KATHERINE K HACKETT


Address: 424 W State Highway 5, Waconia, MN 55387-1723
Phone: 9524424461

KATHERINE K HACKETT (NPI# 1982783726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982783726
Entity Type Individual
Full Name KATHERINE K HACKETT
Credential M.D.
Practice Address 424 W State Highway 5
Waconia
MN 55387-1723
Practice Telephone 9524424461
Practice Fax Number 9524421213
Mailing Telephone 9524424461
Mailing Fax Number 9524421213
Enumeration Date 2006-11-03
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 28273 MN Allopathic & Osteopathic Physicians

Office Location

Street Address 424 W STATE HIGHWAY 5
City WACONIA
State MN
Zip Code 55387-1723

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891725727 Jaimee Danielle Mcpadden Family Medicine 424 W State Highway 5, Waconia, MN 55387-1723 2006-07-04
1518464601 Alicia Pysick Nurse Practitioner 424 W State Highway 5, Waconia, MN 55387-1795 2018-04-06
1427561802 Ashley Sivanich Physician Assistant 424 W State Highway 5, Waconia, MN 55387-1723 2017-11-08
1295180586 Abigail Krin Elliott Family Medicine 424 W State Highway 5, Waconia, MN 55387-1723 2016-04-25
1487037073 Erin Kathleen Dahn Registered Nurse 424 W State Highway 5, Waconia, MN 55387-1723 2015-07-01
1407199110 David J C Arens Podiatrist 424 W State Highway 5, Waconia, MN 55387-1723 2013-04-01
1821379272 Tracy Lynn Ingham Nurse Practitioner 424 W State Highway 5, Lakeview Clinic Ltd, Waconia, MN 55387-1723 2011-08-30
1669608352 Jennifer Kristin Ische Family Medicine 424 W State Highway 5, Waconia, MN 55387-1723 2009-06-08
1255573416 Erin Luann Chinnock Obstetrics & Gynecology 424 W State Highway 5, Waconia, MN 55387-1723 2009-04-01
1134368160 Tara Lynn Mcmichael Internal Medicine 424 W State Highway 5, Waconia, MN 55387-1723 2009-02-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023626256 Katelyn Neufeld Midwife Western Obgyn 560 S Maple St, Suite 130, Waconia, MN 55387 2020-07-14
1871074674 Ashley Bea Johnson Registered Nurse 1866 Sandbar Cir, Waconia, MN 55387 2018-08-28
1740642529 Ryan Christenson Chiropractor 32 E Main St., Waconia, MN 55387 2016-03-22
1942638481 Katie Elizabeth Leuning-pavek Marriage & Family Therapist 1657 Interlaken Ct, Waconia, MN 55387 2013-10-18
1083964837 Auburn Meadows, LLC Assisted Living Facility 591 S. Cherry Dr, Waconia, MN 55387 2012-09-19
1114238821 Jalissa Joy Kruckman Dentist 576 Cherry Dr, Waconia, MN 55387 2010-06-28
1194990143 Walgreen Co Durable Medical Equipment & Medical Supplies 121 Depot Dr, Waconia, MN 55387 2008-04-29
1417156662 Heather Anne Noel Tuttle Optometrist 753 Marketplace Drive, Waconia, MN 55387 2007-07-17
1366507436 Waconia School District Local Education Agency (LEA) 512 Industrial Blvd, Waconia, MN 55387 2006-12-27
1295898872 Haven Chemical Health Systems Counselor 233 1st St W, Waconia, MN 55387 2006-12-18
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780657254 Anne Marie Benolken Pediatrics 424 W Highway 5, Waconia, MN 55387-1723 2006-02-07
1922448877 Heather Hagen Pediatrics 424 W Highway 5, Waconia, MN 55387-1723 2013-06-25
1376622902 Murali V Srinivasan Pediatrics 424 W State Highway 5, Waconia, MN 55387-1723 2006-11-03
1366521916 Eric B Wentling Pediatrics 424 W State Highway 5, Waconia, MN 55387-1723 2006-11-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275144164 Sundus Sabrie Pediatrics 17705 Hutchins Dr Ste 250, Minnetonka, MN 55345-4103 2020-08-13
1356998215 Katie Marie Heille Pediatrics 305 W Franklin Ave Apt 201, Minneapolis, MN 55404-2308 2019-08-24
1780156208 Crescent Cove Pediatrics 4201 58th Avd N., Brooklyn Center, MN 55429 2018-12-21
1952889073 Kelly Mcgregory Pediatrics LLC Pediatrics 6000 Bass Lake Rd Ste 102, Crystal, MN 55429 2018-07-31
1043709124 Erica Wade Lundberg Pediatrics 4875 Cottonwood Ln N, Plymouth, MN 55442-2277 2018-05-04
1851896187 Hamdi A Ali Pediatrics 26 Mayo Park Dr Se, Rochester, MN 55904 2018-03-28
1629590872 Alexandra Staum Reif Pediatrics 11107 Ulysses Street Ne, Suite 100, Blaine, MN 55434 2017-07-10
1942736103 Taylor Ashley Argo Pediatrics 717 Delaware Street Se, Suite 353, General Pediatrics & Adolescent Health, Minneapolis, MN 55455 2017-05-10
1932634052 Christopher Maierhofer Pediatrics 715 S 8th St Fl 3, Minneapolis, MN 55404-1210 2017-04-26
1487009817 Kalli Amber Hess Pediatrics 111 Hundertmark Rd #420, Chaska, MN 55318-1459 2016-05-04
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Competitor

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City WACONIA
Zip Code 55387

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Dataset Information

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.

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