MARY LOU FELLOWS (NPI# 1093066847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093066847 |
| Entity Type | Individual |
| Full Name | MARY LOU FELLOWS |
| Practice Address |
14275 N County Road 24 Wabasha MN 55981-7536 |
| Practice Telephone | 6515602111 |
| Mailing Telephone | 6515602111 |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | 1054348 AFC | MN | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447229075 | Mary R Fellows | Physical Therapist | 2090 Woodwinds Dr, Woodbury, MN 55125-2522 | 2006-03-16 |
| Street Address |
14275 N COUNTY ROAD 24 |
| City | WABASHA |
| State | MN |
| Zip Code | 55981-7536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396266003 | Lc Edelbach Company LLC | Pharmacy | 160 Main Street West, Wabasha, MN 55981 | 2017-07-03 |
| 1154372217 | Robert James Mann | Dentist | 115 E Main Street, Wabasha, MN 55981 | 2006-05-13 |
| 1245727056 | Malinda Jean Wise | Social Worker | 1200 Grant Blvd W, Wabasha, MN 55981 | 2018-04-17 |
| 1447772249 | Katlyn Jo Jessen | Counselor | 611 Broadway Ave Ste 100, Wabasha, MN 55981 | 2017-07-13 |
| 1053785840 | Matthew Wagner | Registered Nurse | 1200 Grant Blvd W, Wabasha, MN 55981 | 2015-11-17 |
| 1851634620 | Soleil Arrieta | Family Medicine | 1200 Grant Blvd W, Wabasha, MN 55981 | 2013-03-31 |
| 1760783492 | Anna Emily Battcher | Pharmacist | 1200 5th Grant Blvd, Wabasha, MN 55981-1042 | 2010-11-11 |
| 1679636393 | Ursula I Miller | Family Medicine | 1202 Grant Blvd W, Wabasha, MN 55981-1042 | 2006-12-18 |
| 1437139730 | Marc J. Hampl | Physician Assistant | 1202 5th Grant Blvd, Wabasha, MN 55981-1042 | 2006-01-20 |
| 1851858112 | Paula Kae Thompson | Dietitian, Registered | 1200 Grant Blvd W, Wabasha, MN 55981-1042 | 2019-02-22 |
| Find all providers in zip 55981 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292944 | Reliable Quality Care LLC | Adult Companion | 1121 Hamline Ave N Unit 201, Saint Paul, MN 55108-2756 | 2020-10-12 |
| 1922605666 | Toujours Care Corp | Adult Companion | 16336 Jamison Path, Lakeville, MN 55044-6613 | 2020-10-06 |
| 1245855816 | Eric John Peltz | Adult Companion | 898 322nd Ave Ne, Cambridge, MN 55008-5810 | 2020-06-10 |
| 1497383392 | Jennifer Clement | Adult Companion | 1426 Oliver Ave N Apt 2, Minneapolis, MN 55411-3033 | 2020-03-28 |
| 1902430879 | Golden Years Home | Adult Companion | 506 4th St Sw, Montgomery, MN 56069-1222 | 2020-02-28 |
| 1154965721 | Lansa Dawano | Adult Companion | 3707 104th Trl N, Minneapolis, MN 55443-1012 | 2019-11-06 |
| 1134786130 | Mohamed Shido Hassan | Adult Companion | 1312 7th St Nw Ste 203, Rochester, MN 55901-1704 | 2019-05-24 |
| 1457917262 | Pang Yang | Adult Companion | 12844 Raven St Nw, Coon Rapids, MN 55448-2578 | 2019-05-16 |
| 1629546072 | Andre Roberson | Adult Companion | 1110 Evergreen Ln N, Plymouth, MN 55441-4834 | 2018-11-04 |
| 1407349566 | Twins Care LLC | Adult Companion | 393 Dunlap St N Ste Ll44, Saint Paul, MN 55104-4237 | 2018-06-12 |
| Find all providers with the same taxonomy | ||||
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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.