STEPHANIE KOIVISTO (NPI# 1992163554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992163554 |
| Entity Type | Individual |
| Full Name | STEPHANIE KOIVISTO |
| Practice Address |
990 W 41st St Hibbing MN 55746-3045 |
| Mailing Address |
30445 Hwy 65 Pengilly MN 55775 |
| Practice Telephone | 2182639698 |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4230 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
990 W 41ST ST |
| City | HIBBING |
| State | MN |
| Zip Code | 55746-3045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902851348 | Minneapolis Vamc | Clinic/Center | 990 W 41st St, Suite 5, Hibbing, MN 55746-3045 | 2006-05-24 |
| 1639688203 | Beverly Coon | Registered Nurse | 990 W 41st St, Hibbing, MN 55746-3045 | 2017-09-26 |
| 1831616648 | Kristine Gieseke | Registered Nurse | 990 W 41st St, Hibbing, MN 55746-3045 | 2017-08-23 |
| 1396198339 | Brendan Scott Salo | Pharmacist | 990 W 41st St, Hibbing, MN 55746-3045 | 2016-07-14 |
| 1285072579 | Lori Broich | Social Worker | 990 W 41st St, Hibbing, MN 55746-3045 | 2013-06-07 |
| 1447541453 | Midwest Vision Centers, Inc | Optometrist | 990 W 41st St, Suite 54, Hibbing, MN 55746-3045 | 2011-04-25 |
| 1225349673 | Vista Eye Exam | Eyewear Supplier (Equipment, not the service) | 990 W 41st St, Irongate Plaza, Hibbing, MN 55746-3045 | 2010-06-30 |
| 1558477893 | Eric Saksa | Optometrist | 990 W 41st St, Suite 107, Hibbing, MN 55746-3045 | 2006-08-21 |
| 1922010529 | Midwest Optical & Contact Lens Center LLC | Eyewear Supplier (Equipment, not the service) | 990 W 41st St, Suite 107, Hibbing, MN 55746-3045 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922594753 | Brekke Lee Johnsrud | Dentist | 2020 1st Avenue, Hibbing, MN 55746 | 2018-07-04 |
| 1558751495 | Weston Mark Schmidt | Dental Therapist | 411 East Howard St., Jacobson Family Dentistry PC, Hibbing, MN 55746 | 2015-01-30 |
| 1467870485 | Angela Wivoda | Contractor | 302 East Howard Street, Suite 310, Hibbing, MN 55746 | 2014-04-07 |
| 1871897512 | Nicholas G Ongaro | Chiropractor | 4104 9th Ave W, Hibbing, MN 55746 | 2011-01-10 |
| 1689800153 | Kathleen M Delgreco | Social Worker | 3203 W. 3rd Ave, Hibbing, MN 55746 | 2009-06-10 |
| 1962666461 | Sereen Danielle Sharp | Internal Medicine | 3605 Mayfair Avenue, Hibbing, MN 55746 | 2008-07-14 |
| 1790999274 | Raymond N Sampson | Psychologist | 914 Minnesota St, Hibbing, MN 55746 | 2007-05-10 |
| 1598985517 | Renee Cook | Psychiatry & Neurology | 3203 W. 3rd Ave., Range Mental Health Center-perpich Building, Hibbing, MN 55746 | 2007-05-01 |
| 1841318599 | Nathan Pedersen | Dentist | 802 W 42nd St, Hibbing, MN 55746 | 2007-03-27 |
| 1558406355 | Michael John Quirk | Chiropractor | 1406 East 40th St, Hibbing, MN 55746 | 2007-02-20 |
| Find all providers in zip 55746 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154944064 | Lindsey Rebecca Anderson | Nurse Practitioner | 750 E 34th St, Hibbing, MN 55746-2341 | 2020-05-26 |
| 1295381416 | Arla Spencer | Nurse Practitioner | 730 E 34th St, Hibbing, MN 55746-5109 | 2019-08-13 |
| 1487112652 | Prudence Mpofu | Nurse Practitioner | 750 E 34th St, Hibbing, MN 55746-2341 | 2019-03-06 |
| 1790290153 | Brittany Jo Oberhelman | Nurse Practitioner | 730 E 34th St, Hibbing, MN 55746-5109 | 2017-12-07 |
| 1962854075 | Shannon Rose Petroske | Nurse Practitioner | 750 E 34th St, Hibbing, MN 55746-2341 | 2016-07-13 |
| 1417309873 | Jeanne Marie Antonich | Nurse Practitioner | 3605 Mayfair Ave, Hibbing, MN 55746-2935 | 2016-07-11 |
| 1528475498 | Jennifer Salminen | Nurse Practitioner | 750 E 34th St, Hibbing, MN 55746-2341 | 2014-07-12 |
| 1780098871 | Brooke Noelle Harle | Nurse Practitioner | 730 E 34th St, Essentia Health Hibbing Clinic, Hibbing, MN 55746-5109 | 2014-06-17 |
| 1467864603 | Heather Larson | Nurse Practitioner | 730 E 34th St, Essentia Health Hibbing Clinic, Hibbing, MN 55746-5109 | 2014-05-22 |
| 1265868970 | Dara Lynn Swanson | Nurse Practitioner | 750 E 34th St, Hibbing, MN 55746-2341 | 2013-09-25 |
| Find all providers in HIBBING | ||||
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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.