MELANIE JOANN WETTSTEIN (NPI# 1225636459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225636459 |
| Entity Type | Individual |
| Full Name | MELANIE JOANN WETTSTEIN |
| Practice Address |
5027 Evergreen Dr N Unit 3 Hugo MN 55038-8578 |
| Practice Telephone | 6127154816 |
| Mailing Telephone | 6127154816 |
| Enumeration Date | 2020-10-10 |
| Last Update Date | 2020-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 1105351 | MN | Other Service Providers |
| Street Address |
5027 EVERGREEN DR N UNIT 3 |
| City | HUGO |
| State | MN |
| Zip Code | 55038-8578 |
| 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 | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518501006 | Sammie Doane | Peer Specialist | 212 E. Duke, Hugo, OK 74743-7474 | 2019-10-29 |
| 1346898285 | Gweneth Susan Terry-ball | Peer Specialist | 612 E Jackson St, Hugo, OK 74743-4025 | 2019-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152767 | Sara Eigenheer | Peer Specialist | 600 25th Ave S Ste 104, Saint Cloud, MN 56301-4820 | 2020-10-19 |
| 1184274904 | Twin Cities Recovery Project Inc | Peer Specialist | 3400 E Lake St, Minneapolis, MN 55406-2150 | 2019-09-13 |
| 1821556614 | Minnesota Recovery Connection | Peer Specialist | 2446 University Ave W Ste 112, Saint Paul, MN 55114-1740 | 2019-03-11 |
| 1720527872 | Kerry Leno | Peer Specialist | 1132 28th Ave S Ste 102, Moorhead, MN 56560-4420 | 2017-02-21 |
| 1265890073 | Miles Hamlin-zamojski | Peer Specialist | 3800 Aldrich Ave S, Apt 2, Minneapolis, MN 55409-1027 | 2016-02-08 |
| 1992347694 | Peter Green | Peer Specialist | 3400 E Lake St, Minneapolis, MN 55406-2150 | 2019-10-14 |
| 1083256002 | Lauren A Foster | Peer Specialist | 117 W James St, Paynesville, MN 56362-1216 | 2019-10-10 |
| 1780248807 | Sue Ann Stewart | Peer Specialist | 112 Highway 371 S, Hackensack, MN 56452-2638 | 2019-04-24 |
| 1669036968 | Luann Gravelle | Peer Specialist | 112 Highway 371 S, Hackensack, MN 56452-2638 | 2019-04-23 |
| 1285197756 | Beyond Brink | Peer Specialist | 314 Chestnut St, Mankato, MN 56001-3032 | 2019-04-10 |
| 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.