HANNAH MAE KIDDER (NPI# 1215537477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215537477 |
Entity Type | Individual |
Full Name | HANNAH MAE KIDDER |
Other Name | HANNAH MAE FORNEY |
Credential | LADC |
Practice Address |
1605 Welcome Ave N Golden Valley MN 55422-4429 |
Practice Telephone | 6517885041 |
Mailing Telephone | 6517885041 |
Enumeration Date | 2020-10-27 |
Last Update Date | 2020-10-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
303758 | MN | Behavioral Health & Social Service Providers |
Street Address |
1605 WELCOME AVE N |
City | GOLDEN VALLEY |
State | MN |
Zip Code | 55422-4429 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
Find all providers in zip 55422 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477185346 | Randolph Anderson | Counselor | 5645 Lindsay St, Golden Valley, MN 55422-4627 | 2020-02-10 |
1144713405 | Danielle Marie Audette | Counselor | 4969 Olson Memorial Hwy, Golden Valley, MN 55422-5138 | 2018-06-12 |
1699100552 | Elizabeth Gallion | Counselor | 4626 W English Dr, Golden Valley, AZ 86413-8238 | 2013-09-11 |
1437789864 | Angela Weber Haag | Counselor | 1405 Lilac Dr N Ste 151, Golden Valley, MN 55422-4536 | 2020-01-24 |
1942867783 | Michaela Fogelman | Counselor | 8085 Wayzata Blvd Ste 215, Golden Valley, MN 55426-1457 | 2019-05-28 |
1912453440 | Jessica Jaye Feider | Counselor | 1405 Lilac Dr N Ste 151, Golden Valley, MN 55422-4536 | 2016-08-25 |
1255734240 | Lynn Marie Bloom | Counselor | 5905 Golden Valley Rd, Suite 100, Golden Valley, MN 55422-4463 | 2014-10-03 |
1265870125 | Jill Marie Hubble | Counselor | 701 Decatur Ave N, Suite 109, Golden Valley, MN 55427-4367 | 2013-06-12 |
1033481981 | Megan Elizabeth Shaw | Counselor | 1405 Lilac Dr N Ste 151, Golden Valley, MN 55422-4536 | 2012-02-07 |
1033232707 | Luther Holt | Counselor | 7575 Golden Valley Rd, Suite 230, Golden Valley, MN 55427-4562 | 2007-04-09 |
Find all providers in GOLDEN VALLEY |
City | GOLDEN VALLEY |
Zip Code | 55422 |
Please comment or provide details below to improve the information on HANNAH MAE KIDDER.
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.