NOELLE ANDREA VENTURA FABIE (NPI# 1104172584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104172584 |
| Entity Type | Individual |
| Full Name | NOELLE ANDREA VENTURA FABIE |
| Credential | M.D. |
| Practice Address |
2525 Chicago Ave Minneapolis MN 55404-4518 |
| Mailing Address |
5901 Lincoln Drive Cbc-2-rev/pe Edina MN 55436-1611 |
| Practice Telephone | 6128136000 |
| Mailing Telephone | 9529925624 |
| Mailing Fax Number | 9529926917 |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2018-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
63019 | MN | Allopathic & Osteopathic Physicians |
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
4301101328 | MI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 4301101328 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3901 Beaubien St, Pediatrics Education Office, Detroit, MI 482012119 | 7604773722 |
| Street Address |
2525 CHICAGO AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-4518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083611511 | William Francis Pomputius IIi | Pediatrics | 2525 Chicago Ave, Mailstop 17-318, Minneapolis, MN 55404-4518 | 2005-06-30 |
| 1174124259 | Anna-wesleigh Riggs Akins | Registered Nurse | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-11-04 |
| 1255930202 | Gershom Aaron Tam | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-10-21 |
| 1275140477 | Jessica Bloom | Nurse Anesthetist, Certified Registered | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-09-30 |
| 1538775762 | Ahmed Elazab | Pharmacist | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-09-22 |
| 1275149957 | Jennifer Siegmann | Nurse Anesthetist, Certified Registered | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-09-18 |
| 1710592530 | Mildred Denise Kiawoin | Registered Nurse | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-09-09 |
| 1992310700 | Coltyn Tyler Johnson | Nurse Anesthetist, Certified Registered | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-09-09 |
| 1619581394 | Children's Health Care | Ambulance | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-09-01 |
| 1447861067 | Charlotte Minnema | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841686573 | Amy Nicole Lebedoff | Medical Genetics | 2525 Chicago Ave S, Minneapolis, MN 55404-4518 | 2015-04-09 |
| 1124432885 | Anjali Aggarwal | Medical Genetics | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2014-06-19 |
| 1932429917 | Vikas Bhambhani | Medical Genetics | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2010-06-01 |
| 1982742870 | Heidi Leigh Thorson | Medical Genetics | 800 E 28th St, Minneapolis, MN 55407-3723 | 2007-02-02 |
| 1588735005 | Chester B Whitley | Medical Genetics | University of Minnesota Physicians, 516 Delaware Street Se, Room 4-100, Minneapolis, MN 55455 | 2006-11-13 |
| 1063449932 | Lawrence Richard Charnas | Medical Genetics | University of Minnesota Physicians, 516 Delaware Street Se, Minneapolis, MN 55455 | 2006-06-27 |
| 1982640264 | Susan Amelia Berry | Medical Genetics | University of Minnesota Physicians, 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 | 2006-06-22 |
| 1841287810 | Mary Ella M Pierpont | Medical Genetics | 2450 Riverside Ave, Explorer Clinic 12th Floor, Minneapolis, MN 55454-1450 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912044918 | Sandra Louise Hyvarinen Davenport | Medical Genetics | 6109 W 105th St, Bloomington, MN 55438-1833 | 2007-01-30 |
| 1568544070 | Lisa Ann Schimmenti | Medical Genetics | 200 1st Swst, Rochester, MN 55905 | 2006-10-20 |
| 1316595531 | Karthik Muthusamy | Medical Genetics | 200 1st St Sw, Rochester, MN 55905-0001 | 2019-08-30 |
| 1376899203 | Eva Morava-kozicz | Medical Genetics | 200 1st St Sw, Rochester, MN 55905-0001 | 2012-07-30 |
| 1568697829 | Pavel N. Pichurin | Medical Genetics | 200 1st St Sw, Rochester, MN 55905-0001 | 2009-05-15 |
| 1114185154 | Marcelo Paul Vargas | Medical Genetics | Mayo Clinic, Rochester, MN 55905-0001 | 2008-05-27 |
| 1598964595 | Brendan Coe Lanpher | Medical Genetics | 200 1st St Sw, Rochester, MN 55905-0001 | 2007-07-11 |
| 1154391555 | Virginia V Michels | Medical Genetics | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-26 |
| 1588634992 | Dusica Babovic-vuksanovic | Medical Genetics | 200 1st St Sw, Rochester, MN 55905 | 2006-01-26 |
| 1356321897 | Jay W Ellison | Medical Genetics | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-19 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
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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.