LAURA G CARLISLE (NPI# 1295002095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295002095 |
| Entity Type | Individual |
| Full Name | LAURA G CARLISLE |
| Credential | PHARM.D |
| Practice Address |
14700 Lac Lavon Dr Burnsville MN 55306 |
| Mailing Address |
15132 Jeffers Pass Nw Prior Lake MN 55372-3607 |
| Practice Telephone | 9524324471 |
| Mailing Telephone | 6512498716 |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 122240 | MN | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 15770-40 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306351424 | Laura Cara Carlisle | Developmental Therapist | 2440 W Marion Ave, Punta Gorda, FL 33950 | 2017-12-12 |
| 1427565258 | Laura Carlisle | Behavior Technician | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2018-01-02 |
| 1386169704 | Laura Carlisle | Counselor | 7700 Hudson Rd Ste 600, Woodbury, MN 55125-1469 | 2017-08-07 |
| Street Address |
14700 LAC LAVON DR |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124033444 | Walgreen Co | Pharmacy | 14700 Lac Lavon Dr, Burnsville, MN 55306-6398 | 2006-07-29 |
| 1104102169 | Robin Sutton | Pharmacist | 14700 Lac Lavon Dr, Burnsville, MN 55306-6398 | 2011-10-21 |
| 1265718290 | Laura Rebecca Hansen | Pharmacist | 14700 Lac Lavon Dr, Burnsville, MN 55306-6398 | 2011-10-21 |
| 1932482510 | Bridget L Reagan | Pharmacist | 14700 Lac Lavon Dr, Burnsville, MN 55306-6398 | 2011-09-21 |
| 1417237967 | Kerstin Hartzler | Pharmacist | 14700 Lac Lavon Dr, Burnsville, MN 55306-6398 | 2011-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095438 | Roers Senior Living Burnsville LLC | Assisted Living Facility | 14401 Grand Avenue, Burnsville, MN 55306 | 2020-02-19 |
| 1639717986 | Kaylee Nadine Frederickson | Speech-Language Pathologist | 14451 Grand Ave S, Burnsville, MN 55306 | 2019-12-17 |
| 1780236893 | Nichole Arn | Occupational Therapist | 14301 Ewing Avenue, Burnsville, MN 55306 | 2019-07-10 |
| 1942708516 | Nicholas John Solverson | Chiropractor | 14671 Chicago Ave Apt 6, Burnsville, MN 55306 | 2018-01-29 |
| 1164978672 | Benjamin Halpern | Dentist | 14344 Burnhaven Drive, Burnsville, MN 55306 | 2016-08-26 |
| 1528478336 | Michael Patrick Hennes | Chiropractor | 14587 Grand Ave Ste 112, Burnsville, MN 55306 | 2014-05-01 |
| 1467799924 | Dentalign, Pa | Dentist | 2999 County Road 42 W Suite 138, Burnsville, MN 55306 | 2013-01-03 |
| 1417205436 | Heather Heide | Student in an Organized Health Care Education/Training Program | 14750 Lac Lavon Dr, Burnsville, MN 55306 | 2012-08-23 |
| 1427243898 | Rehana Leila Ahmed-saucedo | Dermatology | 14305 Southcross Dr, Suite 110, Burnsville, MN 55306 | 2007-09-10 |
| 1881815397 | Kyle James Colbert | Chiropractor | 745 Crystal Lake Rd East, Burnsville, MN 55306 | 2007-05-01 |
| Find all providers in zip 55306 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760896153 | Robert Terry Dalton Jr. | Pharmacist | 603 S Highway 365, Burnsville, MS 38833-9706 | 2014-06-13 |
| 1447509047 | Dean Alan Anderson | Pharmacist | 2712 Dalridge Circle, Burnsville, MN 55337 | 2012-08-29 |
| 1669729554 | Matthew Deven Raines | Pharmacist | 418 Mountain View Rd, Burnsville, NC 28714-8432 | 2012-08-09 |
| 1487909024 | Tiffany Jo Bieniek | Pharmacist | 13113 W Manor Blvd, Burnsville, MN 55337-2044 | 2012-07-19 |
| 1710252325 | Anne Marie Thompson | Pharmacist | 2108 E 123rd St, Burnsville, MN 55337-3108 | 2012-03-14 |
| 1467724179 | Melissa Hill Rosenberger | Pharmacist | 115 Reservoir Road Hwy 19 East Bypass, Burnsville, NC 28714 | 2012-01-27 |
| 1144501529 | Ashlee Kinzel | Pharmacist | 950 County Road 42 W, Burnsville, MN 55337-4428 | 2011-08-30 |
| 1700101805 | Lisa Ann Mcconkey | Pharmacist | 14230 Burnhaven Dr, Burnsville, MN 55306-4930 | 2010-03-31 |
| 1740402288 | Scott Patrick Lackey | Pharmacist | 310 West Bypass Hwy19e, Burnsville, NC 28714 | 2007-05-03 |
| 1083745541 | Burns Inc | Pharmacist | 603 Hwy 365 South, Burnsville, MS 38833-9320 | 2007-03-08 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 55306 |
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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.