KATELYN M WALSH (NPI# 1336615921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336615921 |
Entity Type | Individual |
Full Name | KATELYN M WALSH |
Credential | PA-C |
Practice Address |
400 E Third Street Duluth MN 55805-1951 |
Mailing Address |
523 North 3rd Street Brainerd MN 56401-3054 |
Practice Telephone | 2187868364 |
Enumeration Date | 2018-10-22 |
Last Update Date | 2018-10-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
12816 | MN | Physician Assistants & Advanced Practice Nursing Providers |
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 |
1316485071 | Nicole L Pederson | Genetic Counselor, MS | 400 E Third Street, Duluth, MN 55805-1951 | 2017-02-02 |
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 | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164977468 | Chelsea Ruda | Physician Assistant | 1012 E 2nd St, Duluth, MN 55805 | 2016-08-17 |
1083023733 | Jillian Reed | Physician Assistant | 407 E 3rd St, Duluth, MN 55805-1950 | 2014-08-07 |
1538402763 | Larissa Pirie Messenger | Physician Assistant | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2013-04-06 |
1790031011 | Arlene L Salmon | Physician Assistant | 4855 River Green Pkwy, Suite 700, Duluth, GA 30096-8336 | 2012-07-24 |
1588963490 | Sandra Sullivan | Physician Assistant | 3497 Duluth Park Ln, Suite 200, Duluth, GA 30096-3227 | 2011-03-17 |
1376848549 | Nathina Scarlett Melton | Physician Assistant | 9900 Medlock Bridge Rd, Duluth, GA 30097-2017 | 2011-01-20 |
1568776409 | Pamela J Hermes | Physician Assistant | 407 East Third Street, Essentia Health St. Mary's Medical Center, Duluth, MN 55805-1950 | 2010-08-03 |
1952531444 | Thomas John Kogowski | Physician Assistant | 407 East 3rd Street, St. Mary's Medical Center, Duluth, MN 55805 | 2009-07-20 |
1023276334 | Donna L Crawford | Physician Assistant | 3855 Pleasant Hill Rd, Suite 420, Duluth, GA 30096-1407 | 2008-05-23 |
1972638757 | Faith Marie Nyberg | Physician Assistant | 400 E 3rd St, Duluth Clinic, Duluth, MN 55805-1951 | 2007-02-22 |
Find all providers in DULUTH |
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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.