HEATHER A DALE (NPI# 1043300205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043300205 |
| Entity Type | Individual |
| Full Name | HEATHER A DALE |
| Credential | PA-C |
| Practice Address |
800 W College Ave Saint Peter MN 56082-1485 |
| Practice Telephone | 5079337630 |
| Practice Fax Number | 5079336074 |
| Mailing Telephone | 5079337630 |
| Mailing Fax Number | 5079336074 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10324 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA504 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MN STATE LICENSE NUMBER | 10324 | 01 |
| ID | STATE LICENSE # | PA504 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891137733 | Heather Joy Dale | Social Worker | 3500 Rosehedge Dr, Fullerton, CA 92835-1628 | 2013-07-19 |
| 1043499189 | Heather H Dale | Licensed Practical Nurse | 15 Brittany Ct, Northport, NY 11768 | 2007-10-25 |
| 1366910416 | Heather Nicole Dale | Nurse Practitioner | 777 Hemlock Street, Msc 10, Macon, GA 31201 | 2018-11-07 |
| 1386903490 | Heather Dale | Speech-Language Pathologist | 58 Office Park Dr, Jacksonville, NC 28546-3218 | 2012-05-09 |
| Street Address |
800 W COLLEGE AVE |
| City | SAINT PETER |
| State | MN |
| Zip Code | 56082-1485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083688543 | Matthew James Eberhardt | Specialist/Technologist | 800 W College Ave, Lund Center, Saint Peter, MN 56082-1485 | 2006-02-13 |
| 1780211375 | Gabrielle Slykas | Student in an Organized Health Care Education/Training Program | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-24 |
| 1407482649 | Anna Karyn Nietz | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-19 |
| 1043845936 | Abigail Jo Schammel | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-11 |
| 1437784055 | Sierra Meyer | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-04 |
| 1619501343 | Chad Haugstad | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1498 | 2020-03-03 |
| 1740814474 | Sydeny Leigh Swenson | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-03 |
| 1659905388 | David Skylee Peal | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-03 |
| 1568096295 | Ashley Nicole Tapio | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-03 |
| 1477187102 | Kenneth Nhac-phi Hoang | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295276079 | Ashley Jaspers | Nurse Practitioner | 1900 N. Sunrise Drive, Suite #200, St. Peter, MN 56082 | 2017-03-14 |
| 1841730876 | Go Therapy Inc | Speech-Language Pathologist | 830 Sunrise Dr Ste B, Saint Peter, MN 56082 | 2017-02-23 |
| 1487063210 | Ashley Krug | Specialist/Technologist | 800 West College Ave, Saint Peter, MN 56082 | 2014-08-06 |
| 1235578519 | Mikkel Dean Haugen | Dentist | 402 Sunrise Drive, St Peter, MN 56082 | 2013-06-19 |
| 1104163849 | House of Hope, Inc. | Community/Behavioral Health | 201 West Park Row, Suite B, Saint Peter, MN 56082 | 2013-01-15 |
| 1851579700 | Laura J. Hulsebus | Chiropractor | 206 West Walnut St, St Peter, MN 56082 | 2008-02-02 |
| 1588857072 | Michael Joseph Lange | Psychologist | 1703 Csah 15, St. Peter, MN 56082 | 2007-08-20 |
| 1235290420 | Andrew D. Lundquist | Podiatrist | 1901 Oid Minnesota Ave, Mankato Clinic @ Daniel's Health Center, St. Peter, MN 56082 | 2006-12-12 |
| 1962517037 | Mary A Snyder | Dentist | 202 W Walnut, St Peter, MN 56082 | 2006-08-20 |
| 1124041504 | Diane Ruth Bruder | Nurse Practitioner | 2000 Klein Street, St. Peter, MN 56082 | 2006-07-25 |
| Find all providers in zip 56082 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730593435 | Noaman Barkatullah | Physician Assistant | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2014-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
| 1043811870 | Leiah Hoffman | Physician Assistant | 4243 Timberridge Ln Apt A, Hermantown, MN 55811-4047 | 2020-11-06 |
| 1760083059 | Amanda Hanover | Physician Assistant | 10346 Mississippi Blvd Nw, Coon Rapids, MN 55433-4521 | 2020-11-04 |
| 1780284844 | Lily Ganz | Physician Assistant | 2737 Huntington Ave, St Louis Park, MN 55416-3917 | 2020-10-28 |
| 1972103000 | Jaclyn Ann Bautch | Physician Assistant | 24721 State Highway 15, Saint Augusta, MN 56301-9211 | 2020-10-28 |
| 1801496047 | Tanner Vaughn Kramp | Physician Assistant | 3450 Wild Turkey Rd, Red Wing, MN 55066-1762 | 2020-10-27 |
| 1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
| 1598364473 | Kylee N Persing | Physician Assistant | 10 4th Ave S, Saint Cloud, MN 56301-3614 | 2020-10-21 |
| 1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
| 1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETER |
| Zip Code | 56082 |
Please comment or provide details below to improve the information on HEATHER A DALE.
| 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.