REANNA FETTIG (NPI# 1326587130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326587130 |
| Entity Type | Individual |
| Full Name | REANNA FETTIG |
| Practice Address |
1326 E Ripley St Litchfield MN 55355-4525 |
| Mailing Address |
927 E 5th St Litchfield MN 55355-1852 |
| Practice Telephone | 3205930440 |
| Practice Fax Number | 3205930442 |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MN | Behavioral Health & Social Service Providers |
| Street Address |
1326 E RIPLEY ST |
| City | LITCHFIELD |
| State | MN |
| Zip Code | 55355-4525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962706242 | Tamarah Lynn Gehlen | Counselor | 1326 E Ripley St, Litchfield, MN 55355-4525 | 2010-12-31 |
| 1326570359 | Heather Havemeier | Counselor | 1326 E Ripley St, Litchfield, MN 55355-4525 | 2017-03-29 |
| 1891234522 | Wylie Boehmlehner | Counselor | 1326 E Ripley St, Litchfield, MN 55355-4525 | 2017-02-14 |
| 1760929574 | Jacy II LLC | Substance Abuse Rehabilitation Facility | 1326 E Ripley St, Litchfield, MN 55355-4525 | 2017-01-31 |
| 1134567035 | Kimberly Moos | Counselor | 1326 E Ripley St, Litchfield, MN 55355-4525 | 2013-06-13 |
| 1861777955 | Heidi J Peterson | Social Worker | 1326 E Ripley St, Litchfield, MN 55355-4525 | 2011-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112983 | Katie Sue Fairchild | Pharmacist | 2301 E Frontage Rd, Litchfield, MN 55355 | 2020-10-21 |
| 1316419377 | Meeker-mcleod-sibley Community Health Services | Preventive Medicine | 114 North Holbombe Ave, Litchfield, MN 55355 | 2018-12-31 |
| 1275009086 | Joyce Lin Knieff | Acupuncturist | 703 N Holcombe Ave, Litchfield, MN 55355 | 2018-10-18 |
| 1154861839 | Cornerstone Care | Home Health | 23766 570th Ave, Litchfield, MN 55355 | 2017-03-01 |
| 1427420744 | Pathways Therapeutic Services, LLC | Social Worker | 621 Sibley Ave South, Litchfield, MN 55355 | 2015-10-26 |
| 1982002663 | Emily Brookshaw | Physical Therapist | 612 South Sibley Avenue, Litchfield, MN 55355 | 2014-12-12 |
| 1275882771 | Patricia Judith Finnegan-baker | Pharmacist | 59563 300th St, Litchfield, MN 55355 | 2012-08-30 |
| 1972832301 | Tracy Madsen | Registered Nurse | 114 N. Holcombe, Litchfield, MN 55355 | 2009-12-14 |
| 1144495391 | David Edward Schlack | Psychologist | 1326 East Ripley Street, Litchfield, MN 55355 | 2008-04-29 |
| 1033391099 | St. Cloud Hospital | Clinic/Center | 520 Hwy 12 East, Suite 6, Litchfield, MN 55355 | 2007-12-03 |
| Find all providers in zip 55355 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962038984 | Scott Lincoln Bell | Counselor | 134 East St, Litchfield, CT 06759-3636 | 2020-03-21 |
| 1336604016 | Andie Lideen | Counselor | 114 N Holcombe Ave Ste 140, Litchfield, MN 55355-2348 | 2019-02-06 |
| 1437586732 | John Wedge Simoncelli | Counselor | 37 Saw Mill Rd, Litchfield, CT 06759-2001 | 2013-10-01 |
| 1962706242 | Tamarah Lynn Gehlen | Counselor | 1326 E Ripley St, Litchfield, MN 55355-4525 | 2010-12-31 |
| 1427282953 | Lisa Renee' Vanheijningen | Counselor | 457 Bantam Rd Ste 15, Litchfield, CT 06759-3225 | 2009-05-12 |
| 1215147863 | Sheila Marie Iverson | Counselor | 351 Terrace View Dr, Litchfield, MN 55355-2532 | 2007-05-23 |
| 1326570359 | Heather Havemeier | Counselor | 1326 E Ripley St, Litchfield, MN 55355-4525 | 2017-03-29 |
| 1891234522 | Wylie Boehmlehner | Counselor | 1326 E Ripley St, Litchfield, MN 55355-4525 | 2017-02-14 |
| 1134567035 | Kimberly Moos | Counselor | 1326 E Ripley St, Litchfield, MN 55355-4525 | 2013-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386456 | Alexandra Lloyd Conroy | Counselor | 3227 Lake Shore Boulevard, Minnetonka, MN 55391 | 2020-11-07 |
| 1134720212 | Rachel Renee Przekwas | Counselor | 216 Center St W Ste 101, Roseau, MN 56751-1494 | 2020-11-04 |
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1215537477 | Hannah Mae Kidder | Counselor | 1605 Welcome Ave N, Golden Valley, MN 55422-4429 | 2020-10-27 |
| 1649879339 | Jordan Lowe | Counselor | 4615 Grand Ave Ste 300, Duluth, MN 55807-2749 | 2020-10-22 |
| 1417556762 | Jacob R Poppinga | Counselor | 13045 Falcon Dr Ste 7404th, Baxter, MN 56425-4201 | 2020-10-19 |
| 1598362014 | Jeremy Krekula | Counselor | 102 Main St N Ste 100, Stewartville, MN 55976-2608 | 2020-10-07 |
| 1235736786 | Catherine Ann Jaksha | Counselor | 1180 Cushing Cir Apt 217, Saint Paul, MN 55108-5016 | 2020-10-07 |
| 1952908881 | Sutton Outpatient Services, LLC | Counselor | 1700 Livingston Ave Ste 120, West St Paul, MN 55118-5938 | 2020-10-05 |
| 1750998423 | Recovery Alliance Duluth | Counselor | 206 W 4th St Ste 203, Duluth, MN 55806-2659 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | LITCHFIELD |
| Zip Code | 55355 |
Please comment or provide details below to improve the information on REANNA FETTIG.
| 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.