TAMARA WITTROCK (NPI# 1255949459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255949459 |
Entity Type | Individual |
Full Name | TAMARA WITTROCK |
Practice Address |
5111 Robin Ln Farmington MN 55024-2007 |
Practice Telephone | 6515281130 |
Mailing Telephone | 6515281130 |
Enumeration Date | 2020-07-14 |
Last Update Date | 2020-07-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
1000 University Ave W Ste 20, Saint Paul, MN 551044747 | 6515281130 | 6123732470 |
Street Address |
5111 ROBIN LN |
City | FARMINGTON |
State | MN |
Zip Code | 55024-2007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932758158 | Renetia Jackson | Technician | 1210 Spruce Street, Farmington, MN 55024 | 2019-09-10 |
1871094912 | Megan Provost | Registered Nurse | 17680 Formosa Ave, Farmington, MN 55024 | 2018-02-23 |
1356752463 | Your Vision Achieved, LLC | Marriage & Family Therapist | 5404 187th Street West, Farmington, MN 55024 | 2014-05-12 |
1427304203 | Joseph Samuel Emond Jr. | Family Medicine | 19730 Meadowlark Way, Farmington, MN 55024 | 2012-07-30 |
1053680991 | Annie Lee Mickelson | Chiropractor | 20700 Chippendale Ave Suite 7, Farmington, MN 55024 | 2011-12-21 |
1770770828 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 19605 Pilot Knob Rd., Farmington, MN 55024 | 2007-10-02 |
1275725277 | Family Vision Clinic of Farmington | Optometrist | 19650 Pilot Knob Road, Farmington, MN 55024 | 2007-08-14 |
1871503136 | Independent School District #192 | Early Intervention Provider Agency | 20655 Flagstaff Avenue, Farmington, MN 55024 | 2006-08-09 |
1588692669 | Northfield Hospital | Clinic/Center | 4645 Knutsen Dr, Farmington, MN 55024 | 2006-06-29 |
1902887284 | David E Truax | Chiropractor | 20700 Chippendale Ave, Suite 7, Farmington, MN 55024 | 2005-11-14 |
Find all providers in zip 55024 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700401759 | William Cody Alley | Student in an Organized Health Care Education/Training Program | 1136 Heather Cir, Farmington, UT 84025-4305 | 2020-06-15 |
1497370456 | Tanner Winger | Student in an Organized Health Care Education/Training Program | 1405 Fairway Cir, Farmington, UT 84025-2817 | 2020-06-15 |
1154945855 | Shelby Ann Oswald | Student in an Organized Health Care Education/Training Program | 19976 Butternut Trl, Farmington, MN 55024-1475 | 2020-05-29 |
1417579434 | Herbert E Downton Ramos | Student in an Organized Health Care Education/Training Program | Surgery Residency Program, 263 Farmington Avenue, Farmington, CT 06030-8073 | 2020-05-13 |
1710507272 | Ethan A Miller | Student in an Organized Health Care Education/Training Program | Uconn School of Medicine - Graduate Medical Education, 263 Farmington Avenue - Lm068, Farmington, CT 06030-1921 | 2020-04-24 |
1821617606 | David Wozny | Student in an Organized Health Care Education/Training Program | General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-13 |
1265061808 | Benjamin Mucci | Student in an Organized Health Care Education/Training Program | 43 Portage Xing, Farmington, CT 06032-2737 | 2020-04-06 |
1508495185 | Zachary Boivin | Student in an Organized Health Care Education/Training Program | Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-06 |
1508499435 | Kelsey Erin Boyne | Student in an Organized Health Care Education/Training Program | 200 Academic Way, Farmington, CT 06032 | 2020-02-19 |
1184257669 | Huiyao Ouyang | Student in an Organized Health Care Education/Training Program | 12 Talcott Forest Rd Apt A, Farmington, CT 06032-3575 | 2020-02-13 |
Find all providers in FARMINGTON |
City | FARMINGTON |
Zip Code | 55024 |
Please comment or provide details below to improve the information on TAMARA WITTROCK.
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.