CARISSA LYNN VALERI (NPI# 1225538663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225538663 |
| Entity Type | Individual |
| Full Name | CARISSA LYNN VALERI |
| Credential | PA-C |
| Practice Address |
14701 Victor Hugo Blvd N Hugo MN 55038-4561 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 9528538800 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2020-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 12646 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8170 Old Carriage Ct Ste 100, Shakopee, MN 55379 | 9524283600 |
| Street Address |
14701 VICTOR HUGO BLVD N |
| City | HUGO |
| State | MN |
| Zip Code | 55038-4561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225014319 | Arthur P Wineman | Family Medicine | 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 | 2005-12-20 |
| 1700378924 | David R Carlson | Nurse Practitioner | 14701 Victor Hugo Blvd N, Hugo, MN 55038 | 2018-06-04 |
| 1013467018 | Brittany Hagen | Physician Assistant | 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 | 2016-10-13 |
| 1215317193 | Neeti Kambale | Pediatrics | 14701 Victor Hugo Blvd N, Hugo, MN 55038 | 2015-06-04 |
| 1962805119 | Laura Kathryn Dryjanski | Registered Nurse | 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 | 2014-10-02 |
| 1245672708 | Krystal Werner | Nurse Practitioner | 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 | 2013-07-25 |
| 1699115162 | Group Health Plan Inc | Durable Medical Equipment & Medical Supplies | 14701 Victor Hugo Blvd N, Hugo, MN 55038 | 2013-06-28 |
| 1003162959 | Amy Lynne Card | Family Medicine | 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 | 2012-07-30 |
| 1447529235 | Children's Clinic Network | Clinic/Center | 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 | 2011-12-22 |
| 1376786079 | Liza Milagros Ortiz | Preventive Medicine | 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 | 2009-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861948093 | Shanasi Mason | Counselor | 7041 20th Ave S, Centerville, MN 55038 | 2016-08-28 |
| 1982052601 | Patricia Morgan-john | Counselor | 1784 Steven Lane, Centerville, MN 55038 | 2016-06-03 |
| 1811356306 | Drytech Co. LLC | Contractor | 13483 Fenway Blvd Circle No., Hugo, MN 55038 | 2016-02-12 |
| 1750748422 | Lisa Chong Jou | Counselor | 7041 20th Avenue South, Centerville, MN 55038 | 2016-01-26 |
| 1285997577 | William Michael Beeves | Counselor | 7041 20th Avenue S, Centerville, MN 55038 | 2012-06-21 |
| 1720230089 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 14688 Everton Ave., Suite 101, Hugo, MN 55038 | 2008-10-17 |
| 1881868669 | Prili D Gandhi | Family Medicine | 14688 Everton Ave, He Hugo Clinic, Hugo, MN 55038 | 2008-04-14 |
| 1437276763 | Northeast Eye Care of Hugo | Optometrist | 14643 Mercantile Blvd, Suite 112, Hugo, MN 55038 | 2007-03-23 |
| 1134284631 | Hugo Dental Care Pa | Dentist | 5677 147th St N, Hugo, MN 55038 | 2006-12-26 |
| 1023172657 | Sean Patrick Bates | Dentist | 14755 Victor Hugo Blvd, Suite 103, Hugo, MN 55038 | 2006-12-20 |
| Find all providers in zip 55038 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871096958 | Larry Leon Burns Jr. | Physician Assistant | 1201 E Jackson St, Hugo, OK 74743-4229 | 2018-03-14 |
| 1396100194 | Cassidy West | Physician Assistant | 410 N M St, Hugo, OK 74743-1820 | 2015-12-21 |
| 1184098246 | Chauntel Joyce Ditommaso | Physician Assistant | 1201 E Jackson St, Hugo, OK 74743-4229 | 2015-11-30 |
| 1760882252 | Larry Burns | Physician Assistant | 1201 E Jackson St, Hugo, OK 74743-4229 | 2014-09-03 |
| 1386680346 | Karla Rae Juvonen | Physician Assistant | 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 | 2006-06-20 |
| 1568453405 | Albert Elmer Mclemore | Physician Assistant | 1201 E Jackson St, Hugo, OK 74743-4229 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
| 1043811870 | Leiah Hoffman | Physician Assistant | 4243 Timberridge Ln Apt A, Hermantown, MN 55811-4047 | 2020-11-06 |
| 1760083059 | Amanda Hanover | Physician Assistant | 10346 Mississippi Blvd Nw, Coon Rapids, MN 55433-4521 | 2020-11-04 |
| 1780284844 | Lily Ganz | Physician Assistant | 2737 Huntington Ave, St Louis Park, MN 55416-3917 | 2020-10-28 |
| 1972103000 | Jaclyn Ann Bautch | Physician Assistant | 24721 State Highway 15, Saint Augusta, MN 56301-9211 | 2020-10-28 |
| 1801496047 | Tanner Vaughn Kramp | Physician Assistant | 3450 Wild Turkey Rd, Red Wing, MN 55066-1762 | 2020-10-27 |
| 1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
| 1598364473 | Kylee N Persing | Physician Assistant | 10 4th Ave S, Saint Cloud, MN 56301-3614 | 2020-10-21 |
| 1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
| 1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
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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.