Karissa L Dougherty (NPI# 1225535701, PAC ID# 7618218322) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1225535701 |
| PAC ID by PECOS | 7618218322 |
| Professional Enrollment ID | I20190408000025 |
| Full Name | Karissa L Dougherty |
| Organization Legal Name | VALLEY PAIN RELIEF AND WELLNESS CENTER PLLC |
| Address |
1789 Woodlane Dr Suite A Woodbury MN 55125-3910 |
| Phone Number | 6124443000 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7517198211 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2440 E 117th St, Burnsville, MN 55337-1269 | 6513318478 | VALLEY PAIN RELIEF AND WELLNESS CENTER PLLC |
| 1789 Woodlane Dr, Suite A, Woodbury, MN 55125-3910 | 6124443000 | VALLEY PAIN RELIEF AND WELLNESS CENTER PLLC |
| Organization Legal Name | VALLEY PAIN RELIEF AND WELLNESS CENTER PLLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carrie Jo Blaha | Nurse Practitioner | Valley Pain Relief and Wellness Center Pllc | 1789 Woodlane Dr, Suite A, Woodbury, MN 55125-3910 |
| Lindsay A Bergstreser | Physician Assistant | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Stacy X Chang | Nurse Practitioner | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Svetlana Zaydman | Physical Medicine and Rehabilitation | Valley Pain Relief and Wellness Center Pllc | 1789 Woodlane Dr, Suite A, Woodbury, MN 55125-3910 |
| Christina Kern | Nurse Practitioner | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Ashwin V George | Addiction Medicine | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Street Address |
1789 WOODLANE DR SUITE A |
| City | WOODBURY |
| State | MN |
| Zip | 55125-3910 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carrie Jo Blaha | Nurse Practitioner | Valley Pain Relief and Wellness Center Pllc | 1789 Woodlane Dr, Suite A, Woodbury, MN 55125-3910 |
| Svetlana Zaydman | Physical Medicine and Rehabilitation | Valley Pain Relief and Wellness Center Pllc | 1789 Woodlane Dr, Suite A, Woodbury, MN 55125-3910 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kassia E Coleman | Clinical Social Worker | Better Outlook LLC | 6053 Hudson Rd, Suite 220, Woodbury, MN 55125-1000 |
| Elvis T Starllone | Nurse Practitioner | Better Outlook LLC | 6053 Hudson Rd, Suite 220, Woodbury, MN 55125-1000 |
| Dasherline Cox Johnson | Psychologist, Clinical | 6043 Hudson Rd, Suite 355, Woodbury, MN 55125-1017 | |
| Rosella Collins Puoch | Clinical Social Worker | 6043 Hudson Rd, Woodbury, MN 55125-1020 | |
| Kaitlin D Buckner | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Rebekah J Wilson | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Victoria M Elmer | Addiction Medicine | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Shelley R Stepan | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Richard P Lamon | Addiction Medicine | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Kelly J Adams | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Find all physicians in zip 55125 | |||
| City | WOODBURY |
| Zip Code | 55125 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WOODBURY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Karissa L Dougherty.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.