LUCETTE VANKESSEL (NPI# 1174075246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174075246 |
| Entity Type | Individual |
| Full Name | LUCETTE VANKESSEL |
| Credential | APRN, CNP |
| Practice Address |
4212 Grand Ave Essentia Health West Duluth Clinic Duluth MN 55807-2737 |
| Mailing Address |
400 E 3rd St Essentia Health Duluth Clinic Duluth MN 55805-1951 |
| Practice Telephone | 2187863500 |
| Mailing Telephone | 2187868364 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP 4842 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R162549-7 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4212 GRAND AVE ESSENTIA HEALTH WEST DULUTH CLINIC |
| City | DULUTH |
| State | MN |
| Zip Code | 55807-2737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205882594 | Adam Charles Swank | Family Medicine | 4212 Grand Ave, Essentia Health West Duluth Clinic, Duluth, MN 55807-2737 | 2006-05-26 |
| 1134743586 | Erika K Ehlers | Registered Nurse | 4212 Grand Ave, Duluth, MN 55807-2737 | 2020-06-02 |
| 1457991804 | Matt Kleven | Physician Assistant | 4212 Grand Ave, Duluth, MN 55807-2737 | 2020-01-14 |
| 1588204044 | Matthew G Schull | Physician Assistant | 4212 Grand Ave, Duluth, MN 55807-2737 | 2020-01-13 |
| 1124675566 | Amos Restad | Nurse Practitioner | 4212 Grand Ave, Duluth, MN 55807-2737 | 2019-08-21 |
| 1164089702 | Sarah M Jackson | Physical Therapist | 4212 Grand Ave, Duluth, MN 55807-2737 | 2019-05-20 |
| 1023578515 | Megan Elizabeth Markes | Physician Assistant | 4212 Grand Ave, Duluth, MN 55807-2737 | 2019-03-21 |
| 1134685035 | Anthony C Guidone | Nurse Practitioner | 4212 Grand Ave, Duluth, MN 55807-2737 | 2019-02-15 |
| 1679051791 | Brianna N Buske | Physical Therapist | 4212 Grand Ave, Duluth, MN 55807-2737 | 2018-07-31 |
| 1558721423 | Eric Harold Godfrey | Physical Therapist | 4212 Grand Ave, Essentia Health West Duluth Clinic, Duluth, MN 55807-2737 | 2016-03-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568918126 | Jaime Lynn Mallory | Counselor | 4000 W 9th St., Duluth, MN 55807 | 2016-09-01 |
| 1568817138 | Fathers Rise Together | Community/Behavioral Health | 319 N 22nd Ave West, Duluth, MN 55807 | 2016-05-02 |
| 1558660357 | Melissa June Huray | Counselor | 326 North Central Avenue, Duluth, MN 55807 | 2011-03-18 |
| 1376757682 | Chiropractic Health Center P A | Chiropractor | 215 North Central Ave, Duluth, MN 55807 | 2007-05-09 |
| 1639235914 | Mark Andrew Nelson Albee | Social Worker | 4214 Grand Avenue, Duluth Clinic-west, Duluth, MN 55807 | 2006-12-29 |
| 1851457758 | Northwood Children's Services, Inc. | Counselor | 4000 W 9th St, Duluth, MN 55807 | 2006-12-28 |
| 1679934012 | Rebecca Ann Peterson | Nurse Practitioner | 4325 Grand Ave, Duluth, MN 55807 | 2016-03-13 |
| 1225525645 | Mark J Engebretson | Social Worker | 5814 Elinor St, Duluth, MN 55807-1215 | 2018-04-20 |
| 1235756784 | Allissa Rardin | Social Worker | 720 N Central Ave, Duluth, MN 55807-1305 | 2020-07-01 |
| 1588898829 | Angela Sue Rosas | Registered Nurse | 618 1/2 N 56th Ave W, Duluth, MN 55807-1325 | 2009-05-14 |
| Find all providers in zip 55807 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
| 1659978930 | Sarah Jean Mudge | Nurse Practitioner | 350 Harbor Dr, Duluth, MN 55802-2600 | 2020-10-08 |
| 1174141873 | Akiysha Collins Caine | Nurse Practitioner | 2200 Satellite Blvd Apt 117, Duluth, GA 30097-4002 | 2020-07-09 |
| 1437608684 | Salimah Chagani | Nurse Practitioner | 4855 River Green Pkwy #700, Duluth, GA 30096 | 2016-09-29 |
| 1316495773 | Lifeline Primary Care | Nurse Practitioner | 4855 River Green Pkwy Ste 700, Duluth, GA 30096-8337 | 2016-09-14 |
| 1619329661 | Stephanie Bridges | Nurse Practitioner | 3575 Koger Blvd, Ste 116, Duluth, GA 30096-7559 | 2016-07-01 |
| 1215336664 | Rachel Marie Swor | Nurse Practitioner | 1000 E 1st St Ste 204, Duluth, MN 55805-2297 | 2014-08-21 |
| 1669811410 | Laura Elizabeth Lashley | Nurse Practitioner | 3505 Duluth Park Ln Bldg 4, Duluth, GA 30096-3201 | 2013-06-14 |
| 1851638423 | Candace Jacobs Ginsberg | Nurse Practitioner | 130 N 60th Ave E, Duluth, MN 55804-2549 | 2013-01-15 |
| 1710275128 | Megan Jennie Baertsch | Nurse Practitioner | 1420 London Rd Ste 100, Duluth, MN 55805-2437 | 2011-07-19 |
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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.