MISS STEPHANIE RAE BRANDT (NPI# 1013369669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013369669 |
| Entity Type | Individual |
| Full Name | MISS STEPHANIE RAE BRANDT |
| Credential | PA-C |
| Practice Address |
625 E Nicollet Blvd Suite 100 Burnsville MN 55337-6734 |
| Practice Telephone | 9524350303 |
| Practice Fax Number | 9528925166 |
| Mailing Telephone | 9524350303 |
| Mailing Fax Number | 9528925166 |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2018-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
12143 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639261902 | Stephanie Brenner Brandt | Counselor | 9545 Katy Freeway, #333, Houston, TX 77024 | 2006-09-28 |
| 1326661273 | Stephanie Brandt | Behavior Technician | 10320 W Mcdowell Rd Ste Avondale, Avondale, AZ 85392-4863 | 2020-05-27 |
| 1750838975 | Stephanie Fay Brandt | Physical Therapist | 1021 Bandana Blvd E Ste 123, Saint Paul, MN 55108-5128 | 2016-09-06 |
| 1073653572 | Stephanie Ann Brandt | Psychiatry & Neurology | 1095 Park Ave, New York, NY 10128-1154 | 2007-02-07 |
| Street Address |
625 E NICOLLET BLVD SUITE 100 |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-6734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144205626 | Lawrence A Palmersheim | Oral & Maxillofacial Surgery | 625 E Nicollet Blvd, Ste 205, Burnsville, MN 55337-6734 | 2005-12-07 |
| 1144656059 | Burnsville Orthodontic Associates Pllc | Dentist | 625 E Nicollet Blvd, Suite 300, Burnsville, MN 55337-6734 | 2013-09-24 |
| 1851735757 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 625 E Nicollet Blvd, Burnsville, MN 55337-6734 | 2013-04-22 |
| 1225206154 | Silverman Orthopaedics, PC | Durable Medical Equipment & Medical Supplies | 625 E Nicollet Blvd, Ste 100, Burnsville, MN 55337-6734 | 2008-02-13 |
| 1477730414 | William T. Simonet, Md,pa | Durable Medical Equipment & Medical Supplies | 625 E Nicollet Blvd, Oakridge Professional Bldg Suite 100, Burnsville, MN 55337-6734 | 2008-01-22 |
| 1447465034 | James Wendel Horst | Dentist | 625 E Nicollet Blvd, Suite 310, Burnsville, MN 55337-6734 | 2007-05-14 |
| 1205041498 | Jeffrey J Olson | Dentist | 625 E Nicollet Blvd, Suite 310, Burnsville, MN 55337-6734 | 2007-05-11 |
| 1225104458 | Oak Ridge Dental, LLC | Dentist | 625 E Nicollet Blvd, Suite 310, Burnsville, MN 55337-6734 | 2006-11-28 |
| 1194899450 | Matthew M. Abramson | Dentist | 625 E Nicollet Blvd, Ste. 300, Burnsville, MN 55337-6734 | 2006-11-20 |
| 1619067931 | Paul Allen Holmquist | Physical Therapist | 625 E Nicollet Blvd, Suite 101, Burnsville, MN 55337-6734 | 2006-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1932482064 | Claire Rathburn | Physician Assistant | 625 E Nicollet Blvd Ste 100, Burnsville, MN 55337-6734 | 2011-09-26 |
| 1972891059 | Cindy Biebl | Physician Assistant | 625 E Nicollet Blvd Ste 203, Burnsville, MN 55337 | 2011-07-11 |
| 1376893388 | Rachel Montague | Physician Assistant | 14000 Nicollet Ave Ste 100, Burnsville, MN 55337 | 2012-09-17 |
| 1558653568 | Sara Lynn Lewis | Physician Assistant | 14000 Nicollet Ave Ste 100, Burnsville, MN 55337 | 2011-05-09 |
| 1538471065 | Ryane Leigh Lester | Physician Assistant | 1000 W 140th St, Burnsville, MN 55337-4480 | 2010-07-13 |
| 1659471803 | Jonathan R Polgar | Physician Assistant | 2 S Main St, Burnsville, NC 28714-2929 | 2006-09-25 |
| 1265452957 | Edward Britt Warren | Physician Assistant | 800 Medical Campus Dr, Burnsville, NC 28714-9010 | 2006-07-19 |
| 1508832577 | Terry J Larimer | Physician Assistant | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969150 | Isaac Waalen | Physician Assistant | 5420 Circle Down, Minneapolis, MN 55416-1312 | 2020-03-28 |
| 1730643701 | Christina Jones | Physician Assistant | 11850 Blackfoot St Nw Ste 270, Coon Rapids, MN 55433-2593 | 2019-01-24 |
| 1114492964 | Molly Goss | Physician Assistant | 1817 Sunset Dr, Northfield, MN 55057-3246 | 2018-10-09 |
| 1932600160 | Ellen Kathryn Freeman | Physician Assistant | 111 Hundertmark Rd Ste 480, Chaska, MN 55318-1485 | 2018-02-22 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1538545686 | Kathryn Jelle | Physician Assistant | 3931 Louisiana Ave S # 55426, St Louis Park, MN 55426-5000 | 2015-07-30 |
| 1831503267 | Karrah Oliver | Physician Assistant | 205 Roosevelt Ave W, Karlstad, MN 56732-4022 | 2014-06-13 |
| 1477981777 | Melissa Ferraz De Toledo | Physician Assistant | 9145 Springbrook Dr Nw Ste 300, Coon Rapids, MN 55433-5897 | 2013-10-23 |
| 1821423781 | Sarah L Davis | Physician Assistant | 6405 France Ave S Ste 200, Edina, MN 55435 | 2013-09-11 |
| Find all providers with the same taxonomy | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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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.