DAWN MARIE DERKS (NPI# 1396147377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396147377 |
| Entity Type | Individual |
| Full Name | DAWN MARIE DERKS |
| Credential | MSN, RN, CNS, ONC |
| Practice Address |
640 Jackson St Saint Paul MN 55101-2502 |
| Practice Telephone | 6512543665 |
| Mailing Telephone | 6512543665 |
| Enumeration Date | 2014-09-21 |
| Last Update Date | 2014-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
2014005854 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICARE | C02467 | 01 |
| Street Address |
640 JACKSON ST |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55101-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780686378 | Margaret Radermacher Schnobrich | Nurse Anesthetist, Certified Registered | 640 Jackson St, Saint Paul, MN 55101-2502 | 2005-08-12 |
| 1013518174 | Katara Jo Henderson | Student in an Organized Health Care Education/Training Program | 640 Jackson St, Saint Paul, MN 55101-2595 | 2020-11-05 |
| 1013516087 | Marit Sonnesyn | Physician Assistant | 640 Jackson St, Saint Paul, MN 55101-2502 | 2020-10-21 |
| 1114526027 | Carolyn Besch | Occupational Therapist | 640 Jackson St, Saint Paul, MN 55101-2595 | 2020-10-21 |
| 1952908576 | Mckenna Rebecca Splett | Physical Therapist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2020-10-06 |
| 1164029997 | Alyssa Jean Cutcher | Physical Therapist | 640 Jackson St, Saint Paul, MN 55101-2595 | 2020-10-05 |
| 1851998884 | Danielle Chirhart | Occupational Therapist | 640 Jackson St, Saint Paul, MN 55101-2595 | 2020-10-02 |
| 1174130389 | Frederick Schaefer Jr. | Speech-Language Pathologist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2020-09-30 |
| 1538775853 | Rebeca Joy Houle | Nurse Anesthetist, Certified Registered | 640 Jackson St, Saint Paul, MN 55101-2502 | 2020-09-22 |
| 1134733702 | Nicholas Honda | Pharmacist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2020-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
| 1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
| 1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
| 1699284919 | Eric Mcgillis | Emergency Medicine | Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 | 2017-09-29 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1992182323 | Theresa Annette Cashdollar-powell | Social Worker | 640 Jackson, St Paul, MN 55101 | 2015-05-06 |
| 1770986101 | Margaret Augusta Cutter | Physician Assistant | 200 Univeristy Ave E, Saint Paul, MN 55101 | 2014-09-30 |
| 1851641419 | Lisa Rae Caturia | Occupational Therapy Assistant | 640 Jackson St, 8th Floor, St Paul, MN 55101 | 2012-09-11 |
| 1558619478 | Rph On The Go | Community/Behavioral Health | 172 E 6th Street, 704, Saint Paul, MN 55101 | 2012-08-27 |
| 1184994212 | Duyen Truong | Pharmacist | 604 Jackson Street, St. Paul, MN 55101 | 2012-01-05 |
| Find all providers in zip 55101 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215333471 | Jodi Hartwig | Clinical Nurse Specialist | 528 Ashland Ave Apt 3, Saint Paul, MN 55102-2059 | 2014-11-14 |
| 1225597214 | Megan Lynn Oldenburg | Clinical Nurse Specialist | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2019-03-18 |
| 1477009264 | Emily Sarah Eastwick Trondson | Clinical Nurse Specialist | 280 Smith Ave N, Saint Paul, MN 55102-2424 | 2016-08-31 |
| 1225349780 | Jill Marie Goring | Clinical Nurse Specialist | 640 Jackson St, Mail Stop: 11503g, Saint Paul, MN 55101-2502 | 2010-06-29 |
| 1003143926 | Laura Jean Hermann | Clinical Nurse Specialist | 225 Smith Ave N, Suite 300, Saint Paul, MN 55102-2533 | 2009-11-13 |
| 1417168899 | Barbara J Vangeem | Clinical Nurse Specialist | 69 Exchange St W, Saint Paul, MN 55102-1004 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069318 | Ann Ruth Loth | Clinical Nurse Specialist | 3826 Halling Pl Sw, Rochester, MN 55902-1667 | 2020-10-05 |
| 1053861146 | Deborah Mangan-danckwart | Clinical Nurse Specialist | 67726 207th Ave, Wabasha, MN 55981-2196 | 2016-10-12 |
| 1972860526 | Lifetree Clinic | Clinical Nurse Specialist | 14585 Grand Ave, Suite 206, Burnsville, MN 55306-5719 | 2012-04-20 |
| 1104066695 | Lorene K Brown | Clinical Nurse Specialist | 120 Choctaw Cir, Chanhassen, MN 55317-9505 | 2009-02-24 |
| 1912143751 | Kimberly Kay Ness | Clinical Nurse Specialist | 6545 France Ave S # 210, Edina, MN 55435-2131 | 2008-12-29 |
| 1801072020 | Lisa Lavonn Long | Clinical Nurse Specialist | 2800 Campus Dr, Suite 30, Plymouth, MN 55441-2645 | 2008-01-17 |
| 1326234469 | Lyn Marie Palacheck | Clinical Nurse Specialist | 24750 Field Ave, Forest Lake, MN 55025-7214 | 2007-09-21 |
| 1336186048 | Kelli J Simmons | Clinical Nurse Specialist | 420 Delaware Street Southeast, Mayo Mail Code 450, Minneapolis, MN 55455 | 2006-06-01 |
| 1053393967 | Christine M Day | Clinical Nurse Specialist | 1502 London Rd, Suite 102, Duluth, MN 55812-1788 | 2005-11-16 |
| 1386287910 | Sara Beth Roslansky | Clinical Nurse Specialist | 1925 Woodwinds Dr, Woodbury, MN 55125-4445 | 2019-10-27 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55101 |
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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.