LAUREN NOELLE KERSHNER (NPI# 1124666136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124666136 |
| Entity Type | Individual |
| Full Name | LAUREN NOELLE KERSHNER |
| Practice Address |
15265 Minnetonka Blvd Minnetonka MN 55345-1510 |
| Mailing Address |
9346 Oak Ave Waconia MN 55387-9422 |
| Practice Telephone | 9522232506 |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 931429600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5232 Kyler Ave Ne, Albertville, MN 553014634 | 9522232506 | |
| 9346 Oak Ave, Waconia, MN 553879422 | 9522232506 | |
| 10700 Hwy 55 Ste 300, Plymouth, MN 554416137 | 9522232506 | |
| 2520 Pilot Knob Rd Ste 190, Saint Paul, MN 551201152 | 9522232506 |
| Street Address |
15265 MINNETONKA BLVD |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55345-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730550922 | Pamela Lackram | Speech-Language Pathologist | 15265 Minnetonka Blvd, Minnetonka, MN 55345-1510 | 2015-10-13 |
| 1285243006 | Heidi Jurado | Speech-Language Pathologist | 15265 Minnetonka Blvd, Minnetonka, MN 55345-1510 | 2020-07-28 |
| 1295367712 | Renee Huber | Speech-Language Pathologist | 15265 Minnetonka Blvd, Minnetonka, MN 55345-1510 | 2020-02-12 |
| 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 | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750758900 | Alyssa Winterfeldt | Occupational Therapist | 2230 Plymouth Rd Apt 215, Minnetonka, MN 55305-2347 | 2015-08-24 |
| 1952559593 | Lindsey Rae Kautzman | Occupational Therapist | 2855 Jordan Ave S, Minnetonka, MN 55305-3514 | 2008-09-08 |
| 1235330648 | Nancy Joan Jackley | Occupational Therapist | 11700 Wayzata Blvd, Minnetonka, MN 55305-2014 | 2007-05-31 |
| 1093841645 | Carol Marie Johnson | Occupational Therapist | 5500 Opportunity Court, Minnetonka, MN 55343-9020 | 2007-02-26 |
| 1154466944 | Casey J Snow | Occupational Therapist | 14300 County Road 62, Minnetonka, MN 55345-6706 | 2007-02-20 |
| 1902429558 | Eric Daniel Sipe | Occupational Therapist | 10273 Yellow Circle Dr, Minnetonka, MN 55343-9144 | 2020-05-18 |
| 1245862564 | Andrea Katija Stinogel | Occupational Therapist | 5868 Baker Rd, Minnetonka, MN 55345-5903 | 2020-02-05 |
| 1053950857 | Jessica Lynn Stewart | Occupational Therapist | 5501 Feltl Rd, Minnetonka, MN 55343-3944 | 2019-12-27 |
| 1205475266 | Jenna Rae Neis | Occupational Therapist | 10273 Yellow Circle Dr, Minnetonka, MN 55343-9144 | 2019-12-22 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55345 |
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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.