NANCY PICKETT (NPI# 1407865223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407865223 |
| Entity Type | Individual |
| Full Name | NANCY PICKETT |
| Practice Address |
715 E 78th St Hcmc Walmart Retail Clinic-bloomington Bloomington MN 55420-1397 |
| Mailing Address |
715 E 78th St Bloomington MN 55420-1397 |
| Practice Telephone | 6128737644 |
| Mailing Telephone | 6128737644 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2013-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R 112160-3 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA | 0101848 | 01 |
| MN | BLUE CROSS BLUE SHIELD | 262R1PI | 01 |
| MN | EVERCARE | 6982979 | 01 |
| MN | HEALTHPARTNERS | HP21020 | 01 |
| MN | MEDICAL ASSISTANCE | 233542500 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952937930 | Nancy Pickett | Registered Nurse | 2501 Bois D Arc Ln, Cedar Park, TX 78613-6223 | 2020-03-21 |
| 1881141257 | Nancy Pickett | Physical Therapist | 1990 Vaughn Rd Nw, Suite 330, Kennesaw, GA 30144-7098 | 2016-09-02 |
| Street Address |
715 E 78TH ST HCMC WALMART RETAIL CLINIC-BLOOMINGTON |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55420-1397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346735198 | Holly Rose Langer | Optometrist | 715 E 78th St, Bloomington, MN 55420-1397 | 2018-06-25 |
| 1386082394 | Elias Graham Keith | Optometrist | 715 E 78th St, Bloomington, MN 55420-1397 | 2013-06-12 |
| 1578856043 | Anita Marie Wood | Nurse Practitioner | 715 E 78th St, Bloomington, MN 55420-1397 | 2011-05-17 |
| 1730495003 | Hennepin Healthcare System, Inc | Clinic/Center | 715 E 78th St, Bloomington, MN 55420-1397 | 2010-08-25 |
| 1568624195 | Jessica Loehr | Optometrist | 715 E 78th St, Bloomington, MN 55420-1397 | 2008-06-25 |
| 1992991426 | Hadden Eyecare Associates | Optometrist | 715 E 78th St, C/o Wal-mart Vision Center, Bloomington, MN 55420-1397 | 2007-09-18 |
| 1174728331 | Gloria Elaine Deones | Physician Assistant | 715 E 78th St, Bloomington, MN 55420-1397 | 2007-06-18 |
| 1811077191 | Wal-mart Stores, Inc. | Technician/Technologist | 715 E 78th St, Bloomington, MN 55420-1397 | 2006-10-17 |
| 1144339979 | Scott D Hadden | Optometrist | 715 E 78th St, Bloomington, MN 55420 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
| 1720624810 | Sunshine Assisted Living Services LLC | Home Health | 9540 Columbus Ave S, Bloomington, MN 55420 | 2019-11-23 |
| 1417205246 | Jrb Holdings, LLC | Home Health | 9897 Lyndale Ave S, Bloomington, MN 55420 | 2012-08-28 |
| 1629223722 | Jennifer Jean Bormann | Audiologist | 8714 Lyndale Avenue South, Minneapolis, MN 55420 | 2008-11-18 |
| 1801055959 | Sarah J. Marsden | Speech-Language Pathologist | 900 W 94th St., Bloomington, MN 55420 | 2008-06-04 |
| 1699949784 | 1st Choice Care, Inc. | Home Health | 9035 Blaisdell Ave S, Bloomington, MN 55420 | 2008-04-18 |
| 1922295203 | Cornerstone Advocacy Service | Community/Behavioral Health | 1000 East 80th St, Bloomington, MN 55420 | 2007-10-01 |
| 1184769457 | Fairview Oxboro Pharmacy Mtm | Non-Pharmacy Dispensing Site | 600 W 98th Street, Bloomington, MN 55420 | 2007-02-21 |
| 1891831723 | A Caring Company, Inc. | In Home Supportive Care | 9001 East Bloomington Freeway, Sutie 145, Bloomington, MN 55420 | 2007-01-29 |
| 1134279318 | Jennifer Mary Connelly | Speech-Language Pathologist | 9001 E Bloomington Fwy Ste 141, Bloomington, MN 55420 | 2007-01-11 |
| Find all providers in zip 55420 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1609343128 | Katy Jo Northcutt | Nurse Practitioner | 1130 S Veterans Parkway, Bloomington, IL 61704-7117 | 2018-11-02 |
| 1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
| 1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
| 1720532005 | Antonia Jacqueline Abrahamsen | Nurse Practitioner | 2009 E Oakland Ave, Bloomington, IL 61701-5756 | 2016-08-04 |
| 1700229028 | Steve Mandieka | Nurse Practitioner | 10800 Lyndale Ave S Ste 114, Bloomington, MN 55420-2611 | 2013-04-17 |
| 1144538380 | Julie Ann Whelan | Nurse Practitioner | 8642 Wood Cliff Cir S, Bloomington, MN 55438-1514 | 2010-09-22 |
| 1386877413 | Carrie Hines | Nurse Practitioner | 4444 W State Road 46, Bloomington, IN 47404-9691 | 2009-08-24 |
| 1962634154 | Mark Stock | Nurse Practitioner | 9401 James Ave S Ste 162, Bloomington, MN 55431-2549 | 2009-08-20 |
| 1104911791 | Carla Mcgee | Nurse Practitioner | 600 North Jordan Avenue, Bloomington, IN 47405-3191 | 2006-10-03 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55420 |
Please comment or provide details below to improve the information on NANCY PICKETT.
| 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.