ELIZABETH ANNE HASS


Address: 17705 Hutchins Dr, Suite 101, Minnetonka, MN 55345-4145
Phone: 9524018300

ELIZABETH ANNE HASS (NPI# 1134188766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134188766
Entity Type Individual
Full Name ELIZABETH ANNE HASS
Other Name ELIZABETH ANNE HAVERBERG
Credential PNP
Practice Address 17705 Hutchins Dr
Suite 101
Minnetonka
MN 55345-4145
Practice Telephone 9524018300
Mailing Telephone 9524018300
Enumeration Date 2006-03-22
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
R1234998 MN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN BCBS 039J4HA 01
MN UCARE 141084 01
MN MEDICA 1209022 01
MN PREFERED ONE CP9041027731 01

Office Location

Street Address 17705 HUTCHINS DR
SUITE 101
City MINNETONKA
State MN
Zip Code 55345-4145

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861494791 Ian Anthony Park Dentist 17705 Hutchins Dr, Suite 209, Minnetonka, MN 55345-4145 2005-08-11
1902168263 Rebecca Mahady Pediatrics 17705 Hutchins Dr, Suite 250, Minnetonka, MN 55345-4145 2012-06-13
1891986378 Ian Park Dds Pa Dentist 17705 Hutchins Dr, Suite 209, Minnetonka, MN 55345-4145 2007-08-08
1275644684 Mark Robert Jensen Dentist 17705 Hutchins Dr, #207, Minnetonka, MN 55345-4176 2006-08-31
1326153511 Richard Irving Adams Family Medicine 17705 Hutchins Dr, Minnetonka, MN 55345-4145 2006-08-20
1679505770 Laura Ruth Ringuette Pediatrics 17705 Hutchins Dr, Suite 101, Minnetonka, MN 55345-4145 2006-07-07
1427027184 South Lake Clinic, P.a. Pediatrics 17705 Hutchins Dr, Suite 101, Minnetonka, MN 55345-4145 2006-03-15
1639147192 Nicole Anne Martens Nurse Practitioner 17705 Hutchins Dr, Minnetonka, MN 55345-4145 2006-03-10
1346217841 Larry G. Manney Pediatrics 17705 Hutchins Dr, Suite 101, Minnetonka, MN 55345-4145 2006-03-02
1508831041 Matthew S Segedy Pediatrics 17705 Hutchins Dr, Minnetonka, MN 55345-4145 2006-02-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417587205 Pain Partners LLC Pharmacist 15225 Wild Wings Court, Minnetonka, MN 55345 2020-01-21
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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
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1104074434 Andrea Margaret Gravley Nurse Practitioner 17705 Hutchins Dr Ste 101, Minnetonka, MN 55345-4102 2008-08-28
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
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Competitor

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City MINNETONKA
Zip Code 55345

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Dataset Information

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.

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