KRISTIN COLE SORENSEN-TANENBAUM (NPI# 1992960819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992960819 |
| Entity Type | Individual |
| Full Name | KRISTIN COLE SORENSEN-TANENBAUM |
| Other Name | KRISTIN MARY SORENSEN-TANENBAUM |
| Credential | NP-C |
| Practice Address |
413 Se 13th St Grand Rapids MN 55744-0015 |
| Mailing Address |
3125 Willivan Woods Grand Rapids MN 55744-8661 |
| Practice Telephone | 2189999908 |
| Mailing Telephone | 3017416101 |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R160645 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5112 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R160645 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
413 SE 13TH ST |
| City | GRAND RAPIDS |
| State | MN |
| Zip Code | 55744-0015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962944462 | Dana Butler | Marriage & Family Therapist | 413 Se 13th St, Grand Rapids, MN 55744-0015 | 2016-11-15 |
| 1790168201 | Jennifer Sheppard | Social Worker | 413 Se 13th St, Grand Rapids, MN 55744-0015 | 2015-07-01 |
| 1447631452 | Amy Mallum | Social Worker | 413 Se 13th St, Grand Rapids, MN 55744-0015 | 2015-06-16 |
| 1659642692 | Philip Michael Valdez | Marriage & Family Therapist | 413 Se 13th St, Grand Rapids, MN 55744-0015 | 2012-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1699392555 | Duane Stanley Helmer | Counselor | First Call for Help of Itasca County, 1707 Nw 4th Street Suite B, Grand Rapids, MN 55744 | 2020-06-26 |
| 1821631391 | Patrice Marie Curtiss | Technician | 23792 Winckler Road, Grand Rapids, MN 55744 | 2019-10-28 |
| 1578117438 | Christina Marie Hubred | Advanced Practice Dental Therapist | Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 | 2019-07-30 |
| 1780081877 | Fcsl Grand Rapids, LLC | Assisted Living Facility | 949 1/2 Sw 11th Street, Grand Rapids, MN 55744 | 2014-12-04 |
| 1912311333 | Doctor V LLC | Psychologist | 2002 Cromell Drive, Hope House of Itasca County, Laprairie, MN 55744 | 2014-06-13 |
| 1104244987 | Linda Reinen-thompson | Contractor | 34307 Hwy. 38, Grand Rapids, MN 55744 | 2014-03-31 |
| 1275883266 | Lana Rae Jacobson | Registered Nurse | 1401 Nw 9th Street, Grand Rapids, MN 55744 | 2012-09-17 |
| 1518252048 | David Allen Griggs | Pharmacist | 2140 S.pokegama Ave., T-0904, Target, Grand Rapids, MN 55744 | 2011-06-13 |
| 1447575063 | Kelly Ann Shermoen | Pharmacist | 18 Se 10th Street, Grand Rapids, MN 55744 | 2010-04-07 |
| Find all providers in zip 55744 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457753295 | Tracy Zimmerman-deschepper | Nurse Practitioner | 28 Nw 4th Street, Suite A, Grand Rapids, MN 55744-2714 | 2014-09-24 |
| 1538576517 | Kari Marie Rengo | Nurse Practitioner | 28 Nw 4th St, Ste A, Grand Rapids, MN 55744-2714 | 2014-07-22 |
| 1205163680 | Lisa Ann Riggs | Nurse Practitioner | 1619 Mishawaka Rd, Grand Rapids, MN 55744-8709 | 2009-11-05 |
| 1336789916 | Rhea Lou Valdez Del Rosario | Nurse Practitioner | 20 Nw 3rd St, Grand Rapids, MN 55744-2711 | 2020-01-10 |
| 1669025888 | Rachel Owen | Nurse Practitioner | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-07-17 |
| 1538649223 | Dannielle Chantel Chesness Nelson | Nurse Practitioner | 215 Se 2nd Ave, Grand Rapids, MN 55744-3615 | 2018-08-21 |
| 1154861565 | Karli Reich | Nurse Practitioner | 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 | 2017-03-03 |
| 1437522711 | Lisa Riggs Aprn Cnp LLC | Nurse Practitioner | 423 Ne 4th St, Suite 6, Grand Rapids, MN 55744-2968 | 2015-11-09 |
| 1124494539 | Amy Catherine Stratton | Nurse Practitioner | 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 | 2015-08-19 |
| 1578948428 | Krista L Alaspa | Nurse Practitioner | 215 Se 2nd Ave, Grand Rapids, MN 55744-3615 | 2015-07-21 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 55744 |
Please comment or provide details below to improve the information on KRISTIN COLE SORENSEN-TANENBAUM.
| 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.