EMILY MARIE LUITJENS (NPI# 1245587252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245587252 |
Entity Type | Individual |
Full Name | EMILY MARIE LUITJENS |
Credential | MS, FNP-BC |
Practice Address |
25945 Gateway Dr Zimmerman MN 55398-5300 |
Practice Telephone | 7638566900 |
Mailing Telephone | 7638566900 |
Enumeration Date | 2012-08-08 |
Last Update Date | 2012-12-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2012010717 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
25945 GATEWAY DR |
City | ZIMMERMAN |
State | MN |
Zip Code | 55398-5300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699768176 | Daniel W Jones | Family Medicine | 25945 Gateway Dr, Zimmerman, MN 55398-5300 | 2005-08-30 |
1073933321 | Justin Boeke | Obstetrics & Gynecology | 25945 Gateway Dr, Zimmerman, MN 55398-5300 | 2014-04-24 |
1417293572 | Kelly Korene White | Registered Nurse | 25945 Gateway Dr, Zimmerman, MN 55398-5300 | 2012-12-18 |
1922236827 | Fairview Health Services | Clinic/Center | 25945 Gateway Dr, Zimmerman, MN 55398-5300 | 2009-06-30 |
1407000672 | Fairview Health Services | Clinic/Center | 25945 Gateway Dr, Zimmerman, MN 55398-5300 | 2008-11-13 |
1659567964 | Fairview Medication Therapy Management - Zimmerman | Non-Pharmacy Dispensing Site | 25945 Gateway Dr, Zimmerman, MN 55398-5300 | 2007-09-20 |
1346327384 | Dan Haack | Physical Therapist | 25945 Gateway Dr, Zimmerman, MN 55398-5300 | 2006-11-01 |
1881771293 | Peggy M Blenkush | Physical Therapist | 25945 Gateway Dr, Zimmerman, MN 55398-5300 | 2006-11-01 |
1346272325 | Fairview Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 25945 Gateway Dr, Zimmerman, MN 55398-5300 | 2006-07-07 |
1043262470 | Pamela Ann Fisher | Family Medicine | 25945 Gateway Dr, Zimmerman, MN 55398-5300 | 2006-05-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033206750 | Pine Ridge Dental Pa | Dentist | 26273 2nd St E, Suite A, Zimmerman, MN 55398 | 2006-10-06 |
1699850826 | Steven R Luginbill | Chiropractor | 26273 2nd St E, Zimmerman, MN 55398 | 2006-10-26 |
1346605425 | Kim I Evenson | Technician | 27911 Lake Diann Rd, Zimmerman, MN 55398-4268 | 2015-12-16 |
1073796322 | Life Senior Care Inc. | Home Health | 28347 112th St Nw, Zimmerman, MN 55398-4307 | 2007-12-10 |
1962525626 | Margery Ann Vetsch-peterson | Registered Nurse | 28347 112th St, Zimmerman, MN 55398-4307 | 2007-04-09 |
1346425543 | Open Harbors Inc. | Respite Care | 28347 112th St Nw, Zimmerman, MN 55398-4307 | 2008-01-07 |
1619367018 | Christy Jeanette White | Specialist/Technologist | 26479 Fremont Dr, Zimmerman, MN 55398-4566 | 2015-01-23 |
1306165618 | P&p Investors, Inc. | Psychologist | 25660 3rd St W, Suite 304, Zimmerman, MN 55398-4584 | 2010-05-26 |
1386709541 | Brian L Hoffmann | Chiropractor | 26250 2nd St W Ste 100, Zimmerman, MN 55398-4603 | 2006-12-27 |
1093125973 | Tyler Paul Roehl | Chiropractor | 15225 295th Ave Nw, Zimmerman, MN 55398-4657 | 2014-05-01 |
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Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750737441 | Wendy Sabinske | Nurse Practitioner | 25082 117th St Nw, Zimmerman, MN 55398-7710 | 2016-05-11 |
1528285863 | Kathryn Thompson | Nurse Practitioner | 13139 Lake Place Rd, Zimmerman, MN 55398-9567 | 2007-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508466368 | Amalia Jo Folland Harvey | Nurse Practitioner | 19883 Evensong Ct, Farmington, MN 55024-8688 | 2020-10-29 |
1710586235 | Jackelyn Laura Peterson | Nurse Practitioner | 10101 Bren Rd E Unit 345, Minnetonka, MN 55343-0060 | 2020-10-26 |
1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
1861091704 | Morgan Rohl | Nurse Practitioner | 117 12th Ave Nw Apt 2, Rochester, MN 55901-2787 | 2020-10-21 |
1063010304 | Kalie R Mccauley | Nurse Practitioner | 11452 Brook Rd Nw, Elk River, MN 55330-8739 | 2020-10-09 |
1659978930 | Sarah Jean Mudge | Nurse Practitioner | 350 Harbor Dr, Duluth, MN 55802-2600 | 2020-10-08 |
1285231621 | Karlu Dorleh | Nurse Practitioner | 14151 Territorial Rd Unit 212, Maple Grove, MN 55369-5725 | 2020-10-08 |
1447857669 | Kimberly Dawn Bursch-tewalt | Nurse Practitioner | 11884 237th Ave Nw, Elk River, MN 55330-8255 | 2020-10-01 |
1639786312 | Peter Wahl | Nurse Practitioner | 4652 Lyndale Ave S, Minneapolis, MN 55419-5302 | 2020-09-28 |
1568078616 | Joanna Kay Rehm | Nurse Practitioner | 3025 Eagandale Pl Apt 338, Eagan, MN 55121-1236 | 2020-09-23 |
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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.