EMILY SCOLLON (NPI# 1164966123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164966123 |
Entity Type | Individual |
Full Name | EMILY SCOLLON |
Practice Address |
1430 Highway 96 E White Bear Lake MN 55110-3653 |
Mailing Address |
Po Box 1309 Ms 21110q Minneapolis MN 55440-1309 |
Practice Telephone | 6516532100 |
Practice Fax Number | 6516532125 |
Mailing Telephone | 6516532100 |
Mailing Fax Number | 6516532125 |
Enumeration Date | 2016-12-10 |
Last Update Date | 2017-03-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | R222209-3 | MN | Nursing Service Providers |
N | 363L00000X | Nurse Practitioner | CNP 5015 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
CNP 5015 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1430 HIGHWAY 96 E |
City | WHITE BEAR LAKE |
State | MN |
Zip Code | 55110-3653 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881626414 | Jennifer A Ramsey | Advanced Practice Midwife | 1430 Highway 96 E, White Bear Lake, MN 55110 | 2006-07-06 |
1316559552 | Amiot Spine Care, Pllc | Clinic/Center | 1430 Highway 96 E, White Bear Lake, MN 55110-3653 | 2020-08-19 |
1104343607 | Laura Anne Chilson | Registered Nurse | 1430 Highway 96 E, White Bear Lake, MN 55110 | 2017-08-24 |
1699126169 | Tou Lee Xiong | Family Medicine | 1430 Highway 96 E, White Bear Lake, MN 55110-3653 | 2016-06-27 |
1386011849 | Renaye Wyganowski | Dietitian, Registered | 1430 Highway 96 E, White Bear Lake, MN 55110-3653 | 2015-08-31 |
1669882791 | Jenna Keller | Family Medicine | 1430 Highway 96 E, White Bear Lake, MN 55110-3653 | 2014-04-28 |
1760802151 | Kathleen Elizabeth Bauer | Pediatrics | 1430 Highway 96 E, White Bear Lake, MN 55110-3653 | 2014-04-23 |
1134547847 | William Wedin | Pediatrics | 1430 Highway 96 E, White Bear Lake, MN 55110-3653 | 2014-03-31 |
1922441278 | Russell Spingarn | Family Medicine | 1430 Highway 96 E, White Bear Lake, MN 55110-3653 | 2013-04-16 |
1699015024 | Roopa Sharma | Pediatrics | 1430 Highway 96 E, White Bear Lake, MN 55110-3653 | 2013-02-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467071084 | St. Catherine University School Based Health Clinic | Nurse Practitioner | 5045 Division Ave, White Bear Lake, MN 55110 | 2020-04-14 |
1922450618 | Lisa Marie Thatcher | Podiatrist | 4653 White Bear Pkwy., St. Paul, MN 55110 | 2016-07-06 |
1558725598 | White Bear Dentists, PC | Dentist | 1970 Buerkle Road, White Bear Lake, MN 55110 | 2016-04-06 |
1124486246 | Julie Blaske | Counselor | 1310 Hwy 96 E, Suite 200, White Bear Lake, MN 55110 | 2016-02-03 |
1851761514 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 1920 Buerkle Rd, White Bear Lake, MN 55110 | 2015-10-06 |
1821496969 | Leah Eichmiller | Acupuncturist | 2183 3rd Street, C/o Indulge Salon, White Bear Lake, MN 55110 | 2014-12-05 |
1447672084 | Ashley Rath | Chiropractor | 1247 Gun Club Rd., White Bear Lake, MN 55110 | 2014-01-16 |
1790121291 | Advanced Medical Home Care, LLC | Home Health | 2555 County Road E East, Suite 101, White Bear Lake, MN 55110 | 2013-05-11 |
1134468465 | Emergency Physicians Professional Association | Clinic/Center | 1159 E. County Road E, Vadnais Heights, MN 55110 | 2013-02-06 |
1639444284 | Rebecca Lynn Blaede | Counselor | 4858 Banning Avenue, White Bear Lake, MN 55110 | 2012-03-15 |
Find all providers in zip 55110 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467071084 | St. Catherine University School Based Health Clinic | Nurse Practitioner | 5045 Division Ave, White Bear Lake, MN 55110 | 2020-04-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669005948 | Kevin Charles Carlson | Nurse Practitioner | 19303 Sorrel Ct, Corcoran, MN 55340-4447 | 2020-02-14 |
1144862996 | Alade Lateef Hamza | Nurse Practitioner | 4808 85th Ave N Ste 300, Brooklyn Park, MN 55443-1816 | 2019-10-14 |
1114584869 | Tenzin Lhamo | Nurse Practitioner | 195 Windsor Ln, New Brighton, MN 55112-3366 | 2019-05-28 |
1255834859 | Ashley M Morehouse | Nurse Practitioner | 625 S 4th St Ste A, Le Sueur, MN 56058-2203 | 2018-03-10 |
1013457381 | Lydia Nyakonu Sherman | Nurse Practitioner | 606 24th Ave S #620, Minneapolis, MN 55454 | 2017-03-06 |
1912447780 | Zillah Mulubisha | Nurse Practitioner | Brooklyn Park Clinic, 7650 Zane Ave N, Minneapolis, MN 55443 | 2017-02-27 |
1245615194 | Jennifer Nelson | Nurse Practitioner | 480 Osborne Rd Ne Ste 220, Fridley, MN 55432-2866 | 2015-07-21 |
1912397142 | Solomon Africanus Wesseh Jr. | Nurse Practitioner | 10135 43rd Ct Ne, Saint Michael, MN 55376-3015 | 2015-01-26 |
1780084004 | Angela Rae Fox | Nurse Practitioner | 7383 Upper 157th St W, Apple Valley, MN 55124-5108 | 2014-08-25 |
1841409265 | Jody Lee Ashley | Nurse Practitioner | 15921 Andrie St Nw, Ramsey, MN 55303-3874 | 2007-05-22 |
Find all providers with the same taxonomy |
City | WHITE BEAR LAKE |
Zip Code | 55110 |
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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.