KATHLEEN A. RIEKE (NPI# 1396899449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396899449 |
| Entity Type | Individual |
| Full Name | KATHLEEN A. RIEKE |
| Other Name | KATHLEEN A. FISHER |
| Credential | MD |
| Practice Address |
1200 Sixth Ave No Centracare Clinic St Cloud MN 56303-2735 |
| Practice Telephone | 3202525131 |
| Mailing Telephone | 3202525131 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2009-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
48271 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
1200 SIXTH AVE NO CENTRACARE CLINIC |
| City | ST CLOUD |
| State | MN |
| Zip Code | 56303-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043212665 | Centracare Clinic | Clinic/Center | 1200 Sixth Ave No, Centracare Clinic, St Cloud, MN 56303-2735 | 2005-08-12 |
| 1457592909 | Timothy N Rowen | Physician Assistant | 1200 Sixth Ave No, Centracare Clinic, St Cloud, MN 56303-2735 | 2009-03-13 |
| 1649415811 | Valery A. Hoover | Nurse Practitioner | 1200 Sixth Ave No, Centracare Clinic, St Cloud, MN 56303-2735 | 2008-12-02 |
| 1134379068 | Jennifer L Bauerly | Clinical Nurse Specialist | 1200 Sixth Ave No, Centracare Clinic, St Cloud, MN 56303-2735 | 2008-09-29 |
| 1073772653 | Sheri L Pikus | Nurse Practitioner | 1200 Sixth Ave No, Centra Care Clinic, St Cloud, MN 56303 | 2008-06-09 |
| 1598948366 | Mary A Loecken | Nurse Practitioner | 1200 Sixth Ave No, Centracare Clinic, St Cloud, MN 56303 | 2007-12-14 |
| 1093900011 | Alexander J Schad | Internal Medicine | 1200 Sixth Ave No, Centra Care Clinic, St Cloud, MN 56303-2735 | 2007-09-12 |
| 1194927202 | Tracey B Thompson | Pediatrics | 1200 Sixth Ave No, Centra Care Clinic, St Cloud, MN 56303 | 2007-06-01 |
| 1346374048 | Kari A O Comnick | Clinical Nurse Specialist | 1200 Sixth Ave No, Centra Care Clinic, St Cloud, MN 56303 | 2007-03-15 |
| 1235174236 | Katharine J Keranen | Physician Assistant | 1200 Sixth Ave No, Centracare Clinic, St Cloud, MN 56303 | 2006-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689632341 | Maria Kearney | Psychiatry & Neurology | 4544 Country Road 123 Ste 134, St Cloud, MN 56303 | 2006-05-03 |
| 1508834136 | James C Romanowsky | Psychiatry & Neurology | 1200 Sixth Ave No, Centracare Clinic, St Cloud, MN 56303-2735 | 2006-03-09 |
| 1083682561 | Troy A Payne | Psychiatry & Neurology | 1200 Sixth Ave N, Centra Care Clinic, St Cloud, MN 56303 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905251 | Nexus | Psychiatry & Neurology | 2121 Campus Dr Se, Rochester, MN 55904-4744 | 2020-09-02 |
| 1669995528 | Malik Ghannam | Psychiatry & Neurology | 701 15th Ave Se, Minneapolis, MN 55414-4047 | 2017-07-24 |
| 1477903995 | James Albert Zeese Jr. | Psychiatry & Neurology | 2401 Laurel Avenue, Minneapolis, MN 55405 | 2016-06-15 |
| 1265790414 | Brian Michael Krasnow | Psychiatry & Neurology | 1746 Hillcrest Avenue, Saint Paul, MN 55116-2151 | 2012-04-25 |
| 1699079533 | Gilbert Westreich | Psychiatry & Neurology | 1779 Emerson Ave South, Minneapolis, MN 55403-2909 | 2011-01-07 |
| 1720233570 | West Central Neurology Pa | Psychiatry & Neurology | 11521 312th Ave, Princeton, MN 55371-3423 | 2008-11-20 |
| 1235388521 | Donald W Klass | Psychiatry & Neurology | 956 14th Ave Sw, Rochester, MN 55902-2078 | 2008-09-11 |
| 1598929267 | Frank Wilson Sharbrough IIi | Psychiatry & Neurology | 814 8th Ave Sw, Rochester, MN 55902-6308 | 2008-07-11 |
| 1881855187 | Kenneth James Shea IIi | Psychiatry & Neurology | 3540 17th Ave S, Saint Cloud, MN 56301-9664 | 2008-06-19 |
| 1275792293 | Ali Emami | Psychiatry & Neurology | 310 Smith Ave N Ste 440, Saint Paul, MN 55102-2316 | 2008-06-05 |
| 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.