ANNE MARIE LILLYBLAD (NPI# 1245606961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245606961 |
| Entity Type | Individual |
| Full Name | ANNE MARIE LILLYBLAD |
| Credential | FNP |
| Practice Address |
10705 Town Square Dr Ne Ste 100 Blaine MN 55449-8184 |
| Mailing Address |
4457 118th Ave Ne Blaine MN 55449-5857 |
| Practice Telephone | 7632365400 |
| Mailing Telephone | 7632283549 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R174346-3 | MN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP 4008 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10705 TOWN SQUARE DR NE STE 100 |
| City | BLAINE |
| State | MN |
| Zip Code | 55449-8184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467415125 | Jennifer S Auge | Family Medicine | 10705 Town Square Dr Ne, Suite 100, Blaine, MN 55449-8184 | 2006-04-11 |
| 1154796761 | Philip John Oommen | Chiropractor | 10705 Town Square Dr Ne, Suite 220, Blaine, MN 55449-8184 | 2015-12-08 |
| 1497151955 | Derek Authier | Massage Therapist | 10705 Town Square Dr Ne, Blaine, MN 55449-8184 | 2014-11-11 |
| 1033526538 | Elevated Health Center | Chiropractor | 10705 Town Square Dr Ne, Ste 220, Blaine, MN 55449-8184 | 2014-07-16 |
| 1760730980 | Kristen Emily Lewicki | Nurse Practitioner | 10705 Town Square Dr Ne, Blaine, MN 55449-8184 | 2012-08-20 |
| 1467683755 | Amy Joan Lokensgard | Psychologist | 10705 Town Square Dr Ne, Ste 100, Blaine, MN 55449 | 2009-08-04 |
| 1962661793 | Sally S Leitch | Family Medicine | 10705 Town Square Dr Ne, Suite 100, Blaine, MN 55449-8184 | 2008-06-06 |
| 1285891135 | Catherine Anne Martin | Registered Nurse | 10705 Town Square Dr Ne, Blaine, MN 55449-8184 | 2008-05-19 |
| 1265544282 | Kathleen Wai Gern Woo-rippe | Family Medicine | 10705 Town Square Dr Ne, Suite 100, Blaine, MN 55449-8184 | 2006-08-31 |
| 1255342242 | Mark A Scheible | Family Medicine | 10705 Town Square Dr Ne, Suite 100, Blaine, MN 55449-8184 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736368 | Landon Thomas Case | Dentist | 10729 Town Square Drive Ne, Ste 100, Blaine, MN 55449 | 2020-07-02 |
| 1881168441 | Ear Institutes, LLC | Otolaryngology | 4365 Pleasant Ridge Dr Ne, Suite 106, Blaine, MN 55449 | 2019-01-17 |
| 1841776242 | Kristin Broback | Nurse Practitioner | 10705 Town Square Dr Ne #100, Blaine, MN 55449 | 2018-07-18 |
| 1043719016 | Robin Lynn Broen | Registered Nurse | 3012 129th Ave Ne, Blaine, MN 55449 | 2018-02-06 |
| 1194197368 | Lund Health Professional Corporation | Chiropractor | 1360 101st Ave Ne, Suite 140, Blaine, MN 55449 | 2015-10-27 |
| 1871989806 | Blaine Wp II, LLC | Assisted Living Facility | 12402 Jamestown Street Ne, Blaine, MN 55449 | 2015-04-07 |
| 1154761633 | Jean Budge | Marriage & Family Therapist | 11800 Aberdeen Street Ne, Suite 100, Blaine, MN 55449 | 2013-06-28 |
| 1295013498 | Jeff K Yu | Veterinarian | 11850 Aberdeen St Ne, Blaine, MN 55449 | 2011-07-22 |
| 1528394707 | Julie Ann Eibensteiner | Physical Therapist | 11304 Davenport Circle Ne #a, Minneapolis, MN 55449 | 2009-10-23 |
| 1871725333 | Deborah Kathryn Zongo | Nurse Practitioner | 10190 Baltimore St Ne Ste 100, Blaine, MN 55449 | 2009-08-18 |
| Find all providers in zip 55449 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922574557 | Karrie Lynn Fugate | Nurse Practitioner | 424 121st Ave Ne, Blaine, MN 55434-3383 | 2018-10-22 |
| 1396228912 | Bariaala B Kpuinen | Nurse Practitioner | 1725 124th Ave Ne, Blaine, MN 55449-5341 | 2018-09-10 |
| 1841776242 | Kristin Broback | Nurse Practitioner | 10705 Town Square Dr Ne #100, Blaine, MN 55449 | 2018-07-18 |
| 1295228005 | Wanda Fay White | Nurse Practitioner | 586 Rutledge Pike, Blaine, TN 37709-2314 | 2018-06-07 |
| 1891248316 | Rebecca Gail Patton | Nurse Practitioner | 1117 Cliff Top Rd, Blaine, TN 37709-5923 | 2016-08-02 |
| 1831474154 | Sharon Key Payne | Nurse Practitioner | 1066 Rutledge Pike, Blaine, TN 37709-3027 | 2011-10-18 |
| 1811295629 | Jamie Jones Graves | Nurse Practitioner | 880 Rutlege Pike, Blaine, TN 37709-2420 | 2011-03-02 |
| 1871725333 | Deborah Kathryn Zongo | Nurse Practitioner | 10190 Baltimore St Ne Ste 100, Blaine, MN 55449 | 2009-08-18 |
| 1699794271 | Melissa A Mcclellan | Nurse Practitioner | 2357 108th Ln Ne, Mn002, Blaine, MN 55449-5222 | 2006-07-18 |
| 1093767634 | Teresa L. Regier | Nurse Practitioner | 8097 Harborview Rd, Blaine, WA 98230-9639 | 2006-05-16 |
| Find all providers in BLAINE | ||||
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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.