MARY PUMPER (NPI# 1164072906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164072906 |
| Entity Type | Individual |
| Full Name | MARY PUMPER |
| Practice Address |
14301 Ewing Ave S Burnsville MN 55306-4885 |
| Mailing Address |
1509 Southcross Dr W Burnsville MN 55306-6945 |
| Practice Telephone | 9527465350 |
| Mailing Telephone | 9524919810 |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
14301 EWING AVE S |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55306-4885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467598730 | Partners In Excellence Inc | Speech-Language Pathologist | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2007-01-30 |
| 1417557455 | Abby L Hatcher | Behavioral Analyst | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-10-29 |
| 1952913063 | Alyssa Chang | Behavior Technician | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-08-19 |
| 1568071249 | Taylor Fosse | Behavior Technician | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-07-28 |
| 1639797608 | Ryan Jacob Bailey | Behavior Technician | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-07-07 |
| 1336766120 | Jami Marie Kadolph | Behavior Technician | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-06-29 |
| 1285259705 | Madeline Lavictoire | Behavior Technician | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-06-10 |
| 1205459112 | Erin Lunz | Behavior Technician | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-05-26 |
| 1568084119 | Tyler Jordan Smith | Counselor | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-05-16 |
| 1326671496 | Monica Johnson | Behavior Technician | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095438 | Roers Senior Living Burnsville LLC | Assisted Living Facility | 14401 Grand Avenue, Burnsville, MN 55306 | 2020-02-19 |
| 1639717986 | Kaylee Nadine Frederickson | Speech-Language Pathologist | 14451 Grand Ave S, Burnsville, MN 55306 | 2019-12-17 |
| 1780236893 | Nichole Arn | Occupational Therapist | 14301 Ewing Avenue, Burnsville, MN 55306 | 2019-07-10 |
| 1942708516 | Nicholas John Solverson | Chiropractor | 14671 Chicago Ave Apt 6, Burnsville, MN 55306 | 2018-01-29 |
| 1164978672 | Benjamin Halpern | Dentist | 14344 Burnhaven Drive, Burnsville, MN 55306 | 2016-08-26 |
| 1528478336 | Michael Patrick Hennes | Chiropractor | 14587 Grand Ave Ste 112, Burnsville, MN 55306 | 2014-05-01 |
| 1467799924 | Dentalign, Pa | Dentist | 2999 County Road 42 W Suite 138, Burnsville, MN 55306 | 2013-01-03 |
| 1417205436 | Heather Heide | Student in an Organized Health Care Education/Training Program | 14750 Lac Lavon Dr, Burnsville, MN 55306 | 2012-08-23 |
| 1427243898 | Rehana Leila Ahmed-saucedo | Dermatology | 14305 Southcross Dr, Suite 110, Burnsville, MN 55306 | 2007-09-10 |
| 1881815397 | Kyle James Colbert | Chiropractor | 745 Crystal Lake Rd East, Burnsville, MN 55306 | 2007-05-01 |
| Find all providers in zip 55306 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112975 | Hero Autism Center LLC | Clinic/Center | 3040 4th Ave S Ste 106, Minneapolis, MN 55408-2409 | 2020-10-21 |
| 1538794672 | Star Health Services | Clinic/Center | 2833 13th Ave S Ste 127, Minneapolis, MN 55407-1417 | 2020-03-09 |
| 1255825345 | Senzilla Health Services, LLC | Clinic/Center | 3035 Old Highway 8, Suite 101f, St. Anthony, MN 55418 | 2018-06-21 |
| 1083105209 | Madina Wellness Center, Inc. | Clinic/Center | 1230 Eagan Industrial Rd Ste 103, Eagan, MN 55121-1243 | 2018-05-23 |
| 1447507942 | Little Bird Psc | Clinic/Center | 48858 Us 71, Laporte, MN 56461-4879 | 2012-08-14 |
| 1033347331 | Rosenberg Center Assessment and Treatment for Children & Families Pa | Clinic/Center | 1935 Country Road B2 West, Suite 100, Roseville, MN 55113 | 2009-06-24 |
| 1235397381 | Brenda Jean Hansen | Clinic/Center | 425 6th Avenue West, Floodwood, MN 55736 | 2008-05-27 |
| 1164046926 | Diversity Health Service LLC | Clinic/Center | 7900 International Dr Ste 300, Bloomington, MN 55425-2562 | 2020-06-07 |
| 1013572056 | Scitech Academy | Clinic/Center | 100 W 66th St, Richfield, MN 55423-2371 | 2019-05-06 |
| 1881035624 | Sandra Streitman Pllc | Clinic/Center | 9031 W 34th St, St Louis Park, MN 55426-3703 | 2013-07-09 |
| Find all providers with the same taxonomy | ||||
| City | BURNSVILLE |
| Zip Code | 55306 |
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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.