MS. BERNADETTE MARIE GOTCHIE (NPI# 1346549862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346549862 |
| Entity Type | Individual |
| Full Name | MS. BERNADETTE MARIE GOTCHIE |
| Credential | RN, BSN,PHN,DON |
| Practice Address |
115 6th St Ne Cass Lake MN 56633-3428 |
| Practice Telephone | 2183354500 |
| Practice Fax Number | 2183354513 |
| Mailing Telephone | 2183354500 |
| Mailing Fax Number | 2183354513 |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | R170708-5 | MN | Nursing Service Providers |
| Street Address |
115 6TH ST NE |
| City | CASS LAKE |
| State | MN |
| Zip Code | 56633-3428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942310875 | Leech Lake Tribal Council | Clinic/Center | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2006-08-30 |
| 1629369426 | Gloria Kathleen Jones | Registered Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-04-27 |
| 1265721120 | Birdena M Lyons | Licensed Practical Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-03-31 |
| 1396044673 | Millicent A Simenson | Licensed Practical Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-03-25 |
| 1710286125 | Josephine Evelyn Brown | Licensed Practical Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-03-24 |
| 1629377007 | Jennifer Lee Parkhurst | Registered Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-03-24 |
| 1235438623 | Roberta J Decker | Licensed Practical Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-03-24 |
| 1619276169 | Cynthia Ann Doke | Registered Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-03-23 |
| 1548401706 | Deborah Delight Troy | Registered Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2009-03-18 |
| 1497911440 | Karey Marlene Lyon | Nurse Practitioner | 115 6th St Ne, Suite E, Cass Lake, MN 56633-3428 | 2008-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205485430 | Jessica Rose Malterud | Registered Nurse | 416-2nd Street Nw, Cass Lake, MN 56633 | 2019-09-10 |
| 1174079917 | Stacy Ann Cederstrom | Nurse Practitioner | 425 7th Street North East, Cass Lake, MN 56633 | 2016-08-31 |
| 1679933568 | Minnesota Chippewa Tribe Adult Day Services | Clinic/Center | 15546 State 371 Nw, Cass Lake, MN 56633 | 2016-03-04 |
| 1073979084 | Constance J Mangiamele | Registered Nurse | 190 Sailstar Dr. Nw, Cass Lake, MN 56633 | 2016-01-06 |
| 1194193086 | Whitney Dickson | Pharmacist | 425 7th Street Northwest, Cass Lake, MN 56633 | 2015-09-09 |
| 1245669332 | Marsha Ellen Kaehne | Nurse Practitioner | 119 Aspen Ave., Cass Lake, MN 56633 | 2013-11-08 |
| 1376985952 | Home Free Care, LLC | Home Health | 310 Norway Ave. Ne, Cass Lake, MN 56633 | 2013-07-23 |
| 1831468479 | Leech Lake Band of Ojibwe | Substance Abuse Rehabilitation Facility | 113 7th Stree Nw, Cass Lake, MN 56633 | 2011-12-28 |
| 1275823742 | Leech Lake Band of Ojibwe | Community/Behavioral Health | 16123 Grant Utley Ave Nw, Cass Lake, MN 56633 | 2011-04-18 |
| 1659679843 | Leech Lake Band of Ojibwe | Community/Behavioral Health | 115 6th Street Nw, Cass Lake, MN 56633 | 2011-03-11 |
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| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205485430 | Jessica Rose Malterud | Registered Nurse | 416-2nd Street Nw, Cass Lake, MN 56633 | 2019-09-10 |
| 1073979084 | Constance J Mangiamele | Registered Nurse | 190 Sailstar Dr. Nw, Cass Lake, MN 56633 | 2016-01-06 |
| 1407155872 | Karen Marie Jones | Registered Nurse | 115 6th St Ne Ste E, Cass Lake, MN 56633-3428 | 2011-03-24 |
| 1194975698 | Stefani Sue Anderson | Registered Nurse | 416 2nd St Ne, Cass Lake, MN 56633-3080 | 2008-09-22 |
| 1144478702 | Karen Fay Moses | Registered Nurse | 416 2nd St, Cass Lake, MN 56633 | 2008-09-08 |
| 1770605305 | Beth Ostlund | Registered Nurse | 416 2nd Street Nw, Cass Lake, MN 56633 | 2007-04-04 |
| 1720444920 | Brandy Kroubetz | Registered Nurse | 190 Sailstar Dr Nw, Cass Lake, MN 56633-3565 | 2016-01-05 |
| 1932502614 | Scott David Stenstrom | Registered Nurse | 115 6th St Nw, Suite E, Cass Lake, MN 56633-3428 | 2014-10-08 |
| 1629369426 | Gloria Kathleen Jones | Registered Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-04-27 |
| 1982993788 | Loretta Jean Lynne | Registered Nurse | 115 6th St. Nw, Cass Lake, MN 56633-3428 | 2011-04-01 |
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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.