DIANE FAIRCHILD (NPI# 1023290418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023290418 |
| Entity Type | Individual |
| Full Name | DIANE FAIRCHILD |
| Practice Address |
709 University Ave W Saint Paul MN 55104-4804 |
| Practice Telephone | 6512278471 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
654 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
709 UNIVERSITY AVE W |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-4804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225045362 | Lifetrack Resources, Inc. | Social Worker | 709 University Ave W, Saint Paul, MN 55104-4804 | 2006-08-02 |
| 1093121071 | Greta Haugen | Speech-Language Pathologist | 709 University Ave W, Saint Paul, MN 55104-4804 | 2014-07-10 |
| 1316370943 | Sally Andersen | Speech-Language Pathologist | 709 University Ave W, Saint Paul, MN 55104-4804 | 2013-08-19 |
| 1336581438 | Molly Graff | Speech-Language Pathologist | 709 University Ave W, Saint Paul, MN 55104-4804 | 2013-07-18 |
| 1649556986 | Heather Jean Randall | Speech-Language Pathologist | 709 University Ave W, Saint Paul, MN 55104-4804 | 2011-11-01 |
| 1235365412 | Rachel Everson-fink | Speech-Language Pathologist | 709 University Ave W, Saint Paul, MN 55104-4804 | 2009-06-02 |
| 1568636900 | Kristin Fischer | Speech-Language Pathologist | 709 University Ave W, Saint Paul, MN 55104-4804 | 2008-04-16 |
| 1164696928 | Christine Curran | Social Worker | 709 University Ave W, Saint Paul, MN 55104-4804 | 2008-04-14 |
| 1235301193 | Julie Larson | Speech-Language Pathologist | 709 University Ave W, Saint Paul, MN 55104-4804 | 2008-03-31 |
| 1043330426 | Kristin Muyskens | Psychologist | 709 University Ave W, Saint Paul, MN 55104-4804 | 2007-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497205108 | Andrea Mary Mattison | Physical Therapist | 2399 Ariel St #a, Saint Paul, MN 55108-2202 | 2016-10-05 |
| 1689007452 | Laura Area | Physical Therapist | 200 University Ave E, Saint Paul, MN 55101-2507 | 2013-08-15 |
| 1063687721 | Kevin Riddle | Physical Therapist | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2008-04-24 |
| 1609072206 | Joan Charlene Purrington | Physical Therapist | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416043 | Jenna Gasperlin | Physical Therapist | 657 Main St Nw Ste 102, Elk River, MN 55330-1578 | 2020-08-04 |
| 1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
| 1801300280 | Meghan Elizabeth Grathen | Physical Therapist | 490 S Maple St Ste 215, Waconia, MN 55387-1732 | 2017-11-21 |
| 1457718264 | Jocelyn Lian Pediatric Physical Therapy Services, LLC | Physical Therapist | 13889 Fawn Ridge Way, Apple Valley, MN 55124-5035 | 2016-01-25 |
| 1689983587 | Karessa Hoffman | Physical Therapist | 9827 Maple Grove Pwky N, Maple Grove, MN 55369 | 2010-09-27 |
| 1134435332 | Lindsey Hulit Harrigan | Physical Therapist | 885 Highway 36 W, Apt. 304, Roseville, MN 55113-4429 | 2010-08-25 |
| 1760626196 | Crystal Lynn Markfort | Physical Therapist | 2025 East River Parkway, Mpls, MN 55414 | 2009-04-29 |
| 1659577153 | Mary Royer | Physical Therapist | 100 W Pleasure Dr, Litchfield, MN 55355-3525 | 2007-06-22 |
| 1295809366 | Children's Therapy Center, Inc | Physical Therapist | 2795 Pilot Knob Rd # 100, Eagan, MN 55121-1119 | 2006-11-20 |
| 1659338192 | Monica H Manning | Physical Therapist | 100 Cobblestone Lane, Courage Burnsville, Burnsville, MN 55337 | 2006-04-27 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on DIANE FAIRCHILD.
| 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.