DEDRA LEE THEISEN (NPI# 1154627297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154627297 |
| Entity Type | Individual |
| Full Name | DEDRA LEE THEISEN |
| Credential | RN |
| Practice Address |
14315 305th Ave Nw Princeton MN 55371-3648 |
| Practice Telephone | 6129870234 |
| Mailing Telephone | 6129870234 |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | R 185363-8 | MN | Nursing Service Providers |
| Street Address |
14315 305TH AVE NW |
| City | PRINCETON |
| State | MN |
| Zip Code | 55371-3648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053962530 | Monica Gail Broten | Technician | 30840 Tiger Street Nw, Princeton, MN 55371 | 2019-09-25 |
| 1215349584 | Stephen Destefano | Pharmacist | 31419 131st Street, Princeton, MN 55371 | 2014-05-21 |
| 1164798948 | Andrew Sudbeck | Counselor | 101 18th Avenue North, Princeton, MN 55371 | 2012-03-27 |
| 1073804803 | Sterling Pointe Senior Living LLC | Assisted Living Facility | 1250 Northland Drive, Princeton, MN 55371 | 2011-04-27 |
| 1568752533 | Rum River Health Services, Inc. | Substance Abuse Rehabilitation Facility | 3079 90th Avenue, Princeton, MN 55371 | 2011-04-12 |
| 1780989038 | Dr. Kynan Westermeyer, Dds, Pllc | Clinic/Center | 404 1st St. N, Princeton, MN 55371 | 2011-01-18 |
| 1275788085 | Cody James Leff | Pharmacist | 1100 11th Avenue South, Princeton, MN 55371 | 2008-11-20 |
| 1164679213 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1101 N 5th St, Princeton, MN 55371 | 2008-08-20 |
| 1801059639 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1506 1st Street, Princeton, MN 55371 | 2008-07-02 |
| 1497940928 | James Michael Mandt | Pharmacist | 911 Northland Drive, Fairview Northland Medical Center, Princeton, MN 55371 | 2007-09-07 |
| Find all providers in zip 55371 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716461 | Krista Ann Donabauer | Registered Nurse | 13620 302nd Ave Nw, Princeton, MN 55371-3728 | 2020-09-29 |
| 1568088805 | Sophie Odhiambo | Registered Nurse | 1013 Riverstone Trl, Princeton, TX 75407-2260 | 2020-06-23 |
| 1306479944 | Alan Jacob Alanis | Registered Nurse | 902 Opal Path, Princeton, TX 75407-2267 | 2020-02-21 |
| 1558993345 | Amanda Lee Kay | Registered Nurse | 141 Teakwood Dr, Princeton, TX 75407-6546 | 2020-02-10 |
| 1700421476 | Jennifer Monga | Registered Nurse | 387 Gallup Rd, Princeton, NJ 08540-7315 | 2019-11-17 |
| 1962066738 | John Ejikeme | Registered Nurse | 1026 Churchill Dr, Princeton, TX 75407-2800 | 2019-04-27 |
| 1316427677 | Adaobi Veronica Agbasiere | Registered Nurse | 1618 Blackburn Way, Princeton, TX 75407-2872 | 2018-08-16 |
| 1093212227 | James George Collins | Registered Nurse | 5343 Aspen Rd, Princeton, MN 55371-6064 | 2018-04-13 |
| 1003323106 | Kimberly Elaine Ross | Registered Nurse | 404 W Walnut St, Princeton, IN 47670-1252 | 2018-01-10 |
| 1174044564 | Angel Robinson | Registered Nurse | 11626 Sw 245th Ter, Princeton, FL 33032-4054 | 2017-07-06 |
| Find all providers in PRINCETON | ||||
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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.