MS. KILEY ELIZABETH BLACK (NPI# 1306989405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306989405 |
| Entity Type | Individual |
| Full Name | MS. KILEY ELIZABETH BLACK |
| Credential | NP |
| Practice Address |
2545 Chicago Ave Suite 601 Minneapolis MN 55404-4522 |
| Practice Telephone | 6128637770 |
| Practice Fax Number | 6128637772 |
| Mailing Telephone | 6128637770 |
| Mailing Fax Number | 6128637772 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2010-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R 1403224 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2545 CHICAGO AVE SUITE 601 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-4522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992772040 | Angelique Marie Reitmeier | Student in an Organized Health Care Education/Training Program | 2545 Chicago Ave, Minneapolis, MN 55404-4522 | 2006-03-07 |
| 1609319649 | Michal Sarah Rischall | Psychologist | 2545 Chicago Ave, Suite 217, Minneapolis, MN 55404-4522 | 2016-11-22 |
| 1225412406 | Ryan Dale Symanietz | Physician Assistant | 2545 Chicago Ave, Suite 601, Minneapolis, MN 55404-4522 | 2015-07-16 |
| 1720410293 | Dirck Anthony Rilla | Perfusionist | 2545 Chicago Ave, Suite 417, Minneapolis, MN 55404-4522 | 2013-08-06 |
| 1205180254 | Minnesota Cancer Specialists LLC | Specialist | 2545 Chicago Ave, Suite 500, Minneapolis, MN 55404-4522 | 2012-10-30 |
| 1386919835 | Allina Health System | Clinic/Center | 2545 Chicago Ave, Ste 200, Minneapolis, MN 55404-4522 | 2012-03-16 |
| 1154658276 | Frank G Lushine Md Pa | Specialist | 2545 Chicago Ave, Suite 510, Minneapolis, MN 55404-4522 | 2009-11-10 |
| 1003058355 | Jessica M Gutierrez | Surgery | 2545 Chicago Ave, Suite 601, Minneapolis, MN 55404-4522 | 2009-04-01 |
| 1790924405 | Rachel Pokos | Pharmacist | 2545 Chicago Ave, Minneapolis, MN 55404-4522 | 2009-02-19 |
| 1154560860 | Nicole Christian | Pharmacist | 2545 Chicago Ave, Suite 120, Minneapolis, MN 55404-4522 | 2009-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803970 | Kelsey Olson | Nurse Practitioner | 2450 Riverside Ave Fl 9, Minneapolis, MN 55454-1450 | 2020-08-28 |
| 1396373932 | Hayley Starr Gifford | Nurse Practitioner | 33 105th Ave Nw, Minneapolis, MN 55448-5044 | 2020-03-30 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1831646108 | Ingrid Estephan | Nurse Practitioner | 2929 21st Ave S Apt 301, Minneapolis, MN 55407-4515 | 2016-09-05 |
| 1730532631 | Allina Health System | Nurse Practitioner | 913 E 26th St Ste 305, Minneapolis, MN 55404-4515 | 2016-07-15 |
| 1619376860 | Amy Cooley | Nurse Practitioner | 800 E 28th St # H2100, Minneapolis, MN 55407 | 2014-08-13 |
| 1710265368 | Kimberly Dawn Moore | Nurse Practitioner | 814 South 3rd Street, Minneapolis, MN 55415 | 2011-08-01 |
| 1164700878 | Katherine Casey Martin Caughel | Nurse Practitioner | Hcmc, 701 Park Ave, Surgery Department, P-5, Minneapolis, MN 55415-1623 | 2011-07-29 |
| 1386951358 | Jody Michelle Schoenecker | Nurse Practitioner | 615 1st Ave Ne Ste 310, Minneapolis, MN 55413-2419 | 2010-09-10 |
| 1043543093 | Therese Mary Maas | Nurse Practitioner | 909 Fulton St Se Ste 300, Minneapolis, MN 55455 | 2009-09-09 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
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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.