KATHEREINE MARIE VANDERWEYST (NPI# 1982133880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982133880 |
| Entity Type | Individual |
| Full Name | KATHEREINE MARIE VANDERWEYST |
| Credential | OWNER |
| Practice Address |
17515 Wolf Creek Rd Nw Evansville MN 56326-8269 |
| Practice Telephone | (320) 815-9065 |
| Mailing Telephone | 3208159065 |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2017-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | 1087053-1-HCBS | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 10870553-1-HCBS | 05 |
| Street Address |
17515 WOLF CREEK RD NW |
| City | EVANSVILLE |
| State | MN |
| Zip Code | 56326-8269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952592552 | Kramer Chiropractic P.a. | Clinic/Center | 105 Main St Nw, Box 206, Evansville, MN 56326-4548 | 2007-08-07 |
| 1487640132 | Foundation for Rural Health Care | Skilled Nursing Facility | 649 State St Nw, Evansville, MN 56326-8124 | 2005-09-27 |
| 1992038905 | Evansville Care Campus LLC | Assisted Living Facility | 649 State St Nw, Evansville, MN 56326-8124 | 2009-09-09 |
| 1134352917 | Evansville Care Campus LLC | Skilled Nursing Facility | 649 State St Nw, Evansville, MN 56326-8124 | 2009-08-27 |
| 1023110350 | Foundation for Rural Health Care | Assisted Living Facility | 651 State St Nw, Evansville, MN 56326-8183 | 2006-09-05 |
| 1861531154 | Donna K Meissner | Homemaker | 16866 County Road 16 Nw, Evansville, MN 56326-8313 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306294 | Angela Mamat | Registered Nurse | 2830 Woodside Ct, Evansville, IN 47711-6731 | 2020-11-03 |
| 1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
| 1083213607 | Medihealth Primary Care LLC | Nurse Practitioner | 2345 W Franklin St Ste 102, Evansville, IN 47712-5100 | 2020-10-23 |
| 1659970036 | Sarah Buedel | Dentist | 900 Tutor Ln Ste 103, Evansville, IN 47715-7295 | 2020-10-18 |
| 1346848132 | Katelyn Wendt | Registered Nurse | 105 S Madison St, Evansville, WI 53536-1365 | 2020-10-13 |
| 1285240390 | Amy D Perry | Nurse Practitioner | 728 N Cross Pointe Blvd # 102, Evansville, IN 47715-9163 | 2020-09-23 |
| 1669087144 | Babb Dentistry LLC | Clinic/Center | 2229 W Virginia St, Evansville, IN 47712-5214 | 2020-09-11 |
| 1902410095 | Crystal Blair | Physical Therapist | 5050 Lincoln Ave Apt Suite, Evansville, IN 47715-7390 | 2020-09-04 |
| 1831702828 | Oleg Borisyuk | Dental Hygienist | 804 S Green River Rd, Evansville, IN 47715-4106 | 2020-08-28 |
| 1790398451 | Bryant P. Burkett Dds, LLC | Clinic/Center | 5310 Pearl Dr Ste C, Evansville, IN 47712-8105 | 2020-08-24 |
| Find all providers in EVANSVILLE | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979979 | South Star Care | Foster Care Agency | 3973 Willow Ridge Dr Sw, Rochester, MN 55902-2801 | 2020-10-09 |
| 1174138218 | Angelique Elizabeth Finifrock | Foster Care Agency | 10701 Becks Rd, Duluth, MN 55808 | 2020-09-15 |
| 1881211951 | Nordell Family Services LLC | Foster Care Agency | 4626 20th St Sw, Waverly, MN 55390-5004 | 2020-07-06 |
| 1285260497 | Yasmin Ahmed Sulayman | Foster Care Agency | 3433 Kenosha Dr Nw, Rochester, MN 55901-5707 | 2020-03-19 |
| 1023657285 | Julia Marie Bolte | Foster Care Agency | 3629 152nd Ln Nw, Andover, MN 55304-3008 | 2020-01-04 |
| 1730722745 | Grace Jepchirchir Fidalgo | Foster Care Agency | 6222 Hedgecroft Ave S, Cottage Grove, MN 55016-6002 | 2019-10-22 |
| 1467094102 | Lake Country Living Services LLC | Foster Care Agency | 181 Little Rock Rd Nw, Rice, MN 56367-8685 | 2019-10-15 |
| 1518508712 | Amanda Hesse | Foster Care Agency | 775 Lee Cir Se, Cokato, MN 55321-4697 | 2019-09-30 |
| 1275181661 | Alliance Homes Corporation | Foster Care Agency | 4946 Jackson St Ne, Columbia Heights, MN 55421-1709 | 2019-08-28 |
| 1760048078 | Kevin Carlyle Lunde X | Foster Care Agency | 1321 Merrywood Ct, Faribault, MN 55021-6529 | 2019-05-13 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 56326 |
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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.