MS. KAYLA JO MEEHAN (NPI# 1306279104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306279104 |
| Entity Type | Individual |
| Full Name | MS. KAYLA JO MEEHAN |
| Other Name | KAYLA JO VETTLING |
| Credential | PAC |
| Practice Address |
200 Elm St N Onamia MN 56359-7901 |
| Practice Telephone | 3205323154 |
| Practice Fax Number | 3205323111 |
| Mailing Telephone | 3205323154 |
| Mailing Fax Number | 3205323111 |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2019-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 11349 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
11349 | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386095727 | Kayla Meehan | Specialist | 10 Parsonage Rd, Suite 318, Edison, NJ 08837-2429 | 2016-06-27 |
| Street Address |
200 ELM ST N |
| City | ONAMIA |
| State | MN |
| Zip Code | 56359-7901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346226297 | David William Strobel | Family Medicine | 200 Elm St N, Onamia, MN 56359-7901 | 2005-12-21 |
| 1144857673 | Josh Kruize | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2020-03-25 |
| 1427519578 | Jennifer Franko Greer | Physical Therapist | 200 Elm St N, Onamia, MN 56359 | 2019-03-29 |
| 1841758935 | Corey Pieper | Psychologist | 200 Elm St N, Onamia, MN 56359-7901 | 2019-03-07 |
| 1821552134 | Bess Michelle Kuzma | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2019-01-31 |
| 1134693518 | Travis Ray Green | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2019-01-18 |
| 1356862700 | Jennifer Rae Will | Registered Nurse | 200 Elm St N, Onamia, MN 56359-7901 | 2017-07-06 |
| 1235689621 | Mille Lacs Health System | Chiropractor | 200 Elm St N, Onamia, MN 56359-7901 | 2016-10-10 |
| 1447606868 | Kari Collett | Dietitian, Registered | 200 Elm St N, Onamia, MN 56359-0807 | 2016-05-05 |
| 1427415389 | Beth Twite | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2016-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588185417 | Stephanie Lynn Conzet | Registered Nurse | 200 North Elm Street North, Mille Lacs Family Clinic, Onamia, MN 56359 | 2017-06-30 |
| 1760759880 | Joseph Nayquonabe | Counselor | 42273 Twilight Road, Onamia, MN 56359 | 2011-11-17 |
| 1548496060 | Mille Lacs Band of Ojibwe Indians | Substance Abuse Rehabilitation Facility | 17222 Ataage Dr, Onamia, MN 56359 | 2009-06-10 |
| 1831388909 | Mille Lacs Band of Ojibwe Indians | Community/Behavioral Health | 42293 Twilight Rd, Onamia, MN 56359 | 2007-10-15 |
| 1982729364 | Mille Lacs Band of Ojibwe Indians | Pharmacy | 43500 Migizi Drive, Onamia, MN 56359 | 2007-03-21 |
| 1639205370 | Jennifer Lee Hewitt | Registered Nurse | 17230 Noopiming Drive, Onamia, MN 56359 | 2007-02-26 |
| 1164569760 | Betty Nichols | Registered Nurse | 17230 Noopiming Dr., Onaima, MN 56359 | 2007-01-31 |
| 1639224975 | Deanna M Duret | Dietitian, Registered | 200 Elm Street North, Onamia, MN 56359 | 2007-01-25 |
| 1700958881 | Nexus | Community Based Residential Treatment Facility, Mental Illness | 407 130th Avenue South, Onamia, MN 56359 | 2006-11-14 |
| 1780777615 | Diana Ochoa Chu | Psychiatry & Neurology | 407 130th Ave S, Onamia, MN 56359 | 2006-10-02 |
| Find all providers in zip 56359 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144857673 | Josh Kruize | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2020-03-25 |
| 1821552134 | Bess Michelle Kuzma | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2019-01-31 |
| 1134693518 | Travis Ray Green | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2019-01-18 |
| 1427415389 | Beth Twite | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2016-01-24 |
| 1184979676 | Brian Charles Dewitt | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2012-07-20 |
| 1083819585 | Catherine Elyse Steiner | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2007-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
| 1043811870 | Leiah Hoffman | Physician Assistant | 4243 Timberridge Ln Apt A, Hermantown, MN 55811-4047 | 2020-11-06 |
| 1760083059 | Amanda Hanover | Physician Assistant | 10346 Mississippi Blvd Nw, Coon Rapids, MN 55433-4521 | 2020-11-04 |
| 1780284844 | Lily Ganz | Physician Assistant | 2737 Huntington Ave, St Louis Park, MN 55416-3917 | 2020-10-28 |
| 1972103000 | Jaclyn Ann Bautch | Physician Assistant | 24721 State Highway 15, Saint Augusta, MN 56301-9211 | 2020-10-28 |
| 1801496047 | Tanner Vaughn Kramp | Physician Assistant | 3450 Wild Turkey Rd, Red Wing, MN 55066-1762 | 2020-10-27 |
| 1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
| 1598364473 | Kylee N Persing | Physician Assistant | 10 4th Ave S, Saint Cloud, MN 56301-3614 | 2020-10-21 |
| 1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
| 1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
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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.