KRISTINA KAY THISSEN (NPI# 1184069304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184069304 |
| Entity Type | Individual |
| Full Name | KRISTINA KAY THISSEN |
| Credential | PA-S |
| Practice Address |
21395 John Milless Dr Rogers MN 55374-4402 |
| Practice Telephone | 7635046400 |
| Practice Fax Number | 7635046410 |
| Mailing Telephone | 7635046400 |
| Mailing Fax Number | 7635046410 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
21395 JOHN MILLESS DR |
| City | ROGERS |
| State | MN |
| Zip Code | 55374-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609872522 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 21395 John Milless Dr, Rogers, MN 55374-4402 | 2005-06-24 |
| 1083075865 | Katelyn O'keefe | Occupational Therapist | 21395 John Milless Dr, Suite 600, Rogers, MN 55374 | 2016-03-08 |
| 1497124929 | Ariel Schibilla | Family Medicine | 21395 John Milless Dr, Rogers, MN 55374-4402 | 2015-09-15 |
| 1891934188 | Jeffrey Kent Sletten | Physical Therapist | 21395 John Milless Dr, Suite 600, Rogers, MN 55374-4402 | 2009-02-11 |
| 1073699823 | Northwest Eye Clinic, P.a. | Ophthalmology | 21395 John Milless Dr, Rogers, MN 55374-4402 | 2006-10-27 |
| 1558443168 | Distinctive Eyewear | Technician/Technologist | 21395 John Milless Dr, Suite 200, Rogers, MN 55374-4402 | 2006-10-20 |
| 1598712820 | Chandra Shirley | Physical Therapist | 21395 John Milless Dr, Suite 600, Rogers, MN 55374-4402 | 2006-05-30 |
| 1447229786 | David Allen Everson | Physical Therapist | 21395 John Milless Dr, Rogers, MN 55374-4402 | 2006-03-17 |
| 1912975954 | Ann M Murphy | Physical Therapist | 21395 John Milless Dr, Suite 600, Rogers, MN 55374-4402 | 2006-03-08 |
| 1205802576 | Luann K Lerud | Physical Therapist | 21395 John Milless Dr, Rogers, MN 55374-4406 | 2006-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609335835 | Rebecca Loehrer | Nurse Practitioner | 21370 Ste 210 John Milless Dr., Rogers, MN 55374 | 2019-03-18 |
| 1255722328 | Samantha Colai | Marriage & Family Therapist | 21307 John Milless Drive, Suite 106, Rogers, MN 55374 | 2015-02-11 |
| 1437559648 | Jamie Mosley | Counselor | 2100 Rogers Drive, Suite 200, Rogers, MN 55374 | 2014-08-26 |
| 1295145886 | Marisa Kolasa | Massage Therapist | 22290 Oakdale Drive, Rogers, MN 55374 | 2014-05-05 |
| 1871878165 | Derek P Doty Dc Inc | Chiropractor | 21410 136th Ave N, Suite 105a, Rogers, MN 55374 | 2011-10-18 |
| 1912205865 | Michelle Cheryl Finnegan-larson | Registered Nurse | 21308 John Milless Drive, Rogers, MN 55374 | 2011-03-02 |
| 1639402571 | Ascend Family Institute | Community/Behavioral Health | 20980 Rogers Drive, #400, Rogers, MN 55374 | 2009-09-10 |
| 1275738403 | Nicole M Clements | Physician Assistant | 1355 Rogers Drive, Rogers, MN 55374 | 2007-06-18 |
| 1558566166 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 21455 John Milless Drive, Rogers, MN 55374 | 2007-06-15 |
| 1811062854 | Randall Alvin Hohbein | Pharmacist | 21351 John Milless Drive, Rogers Drug, Rogers, MN 55374 | 2006-11-22 |
| Find all providers in zip 55374 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194990366 | Michelle Lee Manthe | Physician Assistant | 1615 W Persimmon St Ste B, Rogers, AR 72756-3383 | 2008-04-28 |
| 1700351376 | Hailey Arens | Physician Assistant | 3300 S Market St Ste 118, Rogers, AR 72758-8127 | 2018-10-09 |
| 1164728739 | Debra Lou Tooker | Physician Assistant | 808 S 52nd St, Rogers, AR 72758-8602 | 2011-01-31 |
| 1417192774 | Shea S Arnold | Physician Assistant | 2708 S Rife Medical Ln, Suite 300, Rogers, AR 72758-1452 | 2008-12-15 |
| 1851586713 | Susan Carol Zwiaska | Physician Assistant | 2012 S Promenade Blvd, Rogers, AR 72758-9073 | 2007-09-12 |
| 1952310252 | Jamie L Gallagher | Physician Assistant | 2710 Rife Medical Lane, Rogers, AR 72758-1452 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969150 | Isaac Waalen | Physician Assistant | 5420 Circle Down, Minneapolis, MN 55416-1312 | 2020-03-28 |
| 1730643701 | Christina Jones | Physician Assistant | 11850 Blackfoot St Nw Ste 270, Coon Rapids, MN 55433-2593 | 2019-01-24 |
| 1114492964 | Molly Goss | Physician Assistant | 1817 Sunset Dr, Northfield, MN 55057-3246 | 2018-10-09 |
| 1932600160 | Ellen Kathryn Freeman | Physician Assistant | 111 Hundertmark Rd Ste 480, Chaska, MN 55318-1485 | 2018-02-22 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1538545686 | Kathryn Jelle | Physician Assistant | 3931 Louisiana Ave S # 55426, St Louis Park, MN 55426-5000 | 2015-07-30 |
| 1831503267 | Karrah Oliver | Physician Assistant | 205 Roosevelt Ave W, Karlstad, MN 56732-4022 | 2014-06-13 |
| 1477981777 | Melissa Ferraz De Toledo | Physician Assistant | 9145 Springbrook Dr Nw Ste 300, Coon Rapids, MN 55433-5897 | 2013-10-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KRISTINA KAY THISSEN.
| 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.