MARIAN LAURA ELIZABETH KEILLOR (NPI# 1295283075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295283075 |
| Entity Type | Individual |
| Full Name | MARIAN LAURA ELIZABETH KEILLOR |
| Other Name | LAURA ELIZABETH JOHNSON/HARRELSON |
| Credential | MSN, APRN, CNM, CLC |
| Practice Address |
9825 Hospital Dr #205 Maple Grove MN 55369-4479 |
| Mailing Address |
5700 Bottineau Blvd #210 Crystal MN 55429-3183 |
| Practice Telephone | 7635877004 |
| Practice Fax Number | 7635877005 |
| Mailing Telephone | 7635877004 |
| Mailing Fax Number | 7635877005 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2019-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | CNM 0299 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2945 Hazelwood St Ste 100, Maplewood, MN 551091242 | 6512327800 | 6512327940 |
| Street Address |
9825 HOSPITAL DR #205 |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-4479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740255884 | Dana M Carlson | Surgery | 9825 Hospital Dr, Suite 105, Maple Grove, MN 55369-4479 | 2006-02-22 |
| 1609323393 | Jennifer Renae Narveson | Nurse Practitioner | 9825 Hospital Dr, Ste 205, Maple Grove, MN 55369-4479 | 2016-09-09 |
| 1528477197 | Courtney Lynn Kovacs | Physical Therapist | 9825 Hospital Dr, Suite 104, Maple Grove, MN 55369-4479 | 2014-08-08 |
| 1356757637 | Ashley Waldock | Audiologist | 9825 Hospital Dr, Suite Ll-10, Maple Grove, MN 55369-4479 | 2014-07-07 |
| 1255744694 | Elizabeth Becker | Registered Nurse | 9825 Hospital Dr, Suite 105, Maple Grove, MN 55369-4479 | 2014-06-03 |
| 1639510795 | Megan E Fasching | Physician Assistant | 9825 Hospital Dr, Suite 105, Maple Grove, MN 55369-4479 | 2013-07-17 |
| 1952661357 | Bridget Miskowiec Carlson | Audiologist | 9825 Hospital Dr, Suite Ll 10, Maple Grove, MN 55369-4479 | 2012-05-21 |
| 1245510031 | Sara Lindgren | Hearing Instrument Specialist | 9825 Hospital Dr, Ll10, Maple Grove, MN 55369-4479 | 2011-08-24 |
| 1508199423 | Kelly R Ihry | Nurse Practitioner | 9825 Hospital Dr, #205, Maple Grove, MN 55369 | 2009-09-10 |
| 1043487895 | Urology Associates, Ltd. | Urology | 9825 Hospital Dr, Suite 300, Maple Grove, MN 55369-4479 | 2008-05-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
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| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1033149927 | Torri L Washington | Advanced Practice Midwife | 9825 Hospital Drive Ste 205, Maple Grove, MN 55369 | 2006-07-04 |
| 1851378467 | Jennifer Stoffers | Advanced Practice Midwife | 9825 Hospital Dr #205, Maple Grove, MN 55369 | 2005-12-23 |
| 1538669676 | Brianna Elizabeth Hoffman | Advanced Practice Midwife | 9825 Hospital Dr Ste 205, Maple Grove, MN 55369-4480 | 2018-02-15 |
| 1447774039 | Maria Fernanda Honebrink | Advanced Practice Midwife | 9825 Hospital Dr Ste 205, Maple Grove, MN 55369-4480 | 2017-07-26 |
| 1942738596 | Ann Josephine Jane Liljegren | Advanced Practice Midwife | 9825 Hospital Dr Ste 205, Maple Grove, MN 55369-4480 | 2017-05-26 |
| 1366845471 | Katrina Schlueter | Advanced Practice Midwife | 9825 Hospital Dr #205, Maple Grove, MN 55369 | 2014-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881207371 | Ashley Mae Golinghorst | Advanced Practice Midwife | 1227 Sinclair Lewis Ave, Sauk Centre, MN 56378-1963 | 2020-08-25 |
| 1437709854 | Tina Marie Egner | Advanced Practice Midwife | 19642 Camrose Way, Farmington, MN 55024-1494 | 2019-09-17 |
| 1417509100 | Deka Ahmed Abdulle | Advanced Practice Midwife | 601 Jacob Lane, Mail Stop 39300a, Anoka, MN 55303 | 2019-07-12 |
| 1427531326 | Andrea Lynn Engdahl | Advanced Practice Midwife | 2232 Windsor Lake Dr, Minnetonka, MN 55305-2633 | 2018-09-07 |
| 1720501117 | Dominique Lacha Jones | Advanced Practice Midwife | 716 South 7th Street, Purple Building Level 5, Minneapolis, MN 55415 | 2017-07-18 |
| 1871038927 | Ruth Wingeier, Cnm, LLC | Advanced Practice Midwife | 13 2nd St N, Long Prairie, MN 56347-1117 | 2016-12-28 |
| 1467994962 | Jessica Borgstrom | Advanced Practice Midwife | 1001 Hart Blvd #100, Monticello, MN 55362 | 2016-11-15 |
| 1740736297 | Robin Etter | Advanced Practice Midwife | 8125 Town Line Rd, Eveleth, MN 55734-4148 | 2016-08-25 |
| 1770038598 | Lynnsie Marie Schramm | Advanced Practice Midwife | 3429 Girard Ave S Unit 2, Minneapolis, MN 55408-3818 | 2016-08-22 |
| 1942653035 | Leah Schroeder | Advanced Practice Midwife | 560 S Maple St Ste 130, Waconia, MN 55387-1753 | 2016-07-13 |
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| City | MAPLE GROVE |
| Zip Code | 55369 |
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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.