MOLLY AUGUSTINE (NPI# 1275946394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275946394 |
| Entity Type | Individual |
| Full Name | MOLLY AUGUSTINE |
| Practice Address |
5803 Neal Ave N Oak Park Heights MN 55082-2177 |
| Mailing Address |
1280 Larpenteur Ave W Apt. 323 Saint Paul MN 55113-6340 |
| Practice Telephone | 6513512653 |
| Mailing Telephone | 6512852449 |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2193 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | STATE OF MINNESOTA BOARD OF MEDICAL PRACTICE | 2193 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689710212 | Molly Kathryn Augustine | Psychiatry & Neurology | 1205 S White Chapel Blvd Ste 285, Southlake, TX 76092-9331 | 2007-01-30 |
| Street Address |
5803 NEAL AVE N |
| City | OAK PARK HEIGHTS |
| State | MN |
| Zip Code | 55082-2177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598761322 | David Hadley Palmer | Orthopaedic Surgery | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2005-06-27 |
| 1790230688 | Daniel B Stark | Physical Therapist | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2016-08-20 |
| 1700232444 | Kelly Mcgough | Specialist/Technologist | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2016-05-12 |
| 1255798757 | Danielle M Stark | Occupational Therapist | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2016-01-28 |
| 1134595978 | Tracy E Bunnell | Physician Assistant | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2015-08-17 |
| 1467839209 | Kirtley Grace Compton | Physician Assistant | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2015-04-30 |
| 1295138931 | Britta Lee Carlson | Physician Assistant | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2014-10-08 |
| 1548669955 | Wilfred Oakley Stout | Physician Assistant | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2014-08-21 |
| 1144633165 | Amy Hutter | Specialist/Technologist | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2014-06-06 |
| 1215357108 | Simon Henry Lueth | Physician Assistant | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2014-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
| 1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
| 1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
| 1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
| 1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
| 1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
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| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336280361 | Travis Green | Specialist/Technologist | 5595 Memorial Ave N, Oak Park Heights, MN 55082-1091 | 2007-02-11 |
| 1831546357 | Brittney Cramer | Specialist/Technologist | 5805 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2016-05-16 |
| 1700232444 | Kelly Mcgough | Specialist/Technologist | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2016-05-12 |
| 1144633165 | Amy Hutter | Specialist/Technologist | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2014-06-06 |
| 1588085401 | Deanna Ortiz | Specialist/Technologist | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2013-12-18 |
| 1629499702 | Aaron Benson | Specialist/Technologist | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2013-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092165 | Jamie Lynn Erickson | Specialist/Technologist | 43628 374th Ln, Aitkin, MN 56431-4027 | 2020-10-27 |
| 1760082044 | Craig Daniel Merten | Specialist/Technologist | 5045 Division Ave # 5575, White Bear Lake, MN 55110-2663 | 2020-10-27 |
| 1154928927 | Heidi Frey | Specialist/Technologist | 4554 Lake Park Ct, Eagan, MN 55122-2515 | 2020-10-05 |
| 1851906887 | Teddy Ray Gildersleeve | Specialist/Technologist | 37320 Oriole Ave, Lindstrom, MN 55045-9109 | 2020-09-15 |
| 1851906697 | Tadd William Berg | Specialist/Technologist | 2415 W 9th St, Duluth, MN 55806-1150 | 2020-09-09 |
| 1952916793 | Megan Marie Hautajarvi | Specialist/Technologist | 2536 Peace Dr, Duluth, MN 55811-2971 | 2020-09-09 |
| 1871108795 | Bryce Mershon Beamish | Specialist/Technologist | 3501 Lowell St, Wayzata, MN 55391-3411 | 2020-09-09 |
| 1043825961 | Kevin Eskuri | Specialist/Technologist | 8090 172nd St W, Lakeville, MN 55044-6206 | 2020-09-09 |
| 1952916876 | Elizabeth Marie Altendorf | Specialist/Technologist | 1621 397th Ave Ne, Stanchfield, MN 55080-3303 | 2020-09-09 |
| 1699380519 | Kourtney Jean Palmi | Specialist/Technologist | 4922 Howard Gnesen Rd, Duluth, MN 55803-2710 | 2020-09-09 |
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| City | OAK PARK HEIGHTS |
| Zip Code | 55082 |
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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.