CHILLON A MCKIBBIN (NPI# 1255521548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255521548 |
| Entity Type | Individual |
| Full Name | CHILLON A MCKIBBIN |
| Credential | CNM |
| Practice Address |
610 30th Avenue West Alexandria Clinic Alexandria MN 56308 |
| Practice Telephone | 3207635123 |
| Practice Fax Number | 3207637883 |
| Mailing Telephone | 3207635123 |
| Mailing Fax Number | 3207637883 |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2013-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | R 156704 7 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | RR MEDICARE | P00473736 | 01 |
| MN | 638128000 | 05 | |
| MN | MN BOARD OF NRSG | R 156704 7 | 01 |
| MN | AMCB MIDWIFE | 1153329 | 01 |
| MN | NPI | 1255521548 | 01 |
| Street Address |
610 30TH AVENUE WEST ALEXANDRIA CLINIC |
| City | ALEXANDRIA |
| State | MN |
| Zip Code | 56308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063492932 | Brian D Carlsen | Pediatrics | 610 30th Avenue West, Alexandria Clinic, Alexandria, MN 56308 | 2006-01-18 |
| 1073714408 | Michelle C Mirau | Obstetrics & Gynecology | 610 30th Avenue West, Alexandria Clinic Pa, Alexandria, MN 56308 | 2007-05-31 |
| 1083744965 | Isam M Alakhras | Internal Medicine | 610 30th Avenue West, Alexandria Clinic Pa, Alexandria, MN 56308 | 2007-03-07 |
| 1376681312 | Tara L Paschka | Dietitian, Registered | 610 30th Avenue West, Alexandria Clinic Pa, Alexandria, MN 56308 | 2007-02-02 |
| 1982684395 | John W Emblom | Internal Medicine | 610 30th Avenue West, Alexandria Clinic, Alexandria, MN 56308 | 2006-01-20 |
| 1265412662 | Susan D Paulson | Family Medicine | 610 30th Avenue West, Alexandria Clinic, Alexandria, MN 56308 | 2006-01-20 |
| 1437139839 | Gary L Paulson | Surgery | 610 30th Avenue West, Alexandria Clinic, Alexandria, MN 56308 | 2006-01-20 |
| 1174503023 | Jean K Fahey | Pediatrics | 610 30th Avenue West, Alexandria Clinic Pa, Alexandria, MN 56308 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
| 1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
| 1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
| 1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
| 1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
| 1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
| 1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
| 1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
| Find all providers in zip 56308 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578839130 | Elin Anderson Shartar | Advanced Practice Midwife | 1501 King Street, Alexandria, VA 22314 | 2012-03-28 |
| 1992917140 | Cynthia Patrice Valle | Advanced Practice Midwife | 4660 Kenmore Avenue Suite 902, Alexandria, VI 22304 | 2007-05-03 |
| 1477684280 | Marsha E Jackson | Advanced Practice Midwife | 1501 King St, Alexandria, VA 22314-2716 | 2007-03-07 |
| 1356960280 | Christine Mcmahon | Advanced Practice Midwife | 4660 Kenmore Ave Ste 902, Alexandria, VA 22304-1306 | 2020-04-10 |
| 1699248484 | Susan Rogers | Advanced Practice Midwife | 4660 Kenmore Ave Ste 902, Alexandria, VA 22304-1306 | 2019-01-04 |
| 1164905659 | Samantha Jean Aabel | Advanced Practice Midwife | 610 30th Ave W, Alexandria, MN 56308-3426 | 2018-09-11 |
| 1447785654 | Stacy Stavlund | Advanced Practice Midwife | 4660 Kenmore Ave Ste 902, Alexandria, VA 22304-1306 | 2017-04-25 |
| 1134661325 | Chloe Rios | Advanced Practice Midwife | 1501 King St, Alexandria, VA 22314-2716 | 2016-11-06 |
| 1154779825 | Adela Evans Griswold | Advanced Practice Midwife | 4480 King St, Alexandria, VA 22302-1339 | 2016-06-02 |
| 1013361781 | Brenda Perez | Advanced Practice Midwife | 4660 Kenmore Ave Ste 902, Alexandria, VA 22304-1306 | 2016-04-19 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 56308 |
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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.