KATHRYN L PEDERSON (NPI# 1174180640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174180640 |
| Entity Type | Individual |
| Full Name | KATHRYN L PEDERSON |
| Practice Address |
22329 141st St Ne Hawick MN 56273-7705 |
| Practice Telephone | 3204445065 |
| Mailing Telephone | 3204445065 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172A00000X | Driver | Other Service Providers | ||
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710447271 | Kathryn Pederson | Behavior Technician | 1413 Nw Santa Fe Ln Apt 103, Silverdale, WA 98383-7732 | 2019-03-21 |
| Street Address |
22329 141ST ST NE |
| City | HAWICK |
| State | MN |
| Zip Code | 56273-7705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261812 | New London Family Dental | Dentist | 15 Ash St Se, New London, MN 56273 | 2020-10-09 |
| 1538612239 | Willow Creek Counseling LLC | Social Worker | 17 Ash Street, New London, MN 56273 | 2016-07-28 |
| 1033321351 | Living Services Foundation/ New London LLC | Home Health | 102 Glen Oaks Dr, New London, MN 56273 | 2007-05-07 |
| 1144380973 | City of New London | Ambulance | 20 1st Avenue Sw, New London, MN 56273 | 2006-12-11 |
| 1053481069 | Clarence William Walker | Psychologist | 17 Ash Street, N.e, Post Office Box 92, New London, MN 56273 | 2006-11-08 |
| 1932282787 | Judith Irene Pederson | Marriage & Family Therapist | 430 S Andrew Dr Ne, New London, MN 56273 | 2006-10-23 |
| 1972519213 | Amber O Vick | Family Medicine | 600 Peterson Parkway, Affiliated Community Medical Centers, New London, MN 56273 | 2006-07-31 |
| 1639263270 | David Steven Roberts | Physical Therapist | 7900 Chapin Dr Ne, Allergy, Asthma and Dermatology Clinic, New London, MN 56273 | 2006-10-03 |
| 1801342696 | Kristin Ann Schmidt | Counselor | 17 Ash Street, New London, MN 56273-0321 | 2016-08-31 |
| 1508933011 | Fischer Laser Eye Center, LLC | Optometrist | 61 Main St S, New London, MN 56273-5005 | 2006-11-29 |
| Find all providers in zip 56273 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891311619 | Hamiltan Health Care LLC | Homemaker | 14952 Generation Ave N, Hugo, MN 55038-4571 | 2020-06-17 |
| 1285267013 | Ali R Ozyigit | Homemaker | 23 Empire Dr Ste 103, Saint Paul, MN 55103-1856 | 2020-02-20 |
| 1023654753 | Jato Ambo Chabsi | Homemaker | 1821 University Ave W Ste S105, Saint Paul, MN 55104-2804 | 2019-11-18 |
| 1851936009 | Muntaha Y Issa | Homemaker | 9220 Bass Lake Rd Ste 395, New Hope, MN 55428-3110 | 2019-11-12 |
| 1467002121 | Corey Robert Bixby | Homemaker | 1309 E 141st St, Burnsville, MN 55337-4737 | 2019-09-16 |
| 1720634850 | Dannielle Elyss Angell | Homemaker | 242 Center St E, Hammond, MN 55991-1900 | 2019-08-14 |
| 1427616952 | Evans Park, Inc. | Homemaker | 300 Evans Ave Nw, Elk River, MN 55330-2649 | 2019-05-30 |
| 1366898926 | Danelle Marie Waite | Homemaker | 26226 3rd St W, Zimmerman, MN 55398-8597 | 2016-05-12 |
| 1588067409 | Nelly Mogeni | Homemaker | 1405 Lilac Dr N Ste 152, Golden Valley, MN 55422-4536 | 2014-10-06 |
| 1619234754 | Valerie Rose Cager | Homemaker | 1374 Westminster St., #a205, St. Paul, MN 55130-3351 | 2012-04-13 |
| Find all providers with the same taxonomy | ||||
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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.