ANDREA MARGARET GRAVLEY (NPI# 1104074434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104074434 |
| Entity Type | Individual |
| Full Name | ANDREA MARGARET GRAVLEY |
| Credential | CPNP |
| Practice Address |
17705 Hutchins Dr Ste 101 Minnetonka MN 55345-4102 |
| Practice Telephone | 9524018300 |
| Practice Fax Number | 9524018373 |
| Mailing Telephone | 9524018300 |
| Mailing Fax Number | 9524018373 |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R1574690 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17705 HUTCHINS DR STE 101 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55345-4102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952373102 | Tamara Lynn Whyte Kasmarik | Nurse Practitioner | 17705 Hutchins Dr Ste 101, Minnetonka, MN 55345-4102 | 2006-02-02 |
| 1134264161 | Lynnea H Piotter | Registered Nurse | 17705 Hutchins Dr Ste 101, Minnetonka, MN 55345-4102 | 2007-02-20 |
| 1205809613 | Dale Thomas Dobrin | Pediatrics | 17705 Hutchins Dr Ste 101, Minnetonka, MN 55345-4102 | 2006-02-08 |
| 1548233828 | Joanne Renae Hoffman-jecha | Pediatrics | 17705 Hutchins Dr Ste 101, Minnetonka, MN 55345-4102 | 2006-02-08 |
| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336642131 | Caitlin Anna Lingbeck | Nurse Practitioner | 14001 Ridgedale Dr #100, Minnetonka, MN 55305-1781 | 2018-03-18 |
| 1497043954 | Kathryn Elizabeth Douglass | Nurse Practitioner | 17750 Hutchins Dr., Minnetonka, MN 55345 | 2011-07-19 |
| 1952373102 | Tamara Lynn Whyte Kasmarik | Nurse Practitioner | 17705 Hutchins Dr Ste 101, Minnetonka, MN 55345-4102 | 2006-02-02 |
| 1144718933 | Kirsten Dougherty | Nurse Practitioner | 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305-1781 | 2018-04-26 |
| 1528502556 | Teresa Bekkala | Nurse Practitioner | 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305-1781 | 2016-12-09 |
| 1427410778 | Hoa Ly Trinh | Nurse Practitioner | 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305-1781 | 2016-03-25 |
| 1134188766 | Elizabeth Anne Hass | Nurse Practitioner | 17705 Hutchins Dr, Suite 101, Minnetonka, MN 55345-4145 | 2006-03-22 |
| 1639147192 | Nicole Anne Martens | Nurse Practitioner | 17705 Hutchins Dr, Minnetonka, MN 55345-4145 | 2006-03-10 |
| 1871560441 | Lynda Jean Stuber | Nurse Practitioner | 14001 Ridgedale Dr, Ste 100, Minnetonka, MN 55305-1781 | 2006-03-02 |
| 1306810833 | Madalynne Helen Ahmann | Nurse Practitioner | 14001 Ridgedale Dr, #100, Minnetonka, MN 55305-1753 | 2006-02-13 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55345 |
Please comment or provide details below to improve the information on ANDREA MARGARET GRAVLEY.
| 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.