KAIBEH BENSON (NPI# 1265065114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265065114 |
| Entity Type | Individual |
| Full Name | KAIBEH BENSON |
| Practice Address |
3450 Oleary Ln Eagan MN 55123-2340 |
| Mailing Address |
9884 Ilex St Nw Coon Rapids MN 55433-5443 |
| Practice Telephone | 6513984820 |
| Mailing Telephone | 6513984820 |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
6977 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3450 OLEARY LN |
| City | EAGAN |
| State | MN |
| Zip Code | 55123-2340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750366167 | Patrice Lauer-roberts | Social Worker | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2005-12-08 |
| 1083224232 | Saoirse Mcmahon | Social Worker | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2020-08-03 |
| 1194334318 | Lisa Joy Rutman | Social Worker | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2020-07-23 |
| 1952942476 | Emily J Holton | Counselor | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2019-10-06 |
| 1730733098 | Joshua Hampton Goodwin | Social Worker | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2019-07-25 |
| 1992369664 | Mary Annette Freitag | Counselor | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2019-04-27 |
| 1730742792 | Shannon Derfus | Counselor | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2019-04-16 |
| 1669930012 | Brian Nelson | Counselor | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2019-03-05 |
| 1891269155 | Elise Broderick Quam | Social Worker | 3450 Oleary Ln, Eagan, MN 55123 | 2019-01-18 |
| 1124599345 | Megan Mcteague | Social Worker | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2018-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053828467 | Hilltop Family Chiropractic Center Pa | Chiropractor | 1121 Town Centre Drive Suite 202, Eagan, MN 55123 | 2018-01-08 |
| 1922452507 | Jacob Zimmerman | Counselor | 3450 O'leary Ln., Eagan, MN 55123 | 2016-04-20 |
| 1316320971 | K-squared Fitness, L.L.C. | Public Health or Welfare | 1100 Cliff Rd, Eagan, MN 55123 | 2015-07-01 |
| 1346683687 | Joshua M Dorn | Allergy & Immunology | 3460 Promenade Ave, Eagan, MN 55123 | 2013-04-16 |
| 1700172350 | Mary Christine Mcnabney | Nurse Practitioner | 610 Opperman Drive, D4 Health Center, Your Wellbeing Health Center, Eagan, MN 55123 | 2011-06-22 |
| 1033353669 | Todd Borstad | Social Worker | 3450 O'leary Lane, Eagan, MN 55123 | 2009-04-27 |
| 1821025271 | Mngi Endoscopy LLC | Clinic/Center | 1185 Town Centre Drive, Eagan, MN 55123 | 2006-06-28 |
| 1780620120 | Cindy Eileen Wood | Audiologist | 3440 Oleary Lane, 240, Eagan, MN 55123 | 2006-06-22 |
| 1609845742 | Jeffery R Dichter | Internal Medicine | 849 Govern Circle, Saint Paul, MN 55123 | 2006-03-14 |
| 1962932491 | Maliah J Mcgraw | Dentist | 1121 Town Centre Dr Ste 200, Eagan, MN 55123 | 2017-06-18 |
| Find all providers in zip 55123 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639782626 | Akinbowale Ayeni | Nurse Practitioner | 2781 Pilot Knob Rd, Eagan, MN 55121-1119 | 2020-08-28 |
| 1598227977 | Michael Goedken | Nurse Practitioner | 2781 Pilot Knob Rd, Eagan, MN 55121-1119 | 2019-04-03 |
| 1356896765 | Miranda Dulek | Nurse Practitioner | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2016-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234435 | Hawa Warsame Ali | Nurse Practitioner | 2650 Portland Ave, Minneapolis, MN 55407-1011 | 2020-10-27 |
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1811504038 | Rita Jane Giglio | Nurse Practitioner | 201 Stade Ln, Fairmont, MN 56031-3227 | 2020-09-30 |
| 1568077725 | Linda Mongare | Nurse Practitioner | 3659 Tower Pond Dr, Anoka, MN 55303-8302 | 2020-09-14 |
| 1366056806 | Associates In Mental Health and Addiction Services. P.l.l.c | Nurse Practitioner | 166 W 3rd St Ste 202, Winona, MN 55987-6591 | 2020-09-02 |
| 1891308813 | Chelsey Paulson | Nurse Practitioner | 228 Krays Mill Rd, Cold Spring, MN 56320-4563 | 2020-08-28 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1609488964 | Heather Mantsch | Nurse Practitioner | 1900 Silver Lake Rd Nw Ste 100, New Brighton, MN 55112-1786 | 2020-08-18 |
| 1326659210 | Monsurat Oluwa-okougbo | Nurse Practitioner | 1565 11th Ave, Newport, MN 55055-1650 | 2020-08-13 |
| 1629687124 | Justin Robert Wirth | Nurse Practitioner | 4801 Veterans Dr # 111, Saint Cloud, MN 56303-2015 | 2020-07-30 |
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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.