ABBY K WIBERG (NPI# 1316256282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316256282 |
| Entity Type | Individual |
| Full Name | ABBY K WIBERG |
| Credential | CPNP |
| Practice Address |
2200 University Ave W Suite 120 Saint Paul MN 55114-1839 |
| Mailing Address |
Po Box 14909 Minneapolis MN 55414-0909 |
| Practice Telephone | 6128711145 |
| Practice Fax Number | 6128705491 |
| Mailing Telephone | 6128711145 |
| Mailing Fax Number | 6128705491 |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2014-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R15678805 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | LICENSE | R156788-5 | 01 |
| Street Address |
2200 UNIVERSITY AVE W SUITE 120 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55114-1839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972500940 | Fairview Health Services | Durable Medical Equipment & Medical Supplies | 2200 University Ave W, Ste 110, Saint Paul, MN 55114-1839 | 2005-07-05 |
| 1417339474 | Kathryn Claus | Marriage & Family Therapist | 2200 University Ave W, Suite 160, Saint Paul, MN 55114-1839 | 2015-06-25 |
| 1760727077 | The Low Vision Store | Durable Medical Equipment & Medical Supplies | 2200 University Ave W, Suite 200, Saint Paul, MN 55114-1839 | 2012-11-28 |
| 1295048080 | Nina Denise Guynn | Speech-Language Pathologist | 2200 University Ave W, Suite 140, Saint Paul, MN 55114-1839 | 2010-07-21 |
| 1578753927 | Labeigha Riser | Orthotic Fitter | 2200 University Ave W, Suite 114, Saint Paul, MN 55114-1839 | 2007-07-31 |
| 1497962708 | Scott Lynn Langston | Orthotist | 2200 University Ave W, #114, Saint Paul, MN 55114-1839 | 2007-05-17 |
| 1205043528 | David James Clark | Orthotic Fitter | 2200 University Ave W, #114, Saint Paul, MN 55114-1839 | 2007-05-17 |
| 1063629368 | Peter Stasica | Prosthetist | 2200 University Ave W, #114, Saint Paul, MN 55114-1839 | 2007-05-17 |
| 1922215417 | Julie Ann Lien O'connell | Orthotist | 2200 University Ave W, #114, Saint Paul, MN 55114-1839 | 2007-05-16 |
| 1619198942 | David Benner Harris | Specialist | 2200 University Ave W, Suite 114, Saint Paul, MN 55114-1839 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205698 | Der Yang | Registered Nurse | 2356 University Ave W #220, Saint Paul, MN 55114 | 2017-06-21 |
| 1679949358 | Mallory Haglund | Counselor | 284 West Rocky Lane, Boulder, NV 55114 | 2015-08-17 |
| 1083090880 | Kayla Estenson | Marriage & Family Therapist | 2324 University Ave West, 120, St. Paul, MN 55114 | 2015-08-04 |
| 1184023772 | Preetanjali Thakur | Dentist | 2550 University Avenue West Suite 189s, St Paul, MN 55114 | 2014-08-19 |
| 1023426210 | Melanie Bayer Witthoft | Social Worker | 762 Transfer Road, 21, St. Paul, MN 55114 | 2014-07-31 |
| 1184046518 | Britni Kelley | Marriage & Family Therapist | 821 Raymond Ave Ste 325, Saint Paul, MN 55114 | 2014-01-21 |
| 1205257581 | Arti Kaul | Dentist | 808 Berry St, Apy 126, St Paul, MN 55114 | 2014-01-03 |
| 1588907109 | Jesus M Calvillo | Counselor | 821 Raymond Ave Ste 230, Saint Paul, MN 55114 | 2013-04-02 |
| 1154669414 | Caringhands Home Health Care Inc. | Home Health | 2233 University Ave West, Suite 330, St Paul, MN 55114 | 2013-01-22 |
| 1396021424 | The Avalon Charter School | Local Education Agency (LEA) | 700 Glendale Street, Saint Paul, MN 55114 | 2011-11-03 |
| Find all providers in zip 55114 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538644562 | Angela Ashton | Nurse Practitioner | 345 Smith Ave N Ste 404, Saint Paul, MN 55102-2346 | 2018-09-25 |
| 1558865295 | Meghan Kerry Deyo | Nurse Practitioner | 1804 7th St W Ste 200, Saint Paul, MN 55116-2300 | 2018-03-19 |
| 1811323348 | Karen Kay Hoyer | Nurse Practitioner | 310 Smith Ave N Ste 480, Saint Paul, MN 55102 | 2013-09-16 |
| 1043323678 | Kimmy S Oberstar | Nurse Practitioner | 360 Sherman St Ste 200, Childrens Specialty Clinic Psychological Services Stpl, Saint Paul, MN 55102-2567 | 2006-08-17 |
| 1255353843 | Kimberly Lynn Berg | Nurse Practitioner | 225 Smith Ave N Ste 201, Saint Paul, MN 55102-2697 | 2006-07-24 |
| 1194788810 | Janet Lowe | Nurse Practitioner | 360 Colborne St, Saint Paul, MN 55102-3228 | 2006-04-11 |
| 1184236739 | Anna Rauch | Nurse Practitioner | 200 University Ave E, Saint Paul, MN 55101-2507 | 2020-08-17 |
| 1699334904 | Jessica Determan | Nurse Practitioner | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2019-06-10 |
| 1104388644 | Cassandra Hoshor | Nurse Practitioner | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2019-04-03 |
| 1083191522 | Ikran Omar Hussein | Nurse Practitioner | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2018-07-27 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55114 |
Please comment or provide details below to improve the information on ABBY K WIBERG.
| 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.