THERESA M HOFFOSS (NPI# 1174593990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174593990 |
| Entity Type | Individual |
| Full Name | THERESA M HOFFOSS |
| Credential | WHCNP |
| Practice Address |
2603 White Bear Ave N Maplewood MN 55109-5110 |
| Mailing Address |
5124 39th Ave S Minneapolis MN 55417-1652 |
| Practice Telephone | 6516003035 |
| Practice Fax Number | 6513488783 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2018-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R161997-9 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 966496300 | 05 |
| Street Address |
2603 WHITE BEAR AVE N |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-5110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306828413 | Christopher E Ott | Obstetrics & Gynecology | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2005-11-15 |
| 1437633047 | Lindsay Anne Nelson | Advanced Practice Midwife | 2603 White Bear Ave N, Maplewood, MN 55109 | 2018-09-19 |
| 1043737075 | Rachel Lynn Gates | Advanced Practice Midwife | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2017-08-30 |
| 1073062824 | Ann Mulfinger | Dietitian, Registered | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2016-09-21 |
| 1750733663 | Jaclyn Shikowsky | Chiropractor | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2016-07-05 |
| 1326495334 | Rachel Zilles | Obstetrics & Gynecology | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2016-05-19 |
| 1558758144 | Elizabeth Rice | Obstetrics & Gynecology | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2015-04-21 |
| 1578969044 | Ilana Lynn Farb | Nurse Practitioner | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2014-11-11 |
| 1477968626 | Erin Elizabeth Folkerts | Chiropractor | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2014-06-26 |
| 1003839853 | Laure Jo Waschbusch | Obstetrics & Gynecology | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124059662 | Kathleen Holliday-jech | Nurse Practitioner | 1850 Beam Ave, Maplewood, MN 55109-1162 | 2006-07-05 |
| 1821034281 | Andrea E Brockberg | Nurse Practitioner | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013547850 | Lexie Frances Polk | Nurse Practitioner | 3520 N Shore Dr, Wayzata, MN 55391-9360 | 2020-01-21 |
| 1790341865 | Natalie Nicole Johnson | Nurse Practitioner | 9550 Upland Ln N Ste 230, Maple Grove, MN 55369-4484 | 2019-05-14 |
| 1326519646 | Kelsey M Thompson | Nurse Practitioner | 2920 Aldrich Ave S Apt 145, Minneapolis, MN 55408-4275 | 2018-12-13 |
| 1134647274 | Lisa Bergman | Nurse Practitioner | 201 N Victory Dr Ste 211, Mankato, MN 56001-5398 | 2017-09-08 |
| 1528450053 | Stephanie Nielsen | Nurse Practitioner | 1979 Sotlich Rd, Ely, MN 55731-8239 | 2015-02-20 |
| 1366842734 | Meghan Stommes | Nurse Practitioner | 801 Nicollet Mall Ste 400, Minneapolis, MN 55402-2520 | 2014-09-03 |
| 1659710887 | Jessica Williams | Nurse Practitioner | 451 E Saint Germain St Ste 100, Saint Cloud, MN 56304-0761 | 2013-06-20 |
| 1437496700 | Toby Faye Sawyer | Nurse Practitioner | 1001 E Central Entrance Ste 200, Duluth, MN 55811-5525 | 2013-01-07 |
| 1093096927 | Laura J Wilner | Nurse Practitioner | 803 Belsly Blvd # 2, Moorhead, MN 56560-5057 | 2011-09-06 |
| 1861720062 | Linda Marie Christinsen-rengel | Nurse Practitioner | 640 Jackson Street Ms 11101a, Healthpartners Regions Specialty Clinics, Saint Paul, MN 55101 | 2009-11-27 |
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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.