DOMINIQUE MEYER (NPI# 1376929547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376929547 |
| Entity Type | Individual |
| Full Name | DOMINIQUE MEYER |
| Credential | FNP-C |
| Practice Address |
911 Northland Dr Princeton MN 55371-2172 |
| Practice Telephone | 7633891313 |
| Mailing Telephone | 7633891313 |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP 4074 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
911 NORTHLAND DR |
| City | PRINCETON |
| State | MN |
| Zip Code | 55371-2172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922085299 | Fairview Health Services | Pathology | 911 Northland Dr, Princeton, MN 55371-2172 | 2005-12-28 |
| 1912515388 | Fairview Express Care | General Practice | 911 Northland Dr, Princeton, MN 55371-2172 | 2020-07-21 |
| 1780226142 | Paul Moench | Physical Therapist | 911 Northland Dr, Princeton, MN 55371-2172 | 2019-10-17 |
| 1730652512 | Nicole Burrington | Speech-Language Pathologist | 911 Northland Dr, Princeton, MN 55371-2172 | 2019-01-04 |
| 1972015550 | Morgan Taubel | Dietitian, Registered | 911 Northland Dr, Princeton, MN 55371-2172 | 2017-11-03 |
| 1457871956 | Sara Jesse Gleason | Physical Therapist | 911 Northland Dr, Princeton, MN 55371-2172 | 2017-06-26 |
| 1952779266 | Fairview Health Services | Family Medicine | 911 Northland Dr, Princeton, MN 55371-2172 | 2015-09-03 |
| 1841673647 | Fairview Health Services | Family Medicine | 911 Northland Dr, Princeton, MN 55371-2172 | 2015-06-30 |
| 1013399112 | Breanna Peterson | Emergency Medicine | 911 Northland Dr, Princeton, MN 55371 | 2015-06-24 |
| 1861879330 | Fairview Health Services | Prosthetic/Orthotic Supplier | 911 Northland Dr, L001, Princeton, MN 55371-2172 | 2015-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053962530 | Monica Gail Broten | Technician | 30840 Tiger Street Nw, Princeton, MN 55371 | 2019-09-25 |
| 1215349584 | Stephen Destefano | Pharmacist | 31419 131st Street, Princeton, MN 55371 | 2014-05-21 |
| 1164798948 | Andrew Sudbeck | Counselor | 101 18th Avenue North, Princeton, MN 55371 | 2012-03-27 |
| 1073804803 | Sterling Pointe Senior Living LLC | Assisted Living Facility | 1250 Northland Drive, Princeton, MN 55371 | 2011-04-27 |
| 1568752533 | Rum River Health Services, Inc. | Substance Abuse Rehabilitation Facility | 3079 90th Avenue, Princeton, MN 55371 | 2011-04-12 |
| 1780989038 | Dr. Kynan Westermeyer, Dds, Pllc | Clinic/Center | 404 1st St. N, Princeton, MN 55371 | 2011-01-18 |
| 1275788085 | Cody James Leff | Pharmacist | 1100 11th Avenue South, Princeton, MN 55371 | 2008-11-20 |
| 1164679213 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1101 N 5th St, Princeton, MN 55371 | 2008-08-20 |
| 1801059639 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1506 1st Street, Princeton, MN 55371 | 2008-07-02 |
| 1497940928 | James Michael Mandt | Pharmacist | 911 Northland Drive, Fairview Northland Medical Center, Princeton, MN 55371 | 2007-09-07 |
| Find all providers in zip 55371 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452800 | Beverly Christine Young | Nurse Practitioner | 608 New Hope Rd Ste 8, Princeton, WV 24740-2287 | 2020-09-20 |
| 1699313916 | Alla Hodges | Nurse Practitioner | 1507 Jonathan Ct, Princeton, NJ 08540-9565 | 2019-12-17 |
| 1760027692 | Florence J Choge | Nurse Practitioner | 3626 Route 1, Princeton Wound Care Center, Princeton, NJ 08450-5922 | 2019-11-14 |
| 1538701313 | Kanan H. Bhatt | Nurse Practitioner | 29 Rutgers Ln, Princeton, NJ 08540-7934 | 2019-10-12 |
| 1255994950 | Alicia Arkell | Nurse Practitioner | 515 Mercer St, Princeton, WV 24740-3109 | 2019-04-17 |
| 1639681265 | Melissa S Mclain | Nurse Practitioner | 530 Park Ave E Ste 207, Princeton, IL 61356-3902 | 2017-11-05 |
| 1124538830 | Shandalyn Ann Cerda | Nurse Practitioner | 321 Timbercreek Ct, Princeton, TX 75407-5738 | 2017-10-08 |
| 1790092195 | Sarah Megan Spencer | Nurse Practitioner | 402 East Dr, Princeton, WV 24740 | 2010-09-07 |
| 1043443229 | Lynn Marie Calvert | Nurse Practitioner | 311 E Princeton Dr, Princeton, TX 75407-9008 | 2009-09-03 |
| 1275757619 | Sara T Ingraffia | Nurse Practitioner | Princeton University Health Serv Mccosh Health Ctr, Washington Road, Princeton, NJ 08544-0001 | 2007-04-13 |
| Find all providers in PRINCETON | ||||
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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.