SCOTT C WASHBURN (NPI# 1093856502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093856502 |
Entity Type | Individual |
Full Name | SCOTT C WASHBURN |
Credential | LADC |
Practice Address |
15320 Minnetonka Blvd #200 Minnetonka MN 55345 |
Practice Telephone | 9529327277 |
Practice Fax Number | 9529329827 |
Mailing Telephone | 9529327277 |
Mailing Fax Number | 9529329827 |
Enumeration Date | 2007-02-08 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
301189 | MN | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215933429 | Scott Owen Washburn | Chiropractor | 421 S Avenue C, Suite C, Portales, NM 88130-6328 | 2005-06-22 |
1215491337 | Scott Tyrus Washburn | Family Medicine | 5571 N 21st St, Ozark, MO 65721-7488 | 2019-01-23 |
1033100177 | Scott A Washburn | Obstetrics & Gynecology | 2927 Lyndhurst Ave, Winston-salem, NC 27103-4005 | 2005-10-28 |
Street Address |
15320 MINNETONKA BLVD #200 |
City | MINNETONKA |
State | MN |
Zip Code | 55345 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497022644 | Jayme L Tichauer | Social Worker | 15320 Minnetonka Blvd #200, Relate Inc, Minnetonka, MN 55345 | 2011-11-16 |
1700183043 | Natalie A Bowker | Marriage & Family Therapist | 15320 Minnetonka Blvd #200, Relate Inc, Minnetonka, MN 55345 | 2011-02-23 |
1275771727 | Elizabeth Oneal Conway | Social Worker | 15320 Minnetonka Blvd #200, Minnetonka, MN 55345 | 2009-01-21 |
1649311150 | Tara M Bauman | Counselor | 15320 Minnetonka Blvd #200, Minnetonka, MN 55345 | 2007-02-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417587205 | Pain Partners LLC | Pharmacist | 15225 Wild Wings Court, Minnetonka, MN 55345 | 2020-01-21 |
1356811608 | Caitlin Marie Peterson | Specialist/Technologist | 15708 Wood Knoll Lane, Minnetonka, MN 55345 | 2018-11-29 |
1649747007 | West Side Counseling LLC | Community/Behavioral Health | 10520 Wayzata Blvd., Suite 100, Minnetonka, MN 55345 | 2018-10-24 |
1689173247 | Theresa Tsuchiya | Psychologist | Relate, Inc., 5125 County Road 101, Suite 300, Minnetonka, MN 55345 | 2018-02-08 |
1497264147 | Minnetonka Assisted Living and Hospice | Community Health Worker | 14667 Lake Street Extension, Minnetonka, MN 55345 | 2017-09-26 |
1619494671 | Shree Revenue Management | Durable Medical Equipment & Medical Supplies | 6117, Creek Ridge Ct, Minnetonka, MN 55345 | 2017-08-29 |
1538606876 | Stefani Yanizeski | Speech-Language Pathologist | Minnesota Autism Center, 5710 Baker Road, Minnetonka, MN 55345 | 2017-01-25 |
1790157469 | Greg Anderson | Psychologist | 5125 County Road 101, #300, Relate, Inc., Minnetonka, MN 55345 | 2015-10-21 |
1861896375 | Kristine L Smith | Marriage & Family Therapist | 5125 County Road 101 Suite 300, Minnetonka, MN 55345 | 2014-10-13 |
1982014460 | Miranda Jean Johnson | Speech-Language Pathologist | 15265 Minnetonka Blvd., Minnetonka, MN 55345 | 2014-05-06 |
Find all providers in zip 55345 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386456 | Alexandra Lloyd Conroy | Counselor | 3227 Lake Shore Boulevard, Minnetonka, MN 55391 | 2020-11-07 |
1811469653 | Matthew Jon Thorson | Counselor | 11900 Wayzata Blvd Ste 100, Minnetonka, MN 55305-2018 | 2018-12-18 |
1801397302 | Fartun Ahmed | Counselor | 16020 Temple Dr, Minnetonka, MN 55345-3422 | 2018-02-21 |
1285098202 | Deborah Hagen | Counselor | 2601 Abbey Hill Dr, Minnetonka, MN 55305-2333 | 2016-04-06 |
1316314131 | Todd Wilson | Counselor | 5101 Boarshead Rd, Apt #117, Minnetonka, MN 55345-4042 | 2015-08-27 |
1902295306 | Jackie Harrison | Counselor | 12708 Wayzata Blvd, Suite 412, Minnetonka, MN 55305-1916 | 2015-01-22 |
1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
1154603116 | Judy D Siems | Counselor | 1615 Archwood Rd, Minnetonka, MN 55305 | 2011-09-15 |
1265556203 | Odyssey Programs, LLC | Counselor | 14300 Cty Rd 62, Minnetonka, MN 55345 | 2007-03-16 |
1407961709 | Cdc Centers | Counselor | 15612 Highway 7, Suite 150, Minnetonka, MN 55345-3543 | 2006-08-20 |
Find all providers in MINNETONKA |
City | MINNETONKA |
Zip Code | 55345 |
Please comment or provide details below to improve the information on SCOTT C WASHBURN.
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.