SUSAN J LAVELL (NPI# 1215907803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215907803 |
| Entity Type | Individual |
| Full Name | SUSAN J LAVELL |
| Credential | WHCNP |
| Practice Address |
1700 Rice St Suite L Saint Paul MN 55113-6812 |
| Mailing Address |
6714 Oakland Ave Richfield MN 55423-2554 |
| Practice Telephone | 6514891328 |
| Mailing Telephone | 6128618136 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2016-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R1171970 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UCARE | 111465 | 01 | |
| MN | BCBS MN | 5K123LA | 01 |
| MEDICA | 07-00900 | 01 | |
| AMERICA'S PPO (ARAZ) | 1069672 | 01 | |
| HEALTH PARTNERS | HP18165 | 01 | |
| PREFERRED ONE | 1017714 | 01 | |
| SIOUX VALLEY HEALTH PLAN | 21274 | 01 | |
| MN | 904718200 | 05 |
| Street Address |
1700 RICE ST SUITE L |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55113-6812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457334971 | Talisyn Jessica Flagg | Advanced Practice Midwife | 1700 Rice St, Saint Paul, MN 55113-6812 | 2005-11-29 |
| 1811504061 | Marcus Daniel Haug | Pharmacist | 1700 Rice St, Saint Paul, MN 55113-6812 | 2020-09-30 |
| 1154720795 | Getachew Mekonnen | Pharmacist | 1700 Rice St, Saint Paul, MN 55113-6812 | 2014-08-20 |
| 1811396328 | Jacquelyn Bernick | Pharmacist | 1700 Rice St, Saint Paul, MN 55113-6812 | 2014-08-20 |
| 1194094797 | Tung Thanh Nguyen | Pharmacist | 1700 Rice St, Saint Paul, MN 55113-6812 | 2011-12-28 |
| 1093092009 | Michelle Fischbach | Pharmacist | 1700 Rice St, Saint Paul, MN 55113-6812 | 2011-11-04 |
| 1326239617 | Walgreen Co | Pharmacy | 1700 Rice St, Saint Paul, MN 55113-6812 | 2007-08-05 |
| 1396890539 | Laura Dronen | Chiropractor | 1700 Rice St, Suite B, Saint Paul, MN 55113-6812 | 2007-01-25 |
| 1255302543 | Catherine L Myers | Nurse Practitioner | 1700 Rice St, Suite L, Saint Paul, MN 55113-6812 | 2006-01-27 |
| 1750361846 | Planned Parenthood Minnesota, North Dakota, South Dakota | Specialist | 1700 Rice St, Suite L, Saint Paul, MN 55113-6812 | 2006-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| 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 |
|---|---|---|---|---|
| 1861720062 | Linda Marie Christinsen-rengel | Nurse Practitioner | 640 Jackson Street Ms 11101a, Healthpartners Regions Specialty Clinics, Saint Paul, MN 55101 | 2009-11-27 |
| 1598840159 | Kandice L Tolic | Nurse Practitioner | 205 S Wabasha St -mail Stop 31300a, Healthpartners St. Paul Clinic, Saint Paul, MN 55107-1805 | 2006-10-25 |
| 1639112212 | Lori Jane Miller | Nurse Practitioner | 17 Exchange St W Ste 622, Saint Paul, MN 55102-1225 | 2006-06-13 |
| 1710504865 | Denae Ellson | Nurse Practitioner | 671 Vandalia St, Saint Paul, MN 55114-1312 | 2020-07-05 |
| 1821630658 | Madalyn Marie Carlin | Nurse Practitioner | 671 Vandalia St, Saint Paul, MN 55114-1312 | 2019-10-14 |
| 1902450216 | Hanna Claire Middlebrook | Nurse Practitioner | 671 Vandalia St, Saint Paul, MN 55114-1312 | 2019-07-25 |
| 1346754587 | Jade Buttweiler | Nurse Practitioner | 671 Vandalia St, Saint Paul, MN 55114-1312 | 2017-11-27 |
| 1174040919 | Amanda Kay Rynda | Nurse Practitioner | 347 Smith Ave N Ste 203, Saint Paul, MN 55102-2388 | 2017-08-23 |
| 1639626013 | Rachel Verby | Nurse Practitioner | 17 Exchange St W Ste 622, Saint Paul, MN 55102-1225 | 2016-09-02 |
| 1164877742 | Kaitlyn Elise Vaske-wright | Nurse Practitioner | 671 Vandalia St, Saint Paul, MN 55114 | 2016-05-02 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55113 |
Please comment or provide details below to improve the information on SUSAN J LAVELL.
| 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.