Kathleen A Fredell (NPI# 1104349364, PAC ID# 7618232786) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104349364 |
| PAC ID by PECOS | 7618232786 |
| Professional Enrollment ID | I20180521002764 |
| Full Name | Kathleen A Fredell |
| Organization Legal Name | FAMILY TREE INC |
| Address |
1619 Dayton Ave Suite 205 Saint Paul MN 55104-6276 |
| Phone Number | 6516450478 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5799681615 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1619 Dayton Ave, Suite 205, Saint Paul, MN 55104-6276 | 6516450478 | FAMILY TREE INC |
| Organization Legal Name | FAMILY TREE INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer M Demma | Certified Nurse Midwife (cnm) | Family Tree Inc | 1619 Dayton Ave, Suite 205, Saint Paul, MN 55104-6276 |
| Rachael S Berube | Nurse Practitioner | Family Tree Inc | 1619 Dayton Ave, Suite 205, Saint Paul, MN 55104-6276 |
| Dawn Michele Brintnell | Nurse Practitioner | Family Tree Inc | 1619 Dayton Ave, Suite 205, Saint Paul, MN 55104-6276 |
| Street Address |
1619 DAYTON AVE SUITE 205 |
| City | SAINT PAUL |
| State | MN |
| Zip | 55104-6276 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather M Holt | Clinical Social Worker | 1619 Dayton Ave, Suite 111, Saint Paul, MN 55104-6276 | |
| Jennifer M Demma | Certified Nurse Midwife (cnm) | Family Tree Inc | 1619 Dayton Ave, Suite 205, Saint Paul, MN 55104-6276 |
| Rachael S Berube | Nurse Practitioner | Family Tree Inc | 1619 Dayton Ave, Suite 205, Saint Paul, MN 55104-6276 |
| Jennifer J Wilson | Clinical Social Worker | 1619 Dayton Ave, Saint Paul, MN 55104-6206 | |
| Olga Grun | Clinical Psychologist | Olga Grun,phd,psyd, LLC | 1619 Dayton Ave, Saint Paul, MN 55104-6276 |
| Elizabeth H Brady | Clinical Social Worker | Elizabeth Hubbard Brady, Msw, Licsw, LLC | 1619 Dayton Ave, Suite 110, Saint Paul, MN 55104-6276 |
| Patricia A Wolff | Chiropractic | Natural Ways Chiropractic, P.a.. | 1619 Dayton Ave, Saint Paul, MN 55104-6276 |
| Dawn Michele Brintnell | Nurse Practitioner | Family Tree Inc | 1619 Dayton Ave, Suite 205, Saint Paul, MN 55104-6276 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roberta Mary Singerhouse | Psychologist, Clinical | 570 Asbury St, Suite 206, Saint Paul, MN 55104-1850 | |
| Margaret Charity Charmoli | Psychologist, Clinical | 570 Asbury St, Suite 202a, Saint Paul, MN 55104-1850 | |
| Carla J Breunig | Chiropractic | 570 Asbury St, Suite 108, Saint Paul, MN 55104-1852 | |
| Susan M Eckfeldt | Psychologist, Clinical | 570 Asbury St, Suite 205a, Saint Paul, MN 55104-1857 | |
| Jennifer S Keesey | Chiropractic | 1158 Thomas Ave, Saint Paul, MN 55104-2165 | |
| Vang T Chang | Clinical Social Worker | 1821 University Ave W, Suite S303, Saint Paul, MN 55104-2813 | |
| Kayeann Margaret Mason | Clinical Social Worker | 625 Snelling Ave N, Suite 5, Saint Paul, MN 55104-2878 | |
| Kandee K Timmerman | Clinical Social Worker | Willow Tree Healing Center, LLC | 1821 University W Ave, S329, Saint Paul, MN 55104-2881 |
| Tracey L Wilkins | Clinical Social Worker | Willow Tree Healing Center, LLC | 1821 University W Ave, S329, Saint Paul, MN 55104-2881 |
| Hilary L Mueller | Clinical Social Worker | Willow Tree Healing Center, LLC | 1821 University W Ave, S329, Saint Paul, MN 55104-2881 |
| Find all physicians in zip 55104 | |||
| City | SAINT PAUL |
| Zip Code | 55104 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAINT PAUL + NURSE PRACTITIONER |
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| 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.