MRS. KIMBERLY KAE CRIST (NPI# 1134392350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134392350 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY KAE CRIST |
| Credential | LPN |
| Practice Address |
28647 Hwy 92 Bagley MN 56621 |
| Mailing Address |
34666 Rock Ridge Rd Bagley MN 56621-4214 |
| Practice Telephone | 2186943049 |
| Practice Fax Number | 2187852707 |
| Mailing Telephone | 2186943049 |
| Mailing Fax Number | 2187852707 |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 177F00000X | Lodging | 0006952-14675 | MN | Other Service Providers |
| Street Address |
28647 HWY 92 |
| City | BAGLEY |
| State | MN |
| Zip Code | 56621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750933685 | Kristyn Faith Bergh | Physical Therapist | 118 Central Street West, Bagley, MN 56621 | 2019-07-11 |
| 1366956823 | Brian Sterling Paramore | Nurse Practitioner | 1656 Central Ave St W, Bagley, MN 56621 | 2017-11-20 |
| 1942436985 | Cornerstone Residence of Bagley, Inc | Assisted Living Facility | 30 Sunset Ave Sw, Bagley, MN 56621 | 2009-06-04 |
| 1548419708 | Melissa Nicole Jenson | Registered Nurse | 14 South Main Street, Bagley, MN 56621 | 2008-09-12 |
| 1518116813 | Tammy Rae Hanse | Registered Nurse | 14 South Main Ave, Bagley, MN 56621 | 2008-09-11 |
| 1952529323 | Clearwater Health Services | Skilled Nursing Facility | 416 7th St Ne, Bagley, MN 56621 | 2007-04-23 |
| 1295859411 | Clearwater County Memorial Hospital | General Acute Care Hospital | 203 4th St. N.w., Bagley, MN 56621 | 2007-03-16 |
| 1992875850 | Mary Elizabeth Jones | Dentist | 13 Main Avenue North, Bagley, MN 56621 | 2006-11-08 |
| 1558350678 | Bradley W Neujahr Od Pa | Optometrist | 14 2nd St Ne, Bagley, MN 56621 | 2005-10-20 |
| 1134611544 | Patrick Wichmann | Nurse Practitioner | 203 4th St Nw, Bagley, MN 56621 | 2018-05-31 |
| Find all providers in zip 56621 | ||||
| Taxonomy Code | 177F00000X |
| Grouping | Other Service Providers |
| Classification | Lodging |
| A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122758 | Kmjv Operation LLC | Lodging | 19351 Indiana Ave, Lakeville, MN 55044-4849 | 2020-10-23 |
| 1396395349 | Jerald Mitchell | Lodging | 120 3rd Ave N, Biwabik, MN 55708-3032 | 2019-09-11 |
| 1124687322 | Thibodeaux Real Estate Conglomerate | Lodging | 4245 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2019-06-11 |
| 1417416504 | The Chestnut Burrow | Lodging | 423 Chestnut St, Virginia, MN 55792-2525 | 2019-03-18 |
| 1194213280 | Amherst H. Wilder Foundation | Lodging | Lincoln Place, 1997 Gold Trail, Eagan, MN 55122 | 2018-04-25 |
| 1558874743 | Kelly-norton Programs, Inc. | Lodging | 1928 Stevens Ave, Minneapolis, MN 55403-3835 | 2017-11-09 |
| 1114441987 | Darlene Benson | Lodging | 22383 Nebish Rd Ne, Blackduck, MN 56630-5138 | 2017-08-02 |
| 1972816155 | Erie Beehler | Lodging | 12407 Parkwood Ln Nw, Bemidji, MN 56601-6178 | 2010-07-16 |
| 1487966115 | Michele Astrup | Lodging | 21251 Co 35, Underwood, MN 56586 | 2010-07-10 |
| 1336466614 | Kristin Zachman | Lodging | 5080 Naber Ave Ne, Saint Michael, MN 55376-9424 | 2010-04-27 |
| Find all providers with the same taxonomy | ||||
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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.