MARY WIGHTMAN (NPI# 1336282235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336282235 |
Entity Type | Individual |
Full Name | MARY WIGHTMAN |
Practice Address |
2800 Cleveland Ave N Roseville MN 55113-1126 |
Mailing Address |
1505 Redwing Dr Waconia MN 55387-1139 |
Practice Telephone | 6516421825 |
Enumeration Date | 2007-02-14 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2279P3900X |
Respiratory Therapist, Registered Specialization: Neonatal/Pediatrics |
3293 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 2279P3900X |
Respiratory Therapist, Registered Specialization: Neonatal/Pediatrics |
3054 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528461258 | Mary Wightman | Social Worker | 19 E Main St, Marlton, NJ 08053-2172 | 2014-10-08 |
1588774004 | Mary Wightman | Physical Therapist | 4310 Hoyt Ave, Everett, WA 98203-2315 | 2006-08-30 |
Street Address |
2800 CLEVELAND AVE N |
City | ROSEVILLE |
State | MN |
Zip Code | 55113-1126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629141213 | Pediatric Home Respiratory Services LLC | Home Health | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2006-11-15 |
1386129211 | Briana Blackstad | Pharmacist | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2018-09-26 |
1699272823 | Alea Joy Chalmers | Dietitian, Registered | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2018-04-13 |
1518464742 | Kayla Emily Skog | Dietitian, Registered | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2018-04-13 |
1144722190 | Pediatric Home Respiratory Services LLC | Home Health | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2018-03-06 |
1316482649 | Sonja Mydels | Dietitian, Registered | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2016-12-22 |
1427488048 | Lana Kalleen Clark | Dietitian, Registered | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2013-11-18 |
1205197936 | Karah Lin Pendergrass | Licensed Practical Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2012-05-29 |
1740540475 | Katherine Louise Peper | Student in an Organized Health Care Education/Training Program | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2012-05-29 |
1205110749 | Mari Brown | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-10-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
Find all providers in zip 55113 |
Taxonomy Code | 2279P3900X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Respiratory Therapist, Registered |
Specialization | Neonatal/Pediatrics |
The care and treatment of premature infants, newborns and children. This includes management of mechanical ventilation, assessment, diagnostics and generalized respiratory treatments. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487125647 | Enrique Gabriel Goce Clemente | Respiratory Therapist, Registered | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2018-12-16 |
1356812051 | Brandi Ann Mitchell | Respiratory Therapist, Registered | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2018-12-07 |
1265903967 | Fineas Daniel Bangean | Respiratory Therapist, Registered | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2018-12-07 |
1063983765 | Melissa Pryde | Respiratory Therapist, Registered | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2018-12-07 |
1447721147 | Amanda Leigh Hernandez Rendon | Respiratory Therapist, Registered | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2018-12-06 |
1326376112 | Alyssa J Schumacher | Respiratory Therapist, Registered | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2009-12-07 |
1982823795 | Krystal Culliton | Respiratory Therapist, Registered | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2007-04-24 |
1164566188 | Rebecca Nielsen | Respiratory Therapist, Registered | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2007-02-16 |
1225172802 | Rosemarie Westbury | Respiratory Therapist, Registered | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2007-02-16 |
1497898100 | John Sheahan | Respiratory Therapist, Registered | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2007-02-14 |
Find all providers in ROSEVILLE |
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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.