2018-08-20 |
| 1316452436 | Universal Academy Charter School | Local Education Agency (LEA) | 2919 26th Ave S, Minneapolis, MN 55406-2611 | 2017-12-12 |
| 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.