DEBORAH ELAINE MICKLEY (NPI# 1023364452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023364452 |
| Entity Type | Individual |
| Full Name | DEBORAH ELAINE MICKLEY |
| Practice Address |
2828 Chicago Ave South Suite 300 Minneapolis MN 55407 |
| Practice Telephone | 6128591656 |
| Mailing Telephone | 6128591656 |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2018-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R1697085 | MN | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 0661 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2250 Nw 26th St, Owatonna, MN 550605503 | 5074513850 | |
| 800 E 28th St, Minneapolis, MN 554073799 | 6128634000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847076 | Deborah Lynn Mickley | Registered Nurse | 651 George Junior Rd, Grove City, PA 16127-4533 | 2020-10-06 |
| Street Address |
2828 CHICAGO AVE SOUTH SUITE 300 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245234269 | Thomas N Schriefer | Psychiatry & Neurology | 2828 Chicago Ave South, Suite 200, Minneapolis, MN 55407-1320 | 2005-06-08 |
| 1710098306 | Noran Neurological Clinic P.a. | Specialist | 2828 Chicago Ave South, Suite 200, Minneapolis, MN 55407-1320 | 2006-08-31 |
| 1558377283 | Kerri J Lamberty | Clinical Neuropsychologist | 2828 Chicago Ave South, Suite 200, Minneapolis, MN 55407-1320 | 2006-08-01 |
| 1780613075 | Rupert E Exconde | Psychiatry & Neurology | 2828 Chicago Ave South, Suite 200, Minneapolis, MN 55407-1320 | 2006-07-01 |
| 1730152034 | Abigail R Boetticher | Psychiatry & Neurology | 2828 Chicago Ave South, Suite 200, Minneapolis, MN 55407-1320 | 2006-02-08 |
| 1336145051 | Steven T Janousek | Psychiatry & Neurology | 2828 Chicago Ave South, Suite 200, Minneapolis, MN 55407-1320 | 2005-06-27 |
| 1538164363 | Michael P Sethna | Psychiatry & Neurology | 2828 Chicago Ave South, Suite 200, Minneapolis, MN 55407-1320 | 2005-06-17 |
| 1710982632 | Ronald M Tarrel | Psychiatry & Neurology | 2828 Chicago Ave South, Ste 200, Minneapolis, MN 55407-1320 | 2005-06-16 |
| 1396740619 | Gregory J Lamberty | Clinical Neuropsychologist | 2828 Chicago Ave South, Suite 200, Minneapolis, MN 55407-1320 | 2005-06-14 |
| 1245234665 | Steven S Lebow | Psychiatry & Neurology | 2828 Chicago Ave South, Suite 200, Minneapolis, MN 55407-1320 | 2005-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1942752571 | Amber Bakke | Nurse Anesthetist, Certified Registered | 5037 43rd Ave S, Minneapolis, MN 55417-1616 | 2016-10-31 |
| 1346796745 | John Swenson | Nurse Anesthetist, Certified Registered | 2401 Chicago Ave, Apt 211, Minneapolis, MN 55404-3888 | 2016-08-26 |
| 1972057230 | Kelly Langguth | Nurse Anesthetist, Certified Registered | 5912 10th Ave S, Minneapolis, MN 55417-3136 | 2016-08-04 |
| 1992155907 | Danielle Porter | Nurse Anesthetist, Certified Registered | 3437 Snelling Ave, Minneapolis, MN 55406-2637 | 2016-06-21 |
| 1346658218 | Justin Andreas Anderson | Nurse Anesthetist, Certified Registered | 225 8th Ave Ne, Minneapolis, MN 55413-1922 | 2014-07-23 |
| 1700162955 | James Douglas Berchild | Nurse Anesthetist, Certified Registered | 4315 10th Avenue South, Minneapolis, MN 55407 | 2011-11-01 |
| 1891097374 | Anita Patricia Johnson | Nurse Anesthetist, Certified Registered | 3132 Emerson Ave S Apt 1, Minneapolis, MN 55408-2717 | 2010-12-03 |
| 1578720843 | Teresa Losch | Nurse Anesthetist, Certified Registered | 2828 Chicago Ave Ste 300, Minneapolis, MN 55407-1573 | 2008-05-22 |
| 1679639520 | Margaret A Webinger | Nurse Anesthetist, Certified Registered | 2525 Chicago Avenue S, Childrens Hospital and Clinics of Minnesota, Minneapolis, MN 55404 | 2006-12-28 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
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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.