DEBRA S LALLEY (NPI# 1245206291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245206291 |
Entity Type | Individual |
Full Name | DEBRA S LALLEY |
Credential | CNS |
Practice Address |
1406 6th Ave N St Cloud Hospital Behavioral Health Clinic St Cloud MN 56303 |
Practice Telephone | 3202294908 |
Practice Fax Number | 3206567026 |
Mailing Telephone | 3202294908 |
Mailing Fax Number | 3206567026 |
Enumeration Date | 2006-02-28 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
R0820028 | MN | Nursing Service Providers |
X | 364S00000X | Clinical Nurse Specialist | 0820028 | MN | Physician Assistants & Advanced Practice Nursing Providers |
X | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
0148074 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1406 6TH AVE N ST CLOUD HOSPITAL BEHAVIORAL HEALTH CLINIC |
City | ST CLOUD |
State | MN |
Zip Code | 56303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588743561 | Michael S Currie | Nurse Anesthetist, Certified Registered | 1406 6th Ave N, St Cloud, MN 56303 | 2006-11-02 |
1639285596 | Masahiko Sato | Marriage & Family Therapist | 1406 6th Ave N, St Cloud Hospital - Recovery Plus, St Cloud, MN 56303 | 2006-08-22 |
1245267566 | Gregory A Schlosser | Physical Medicine & Rehabilitation | 1406 6th Ave N, St Cloud, MN 56303-1900 | 2006-06-26 |
1992755052 | Jon C Bowar | Psychiatry & Neurology | 1406 6th Ave N, St Cloud, MN 56303 | 2006-05-11 |
1720038714 | Mark Irvin Holub | Psychiatry & Neurology | 1406 6th Ave N, St Cloud, MN 56303 | 2006-05-11 |
1699724104 | Cynthia A Sandberg | Nurse Practitioner | 1406 6th Ave N, St Cloud, MN 56303 | 2006-05-10 |
1770559148 | Mark Elmer Hoffmann | Emergency Medicine | 1406 6th Ave N, St Cloud Hospital Emergency Trauma Center, St Cloud, MN 56301 | 2006-02-27 |
1346216512 | Renee Linda Funk | Physician Assistant | 1406 6th Ave N, St Cloud, MN 56303-1901 | 2006-02-27 |
1881660306 | David Lee Frederickson | Emergency Medicine | 1406 6th Ave N, St Cloud, MN 56303-1901 | 2006-02-24 |
1831165604 | Jeffrey Carl Windschitl | Emergency Medicine | 1406 6th Ave N, St Cloud, MN 56303-1901 | 2006-02-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
Find all providers in zip 56303 |
Taxonomy Code | 163WP0807X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health, Child & Adolescent |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1689292369 | Elaina Railey | Registered Nurse | 16765 Joplin Way, Lakeville, MN 55044-5682 | 2020-07-09 |
1912566530 | Eli Sedo | Registered Nurse | 1440 Spartan Ave, Albert Lea, MN 56007-1328 | 2019-06-07 |
1780880781 | Christine Maren Anderson | Registered Nurse | 2550 University Ave W., Suite 229n, St Paul, MN 55114-2290 | 2007-06-26 |
1093379059 | Lubasi Kamuti Sr. | Registered Nurse | 726 2nd St Ne, Minneapolis, MN 55413-1662 | 2019-04-25 |
1316445455 | Northern Waters Clinic, Pllc | Registered Nurse | 4899 Miller Trunk Hwy Ste 208, Hermantown, MN 55811-1582 | 2018-01-23 |
1740663798 | Jordan P Hobbs | Registered Nurse | 124 Elton Hills Ln Nw, Rochester, MN 55901-3577 | 2015-07-08 |
1780661389 | Dixie Shelton | Registered Nurse | 11010 Prairie Lakes Dr, Suite 250, Eden Prairie, MN 55344-3884 | 2005-12-27 |
Please comment or provide details below to improve the information on DEBRA S LALLEY.
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.