TAMARA LEA KITTLESON (NPI# 1194379214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194379214 |
| Entity Type | Individual |
| Full Name | TAMARA LEA KITTLESON |
| Practice Address |
6600 France Ave S Ste 415 Edina MN 55435-1804 |
| Mailing Address |
5520 Aldrich Ave S Minneapolis MN 55419-1734 |
| Practice Telephone | 9523036832 |
| Mailing Telephone | 6123270803 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
6765 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6600 FRANCE AVE S STE 415 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073539953 | Olukayode O Awosika | Psychiatry & Neurology | 6600 France Ave S Ste 415, Edina, MN 55435-1804 | 2006-07-14 |
| 1407291891 | Amy Louise Boeckermann | Dentist | 6600 France Ave S Ste 415, Edina, MN 55435-1817 | 2013-04-30 |
| 1356629232 | Pinnacle Behavioral Healthcare, LLC | Psychiatry & Neurology | 6600 France Ave S Ste 415, Edina, MN 55435-1804 | 2011-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164813366 | Adejoke Adedeji | Nurse Practitioner | 7760 France Ave S Ste 1109, Edina, MN 55435-5800 | 2015-02-10 |
| 1396357786 | Michaelina Afi Bamah | Nurse Practitioner | 4444 W 76th St Ste 400, Edina, MN 55435-5178 | 2020-08-18 |
| 1679107999 | Synergy Family Psychiatric Services LLC | Nurse Practitioner | 5200 Willson Rd Ste 150, Edina, MN 55424-1300 | 2020-02-25 |
| 1073021572 | Joanne Kyrra Howden-rich | Nurse Practitioner | 5200 Willson Rd Ste 150, Edina, MN 55424-1300 | 2018-01-18 |
| 1710409495 | Erica Lauren Miller Green | Nurse Practitioner | 6363 France Ave S, Edina, MN 55435-2129 | 2017-07-13 |
| 1952849580 | Kristen Svendahl | Nurse Practitioner | 6363 France Ave S, Suite # 200, Edina, MN 55435-2129 | 2017-02-02 |
| 1306101357 | Erica Louise Zielin Wurm | Nurse Practitioner | 6363 France Ave S Ste 200, Edina, MN 55435-2140 | 2012-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234435 | Hawa Warsame Ali | Nurse Practitioner | 2650 Portland Ave, Minneapolis, MN 55407-1011 | 2020-10-27 |
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1811504038 | Rita Jane Giglio | Nurse Practitioner | 201 Stade Ln, Fairmont, MN 56031-3227 | 2020-09-30 |
| 1568077725 | Linda Mongare | Nurse Practitioner | 3659 Tower Pond Dr, Anoka, MN 55303-8302 | 2020-09-14 |
| 1366056806 | Associates In Mental Health and Addiction Services. P.l.l.c | Nurse Practitioner | 166 W 3rd St Ste 202, Winona, MN 55987-6591 | 2020-09-02 |
| 1891308813 | Chelsey Paulson | Nurse Practitioner | 228 Krays Mill Rd, Cold Spring, MN 56320-4563 | 2020-08-28 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1609488964 | Heather Mantsch | Nurse Practitioner | 1900 Silver Lake Rd Nw Ste 100, New Brighton, MN 55112-1786 | 2020-08-18 |
| 1326659210 | Monsurat Oluwa-okougbo | Nurse Practitioner | 1565 11th Ave, Newport, MN 55055-1650 | 2020-08-13 |
| 1629687124 | Justin Robert Wirth | Nurse Practitioner | 4801 Veterans Dr # 111, Saint Cloud, MN 56303-2015 | 2020-07-30 |
| 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.