JOE WITT (NPI# 1396286357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396286357 |
| Entity Type | Individual |
| Full Name | JOE WITT |
| Credential | LP |
| Practice Address |
5219 St. John Drive Nett Lake MN 55772 |
| Practice Telephone | 2187573650 |
| Mailing Telephone | 2187573650 |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP-0437 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | STATE | LP-0437 | 01 |
| Street Address |
5219 ST. JOHN DRIVE |
| City | NETT LAKE |
| State | MN |
| Zip Code | 55772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346600962 | Julie Corradi | Pharmacist | 5219 St. Johns Drive, Nett Lake, MN 55772 | 2016-02-24 |
| 1205134152 | Melissa Joan Grzybowski | Dietitian, Registered | 5219 St. John's Drive, Nett Lake, MN 55772 | 2011-03-02 |
| 1871713321 | Bois Forte Reservation Tribal Council | Clinic/Center | 13071 Nett Lake Road, Suite B, Nett Lake, MN 55772 | 2007-04-26 |
| 1972666469 | Bois Forte Medical Clinic | Clinic/Center | 5219 St John Dr, Nett Lake, MN 55772 | 2006-12-18 |
| 1073530150 | Bois Forte Reservation Tribal Government | Family Medicine | 5219 St. John Dr, Nett Lake, MN 55772 | 2006-07-16 |
| 1649270901 | Bois Forte Reservation Tribal Council | Community/Behavioral Health | 13071 Nett Lake Road, Suite B, Nett Lake, MN 55772 | 2005-07-28 |
| 1912170549 | Peggy J Hiestand Harri | Dietitian, Registered | 13071 Nett Lake Rd, Nett Lake, MN 55772 | 2008-04-03 |
| 1528288073 | Bois Forte Human Services | Social Worker | 13090 Westley Drive, Suite B, Nett Lake, MN 55772 | 2007-04-26 |
| 1255815387 | Bois Forte Reservation Tribal Council | Non-emergency Medical Transport (VAN) | 5344 Lake Shore Dr, Nett Lake, MN 55772-1200 | 2018-09-25 |
| 1821153347 | St. Louis & Koochiching Cos Ind School Dist 707 | Local Education Agency (LEA) | 13090 Westley Drive, Nett Lake, MN 55772-8122 | 2006-12-26 |
| Find all providers in zip 55772 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899291 | Charlotte Mae Gerth Haanen | Psychologist | 2805 Cliff Rd E, Burnsville, MN 55337-4095 | 2020-10-17 |
| 1386251148 | Andrew Charles Weis | Psychologist | 158 Water St N Ste 1, Northfield, MN 55057-2125 | 2020-09-25 |
| 1861008567 | Natalia V Potapova | Psychologist | 701 Park Ave # S1.110, Minneapolis, MN 55415-1623 | 2020-09-17 |
| 1720691884 | Oluwatosin Alabi | Psychologist | 4124 Quebec Ave N Ste 307, New Hope, MN 55427-1241 | 2020-08-28 |
| 1962014167 | Kate Esterline | Psychologist | 2724 University Ave Se Ste B, Minneapolis, MN 55414-3210 | 2020-08-19 |
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1699392266 | Jacqueline Suresh Layton | Psychologist | 17324 Glencoe Ave, Lakeville, MN 55044-7429 | 2020-06-30 |
| 1760016109 | Cori Miller | Psychologist | 7300 Metro Blvd Ste 400, Edina, MN 55439-2307 | 2020-02-25 |
| 1831722594 | Collaboration for Psychological Wellness, LLC | Psychologist | 12000 Portland Ave Ste 120, Burnsville, MN 55337-4469 | 2020-02-20 |
| 1780214601 | Jennifer Jacqueline Felinski Kurtz | Psychologist | 16688 Kentucky Ave, Lakeville, MN 55044-4616 | 2020-01-20 |
| Find all providers with the same taxonomy | ||||
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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.