NICOLE L PEDERSON (NPI# 1316485071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316485071 |
| Entity Type | Individual |
| Full Name | NICOLE L PEDERSON |
| Credential | M.S.,C.G.C |
| Practice Address |
400 E Third Street Duluth MN 55805-1951 |
| Mailing Address |
420 E 1st St Duluth MN 55805-1901 |
| Practice Telephone | 2187868364 |
| Mailing Telephone | 2187861265 |
| Mailing Fax Number | 2187863767 |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2018-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | Other Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 420 E 1st St, Duluth, MN 558051901 | 2187861265 | 2187863767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275049900 | Nicole Pederson | Counselor | 215 Lakewood Way Sw # 205, Atlanta, GA 30315-6022 | 2017-12-18 |
| 1538530274 | Nicole Pederson | Behavioral Analyst | 1147 Leigh Ave, Apt 3, San Jose, CA 95126-4533 | 2015-10-07 |
| 1245735364 | Nicole Pederson | Pharmacist | 5885 Barnes Rd, Colorado Springs, CO 80922-3512 | 2018-03-29 |
| 1487999702 | Nicole Kathryn Pederson | Physical Therapist | 433 Soscol Avenue, Suite B 191, Napa, CA 94559-4040 | 2012-11-28 |
| 1659498475 | Nicole L. Pederson | Physical Therapist | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2007-03-25 |
| Street Address |
400 E THIRD STREET |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-1951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790711299 | Edward M Wineck | Radiology | 400 E Third Street, Duluth, MN 55805-1951 | 2006-06-25 |
| 1962050906 | Brandon S Percival | Nurse Anesthetist, Certified Registered | 400 E Third Street, Duluth, MN 55805-1951 | 2019-09-03 |
| 1336615921 | Katelyn M Walsh | Physician Assistant | 400 E Third Street, Duluth, MN 55805-1951 | 2018-10-22 |
| 1184075525 | Amanda Welke | Registered Nurse | 400 E Third Street, Duluth, MN 55805 | 2016-06-27 |
| 1336569029 | Benjamin William Meyer | Pediatrics | 400 E Third Street, Duluth, MN 55805-1951 | 2014-04-21 |
| 1063832061 | Katherine Munck | Internal Medicine | 400 E Third Street, Duluth, MN 55805 | 2014-04-17 |
| 1093031692 | Amanda Jean Noska | Internal Medicine | 400 E Third Street, Duluth, MN 55805-1951 | 2010-04-08 |
| 1538395686 | Lenore Rosemary Rengel | Internal Medicine | 400 E Third Street, Duluth, MN 55805 | 2009-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
| Find all providers in zip 55805 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386633980 | Diane Lynn Bierke-nelson | Genetic Counselor, MS | 420 E 1st St # 1s3w10, Duluth Clinic, Duluth, MN 55805-1901 | 2005-10-17 |
| 1902205032 | Elizabeth Sengstock | Genetic Counselor, MS | 420 E 1st St, Duluth, MN 55805-1901 | 2014-08-14 |
| 1679860670 | Kayla York | Genetic Counselor, MS | 420 E 1st St, Duluth, MN 55805-1901 | 2011-06-29 |
| 1316248024 | Laura Witrak | Genetic Counselor, MS | 420 E 1st St, Duluth, MN 55805-1901 | 2010-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998086 | Allison Elizabeth Hentschell | Genetic Counselor, MS | 11850 Blackfoot St Nw Ste 230, Coon Rapids, MN 55433-2593 | 2020-07-01 |
| 1497371504 | Jenna Deane Soukup | Genetic Counselor, MS | 3931 Louisiana Ave S Ste 315, St Louis Park, MN 55426-5000 | 2020-06-24 |
| 1639704794 | Iman Erika Kashmola-perez | Genetic Counselor, MS | 606 24th Ave S Fl 4, Minneapolis, MN 55454-1455 | 2020-03-10 |
| 1093351454 | Christine Koellner | Genetic Counselor, MS | 3109 Harbor Dr Se, Rochester, MN 55904-5925 | 2019-11-20 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265922082 | Rachel Brite Saunders | Genetic Counselor, MS | 2545 Chicago Ave # Mdb17700, Minneapolis, MN 55404-4522 | 2018-05-16 |
| 1639615156 | My Genetic Ally LLC | Genetic Counselor, MS | 602 N 1st St Apt 714, Minneapolis, MN 55401-2251 | 2017-01-07 |
| 1902353352 | Laura Marie Haugo | Genetic Counselor, MS | 3931 Louisiana Ave S Ste E111, Saint Louis Park, MN 55426-5000 | 2016-09-01 |
| 1952765133 | Hallee Christine Adamsheck | Genetic Counselor, MS | 800 E 28th St Ste Mr 39105, Minneapolis, MN 55407-3723 | 2016-04-13 |
| 1689062317 | Kimberly Schahl | Genetic Counselor, MS | 1801 13th Ave Ne, Kasson, MN 55944-9437 | 2015-01-05 |
| Find all providers with the same taxonomy | ||||
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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.