ALYSSA RAE SICKMANN (NPI# 1356859201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356859201 |
| Entity Type | Individual |
| Full Name | ALYSSA RAE SICKMANN |
| Practice Address |
1449 Cleveland Ave N Saint Paul MN 55108-1413 |
| Mailing Address |
10517 Blaisdell Cir Bloomington MN 55420-5512 |
| Practice Telephone | 6516455323 |
| Mailing Telephone | 6127181970 |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2019-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1449 CLEVELAND AVE N |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55108-1413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649309246 | The Emily Program | Community Based Residential Treatment Facility, Mental Illness | 1449 Cleveland Ave N, Saint Paul, MN 55108-1413 | 2007-03-02 |
| 1497356992 | Jessica Wetzel | Dietitian, Registered | 1449 Cleveland Ave N, Saint Paul, MN 55108-1413 | 2020-11-03 |
| 1912529470 | Devon Elizabeth Paulsen | Dietitian, Registered | 1449 Cleveland Ave N, Saint Paul, MN 55108-1413 | 2020-05-07 |
| 1447801527 | Jillian Vollbrecht | Student in an Organized Health Care Education/Training Program | 1449 Cleveland Ave N, Saint Paul, MN 55108-1413 | 2019-09-20 |
| 1487154720 | Kara A Haugen | Social Worker | 1449 Cleveland Ave N, Saint Paul, MN 55108-1413 | 2018-02-13 |
| 1316495914 | Sydney Erickson | Psychologist | 1449 Cleveland Ave N, Saint Paul, MN 55108-1413 | 2016-09-13 |
| 1447603667 | Melanie Ann Roubik | Dietitian, Registered | 1449 Cleveland Ave N, Saint Paul, MN 55108-1413 | 2016-07-22 |
| 1609248335 | Megan Mcqueen-stewart | Specialist | 1449 Cleveland Ave N, Saint Paul, MN 55108-1413 | 2015-10-21 |
| 1215308747 | Hayley M Wandell | Dietitian, Registered | 1449 Cleveland Ave N, Saint Paul, MN 55108-1413 | 2015-10-09 |
| 1588098834 | Leah Neff | Social Worker | 1449 Cleveland Ave N, Saint Paul, MN 55108-1413 | 2013-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490677 | Kyle Leonard Bernier | Student in an Organized Health Care Education/Training Program | 1295 Bandana Blvd W, Suite 210, St. Paul, MN 55108 | 2019-07-25 |
| 1356870778 | Kathleen Louise Kocon | Marriage & Family Therapist | 2230 Como Ave., Saint Paul, MN 55108 | 2017-06-08 |
| 1871965830 | Jill Hansen | Specialist | 1449 Clevland Ave N, The Emily Program, Saint Paul, MN 55108 | 2015-10-29 |
| 1871821140 | Angela Joyce Anderson | Speech-Language Pathologist | 2266 Hillside Avenue, Saint Paul, MN 55108 | 2009-11-25 |
| 1265769418 | Dakota Baker | Counselor | 1360 Energy Park Drive Suite 340, St. Paul, MN 55108 | 2009-11-09 |
| 1255583449 | Suzanne Elizabeth Trunnell | Nurse Practitioner | 1020 Bandana Blvd. W, Aspen Medical Group--bandana Square, St. Paul, MN 55108 | 2008-10-21 |
| 1982851358 | Kimberly Joy Bahma | Pharmacist | 1295 Bandana Blvd, Suite 335, Saint Paul, MN 55108 | 2008-08-27 |
| 1952566093 | Caring Professionals Homecare, LLC | Home Health | 1543 Como Ave Ste 101, Saint Paul, MN 55108 | 2008-07-28 |
| 1700077344 | Archana Mani | Dentist | 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108 | 2007-08-08 |
| 1457554735 | Catherine Lawrence Scharlau | Psychologist | 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 | 2007-06-06 |
| Find all providers in zip 55108 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895770 | Arielle Johnson | Student in an Organized Health Care Education/Training Program | 1162 Thomas Ave, Saint Paul, MN 55104-2538 | 2020-09-15 |
| 1669094538 | Jessie Mae Juenemann | Student in an Organized Health Care Education/Training Program | 1412 Taylor Ave W, Saint Paul, MN 55104-1329 | 2020-05-13 |
| 1043830896 | Lorenzo Angelo Pavoloni | Student in an Organized Health Care Education/Training Program | 1970 Bohland Ave, Saint Paul, MN 55116-1909 | 2020-04-22 |
| 1396384418 | Meagan Nicole Brockman | Student in an Organized Health Care Education/Training Program | 388 Snelling Ave S, Saint Paul, MN 55105-2142 | 2020-01-06 |
| 1386283000 | Anna Boyd | Student in an Organized Health Care Education/Training Program | 808 Berry St Apt 481, Saint Paul, MN 55114-1380 | 2019-12-27 |
| 1811535362 | Hanna Elizabeth Erickson | Student in an Organized Health Care Education/Training Program | 1514 Chelsea St, Saint Paul, MN 55108-2310 | 2019-12-16 |
| 1255977377 | Kao Youa Lee | Student in an Organized Health Care Education/Training Program | 1692 Maryland Ave E, Saint Paul, MN 55106-2941 | 2019-11-24 |
| 1245876796 | Michael Kittok | Student in an Organized Health Care Education/Training Program | 1274 Sherburne Ave, Saint Paul, MN 55104-2529 | 2019-11-19 |
| 1750944773 | Terrell Messerly | Student in an Organized Health Care Education/Training Program | 750 Otto Ave Unit 2236, Saint Paul, MN 55102-5042 | 2019-04-16 |
| 1205397015 | Taylor Christine Millikan | Student in an Organized Health Care Education/Training Program | 640 Jackson Street - Mail Stop 11109e, Saint Paul, MN 55101-2502 | 2019-03-26 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55108 |
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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.