KORPO NGAIMA HANSON (NPI# 1306199799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306199799 |
| Entity Type | Individual |
| Full Name | KORPO NGAIMA HANSON |
| Credential | NP |
| Practice Address |
2220 Riverside Ave Mc 21110q Healthpartners Riverside Clinic Minneapolis MN 55454-1321 |
| Mailing Address |
8170 33rd Ave S Ms21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 9528836805 |
| Practice Fax Number | 9528836117 |
| Mailing Telephone | 9528835375 |
| Mailing Fax Number | 9528836117 |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2013-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
A0712171 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
G0812010 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2220 RIVERSIDE AVE MC 21110Q HEALTHPARTNERS RIVERSIDE CLINIC |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55454-1321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972197 | Sean Thayer | Podiatrist | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2005-06-20 |
| 1578187084 | Marcia Wahl | Registered Nurse | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2020-05-31 |
| 1619499746 | Kathleen Ann Otremba | Nurse Practitioner | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2017-07-11 |
| 1417490228 | Lucianna Baregi | Physical Therapist | 2220 Riverside Ave, 5th Floor, Minneapolis, MN 55454-1321 | 2016-11-28 |
| 1609256031 | Lydia Staples | Obstetrics & Gynecology | 2220 Riverside Ave, Mail Stop 31700a, Minneapolis, MN 55454 | 2015-06-01 |
| 1821476821 | Melissa Pavek | Family Medicine | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2015-05-11 |
| 1023402658 | Michelle Tracy Koenig | Nurse Practitioner | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2015-03-20 |
| 1699166082 | Linnea Marie Forsline | Physician Assistant | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2015-02-06 |
| 1699199802 | Zachery Avir Lecrone | Social Worker | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2014-02-07 |
| 1386083111 | Laura Virginia Maus | Internal Medicine | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2013-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
| 1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
| 1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
| 1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
| 1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
| 1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
| 1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
| 1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
| 1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
| Find all providers in zip 55454 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083027536 | Mueni C Mualuko | Nurse Practitioner | 2220 Riverside Ave # Ms 26602g, Geriatrics Department Ms 26602g/ 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2014-06-03 |
| 1487937892 | Jonathan Deforest Olson | Nurse Practitioner | 30 W 22nd St, #204, Minneapolis, MN 55404-2428 | 2011-09-21 |
| 1386738995 | Jean F Wyman | Nurse Practitioner | Dept of Ob/gyn & Women's Health, 420 Delaware Street Se Mmc 395, Minneapolis, MN 55455 | 2006-10-03 |
| 1861593212 | Donna Mae Aske | Nurse Practitioner | 1 Veteran Drive, Minneapolis, MN 55417 | 2006-09-26 |
| 1326082991 | Patricia Anne Camillo | Nurse Practitioner | 2900 Thomas Ave S Apt 1903, Minneapolis, MN 55416-4583 | 2006-06-15 |
| 1730128505 | Sarah Louise Isakson | Nurse Practitioner | Mail Route 11414, 800 E. 28th Street, Minneapolis, MN 55407-3799 | 2006-06-06 |
| 1972121952 | Alicia Joy Minnis | Nurse Practitioner | 1415 Lilac Dr N Ste 190, Minneapolis, MN 55422-4544 | 2020-07-07 |
| 1508485970 | Christina Bricout | Nurse Practitioner | 3433 Broadway St Ne Ste 300, Minneapolis, MN 55413-1761 | 2020-04-15 |
| 1033746714 | Jennifer Voss | Nurse Practitioner | 3433 Broadway St Ne Ste 300, Minneapolis, MN 55413-1761 | 2020-03-24 |
| 1972153443 | Marianne Loftus | Nurse Practitioner | 3433 Broadway St Ne Ste 300, Minneapolis, MN 55413-1761 | 2019-09-17 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55454 |
Please comment or provide details below to improve the information on KORPO NGAIMA HANSON.
| 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.