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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 28273 | MN | Allopathic & Osteopathic Physicians |
Street Address |
424 W STATE HIGHWAY 5 |
City | WACONIA |
State | MN |
Zip Code | 55387-1723 |
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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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 |
Find all providers in zip 55387 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
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. |
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 |
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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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.