CONNIE RETTIG (NPI# 1255973319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255973319 |
Entity Type | Individual |
Full Name | CONNIE RETTIG |
Practice Address |
908 North Shore Drive Forest Lake MN 55025 |
Practice Telephone | 6518291803 |
Mailing Telephone | 6518291803 |
Enumeration Date | 2019-10-10 |
Last Update Date | 2019-10-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
Street Address |
908 NORTH SHORE DRIVE |
City | FOREST LAKE |
State | MN |
Zip Code | 55025 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043846173 | Persistence Physical Therapy LLC | Clinic/Center | 2009 W Broadway Ave, Ste 400 Pmb 131, Forest Lake, MN 55025 | 2020-03-20 |
1003394479 | Malissa Ann Costanzo | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 844 8th Ave Se, Forest Lake, MN 55025 | 2018-07-30 |
1669754735 | Brent Alan Millard | Pharmacist | 1207 West Broadway Ave, Forest Lake, MN 55025 | 2011-09-15 |
1982842167 | Lakes Center for Youth and Families | Community/Behavioral Health | 20 N Lake Street, Suite 103, Forest Lake, MN 55025 | 2009-01-27 |
1487843355 | Paul Luke Mladnick | Marriage & Family Therapist | 1068 So Lake St, #109, Forest Lake, MN 55025 | 2007-10-17 |
1740477678 | Rita Lynn Scanlan | Occupational Therapist | 604 Ne 1st St, Birchwood Health Care Center, Forest Lake, MN 55025 | 2007-09-25 |
1114053113 | Senior Care Forest Lake, LLC | Skilled Nursing Facility | 604 N.e. First Street, Forest Lake, MN 55025 | 2007-02-26 |
1073672101 | Catharine B Ruther | Dentist | 956 West Broadway, Lakes Dental Clinic, Forest Lake, MN 55025 | 2006-12-06 |
1407914849 | Ervin George Savord | Dentist | 255 Highway 97, Suite 1b, Forest Lake, MN 55025 | 2006-12-05 |
1609945286 | Elizabeth Anne Mcinerney | Social Worker | 882 Sw 15th Avenue, Forest Lake, MN 55025 | 2006-11-07 |
Find all providers in zip 55025 |
Taxonomy Code | 3747A0650X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Attendant Care Provider |
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255959581 | Ready To Care | Technician | 7420 Unity Ave N Ste 110c, Brooklyn Park, MN 55443-3161 | 2020-07-13 |
1437789781 | Anita Mae Thompson | Technician | 41306 120th St, Waseca, MN 56093 | 2020-01-24 |
1548809007 | Yeev Thoj | Technician | 1896 3rd St E, Saint Paul, MN 55119-3417 | 2020-01-02 |
1578102026 | Ronald Dean Luckhardt | Technician | 5617 Cleary Road Nw, Anoka, MN 55303-9624 | 2020-01-02 |
1356986475 | Barbro E Strom Langley | Technician | 16901 River View Cir, Big Lake, MN 55309 | 2019-11-13 |
1821631391 | Patrice Marie Curtiss | Technician | 23792 Winckler Road, Grand Rapids, MN 55744 | 2019-10-28 |
1770126674 | Abigail Larson | Technician | 5328 Hwy 7, Culver, MN 55779 | 2019-10-23 |
1265074173 | Madeline Teresa Stoltz | Technician | 219 Plum Run, Le Sueur, MN 56058 | 2019-10-11 |
1740822642 | Maxine L. Mccormick | Technician | 40 Irvine Park, Saint Paul, MN 55102-2413 | 2019-10-11 |
1669013280 | Christina Marie Orde | Technician | 4855 261st Street, Wyoming, MN 55092 | 2019-10-04 |
Find all providers with the same taxonomy |
City | FOREST LAKE |
Zip Code | 55025 |
Please comment or provide details below to improve the information on CONNIE RETTIG.
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.