BRENDA KAY CICCONE (NPI# 1275657595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275657595 |
| Entity Type | Individual |
| Full Name | BRENDA KAY CICCONE |
| Credential | OTR |
| Practice Address |
333 Smith Ave N Saint Paul MN 55102-2344 |
| Mailing Address |
5503 Richmond Curv Minneapolis MN 55410-2535 |
| Practice Telephone | 6512417177 |
| Mailing Telephone | 6129203603 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283X00000X | Rehabilitation Hospital | 102253 | MN | Hospitals |
| Street Address |
333 SMITH AVE N |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-2344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316930456 | Jorge Antonio Ferreiro | Pathology | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2005-08-24 |
| 1487278214 | Rachel Rubatt | Dietitian, Registered | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-06-08 |
| 1831712439 | Anna Dittmann | Registered Nurse | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-05-19 |
| 1710508270 | Lisa Anne Paradiso | Dietitian, Registered | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-05-06 |
| 1467073718 | Michelle Schierts | Speech-Language Pathologist | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-04-28 |
| 1629607254 | Salvum Anesthesia | Nurse Anesthetist, Certified Registered | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-04-06 |
| 1316575137 | Michelle Bencriscutto-synstelien | Registered Nurse | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-03-28 |
| 1235765611 | Lexi Mae Ternes | Registered Nurse | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-03-18 |
| 1154954717 | Jenna Marie Benzinger Tabet | Registered Nurse | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-02-21 |
| 1932732252 | Brian Charles Nye | Nurse Anesthetist, Certified Registered | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114391307 | Therese Ann Wengler | Rehabilitation Hospital | 1206 Niles Avenue, Saint Paul, MN 55116 | 2015-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649653965 | Samantha Hoy | Rehabilitation Hospital | 1467 Lake St S, 300, Forest Lake, MN 55025-4505 | 2015-07-06 |
| 1215272372 | Kimberly A Meegan | Rehabilitation Hospital | 1695 County Road D E Apt 132, Maplewood, MN 55109-5327 | 2012-11-30 |
| 1033403167 | Reflex Staffing | Rehabilitation Hospital | 4574 137th St W, Apple Valley, MN 55124-5211 | 2011-06-07 |
| 1821317116 | Reflex Services | Rehabilitation Hospital | 4574 137 Street West, Apple Valley, MN 55124 | 2010-05-26 |
| 1215130364 | Casey J Byron | Rehabilitation Hospital | 5242 Xerxes Ave S, Minneapolis, MN 55410-2447 | 2007-06-07 |
| 1205929981 | Minnesota Neurorehabilitaion Hospital | Rehabilitation Hospital | 11615 State Ave, Brainerd, MN 56401-7306 | 2006-10-02 |
| 1972055341 | Audra Lynn Taylor | Rehabilitation Hospital | 6401 France Ave S, Edina, MN 55435-2104 | 2016-11-01 |
| 1679959878 | Allina Health | Rehabilitation Hospital | 800 E 28th St, Minneapolis, MN 55407-3723 | 2015-08-11 |
| 1144548322 | University of Minnesota Medical Center, Fairview | Rehabilitation Hospital | 2450 Riverside Ave, Fco-4, Minneapolis, MN 55454-1450 | 2010-05-12 |
| 1114152451 | Fairview Health Services | Rehabilitation Hospital | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2009-05-15 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
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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.