MICHAELA ASHLYN FAIRBANKS (NPI# 1144794793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144794793 |
| Entity Type | Individual |
| Full Name | MICHAELA ASHLYN FAIRBANKS |
| Practice Address |
44711 County Road 18 Deer River MN 56636-2148 |
| Practice Telephone | 2183687931 |
| Mailing Telephone | 2183687931 |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
44711 COUNTY ROAD 18 |
| City | DEER RIVER |
| State | MN |
| Zip Code | 56636-2148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417464157 | Deer River Dental Clinic | Dentist | 111 Main Street E, Deer River, MN 56636 | 2018-01-03 |
| 1992251235 | Ashley Ann Seedorf | Counselor | 313 Main Avenue, Deer River, MN 56636 | 2016-08-28 |
| 1376969675 | Thomas Kleinkauf | Family Medicine | 33688 East Point Rd, Deer River, MN 56636 | 2014-03-11 |
| 1073527651 | Brielle A Loe | Family Medicine | 300 West Conan St., Duluth Clinic-ely, Ely, MN 56636 | 2006-07-28 |
| 1619949328 | Jeffrey Lee Carter | Dentist | 111 Main Street, Deer River, MN 56636 | 2006-02-06 |
| 1811425895 | Leah Hildebrandt | Dentist | 111 Main St, Po Box 40, Deer River, MN 56636 | 2017-06-02 |
| 1689739435 | Independent School District No 317 | Local Education Agency (LEA) | 101 1st Ave Ne, Deer River, MN 56636-0307 | 2006-12-22 |
| 1407153158 | Judy Louise Lemieux | Chiropractor | 37958 Amen Lake Rd, Deer River, MN 56636-3064 | 2011-02-15 |
| 1043554702 | Rodney C Horgen | Chiropractor | 37958 Amen Lake Rd, Deer River, MN 56636-3064 | 2012-11-19 |
| 1679730220 | Deer River Hired Hands, Inc. | Day Training, Developmentally Disabled Services | 309 3rd Ave Se, Deer River, MN 56636-8617 | 2008-05-21 |
| Find all providers in zip 56636 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154921047 | Liesa Clare Erickson | Student in an Organized Health Care Education/Training Program | 100 Elizabeth St Apt 416, Duluth, MN 55803-2643 | 2020-10-29 |
| 1639779804 | Chelsie Meemken | Student in an Organized Health Care Education/Training Program | 505 Bluebird Ct, Sartell, MN 56377-1633 | 2020-10-27 |
| 1134729486 | Anna R Spiczka | Student in an Organized Health Care Education/Training Program | 10689 108th Ave N, Hanover, MN 55341-4124 | 2020-10-27 |
| 1558961003 | Maren Elizabeth Iverson | Student in an Organized Health Care Education/Training Program | 1 Veterans Dr # 160, Minneapolis, MN 55417-2309 | 2020-10-26 |
| 1275132003 | Faizo A Hersi | Student in an Organized Health Care Education/Training Program | 9700 International Dr Suite 300, Bloomington, MN 55425 | 2020-10-22 |
| 1467059048 | Ashli Willow Boehm | Student in an Organized Health Care Education/Training Program | 1920 Turning Leaf Ln Sw, Alexandria, MN 56308-4662 | 2020-10-06 |
| 1174130421 | Carolyne Copley | Student in an Organized Health Care Education/Training Program | 226 2nd St Sw, Rochester, MN 55905-0001 | 2020-09-29 |
| 1023624483 | Katherine Hailey Lake | Student in an Organized Health Care Education/Training Program | 16415 Temple Dr, Minnetonka, MN 55345-3431 | 2020-09-21 |
| 1235745027 | Andrew Ryan Mcnamara | Student in an Organized Health Care Education/Training Program | 1015 Lowry Ave Ne Apt 3, Minneapolis, MN 55418-3727 | 2020-09-17 |
| 1740895770 | Arielle Johnson | Student in an Organized Health Care Education/Training Program | 1162 Thomas Ave, Saint Paul, MN 55104-2538 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | DEER RIVER |
| Zip Code | 56636 |
Please comment or provide details below to improve the information on MICHAELA ASHLYN FAIRBANKS.
| 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.