TIPARPA CHITASOMBAT (NPI# 1417030081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417030081 |
| Entity Type | Individual |
| Full Name | TIPARPA CHITASOMBAT |
| Other Name | TIPARPA RUNGSEEVONG |
| Credential | CNS |
| Practice Address |
451 North Dunlap Street Mail Stop 32700a St Paul MN 55104-4621 |
| Mailing Address |
8100 34th Ave S 21110q Bloomington MN 55425-1672 |
| Practice Telephone | 6519994700 |
| Practice Fax Number | 6519994781 |
| Mailing Telephone | 9528835463 |
| Mailing Fax Number | 9528835395 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | R1307223 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
451 NORTH DUNLAP STREET MAIL STOP 32700A |
| City | ST PAUL |
| State | MN |
| Zip Code | 55104-4621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437112703 | Jennifer Guest Hines | Internal Medicine | 451 North Dunlap Street, Mail Stop 32700a, St Paul, MN 55104-4621 | 2006-04-08 |
| 1134174717 | Kimberly K Rathmann | Pediatrics | 451 North Dunlap Street, Mail Stop 32700a, St Paul, MN 55104-4621 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275549339 | Sara Fran Hall | Clinical Nurse Specialist | 640 Jackson St, M S 11502v, St Paul, MN 55101-2502 | 2006-07-31 |
| 1477588028 | Katina Margaret Pougiales | Clinical Nurse Specialist | 2550 University Ave W, Suite 229n, St Paul, MN 55114 | 2006-07-12 |
| 1932171477 | Elaine C Nelson | Clinical Nurse Specialist | 640 Jackson St, Mc 11102h, St Paul, MN 55101-2502 | 2006-02-07 |
| 1215900782 | Penny L Krogmann | Clinical Nurse Specialist | 640 Jackson Street, Mail Stop 11303a, St Paul, MN 55101-2502 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255761821 | Karen Mary Gmitro Prieto | Clinical Nurse Specialist | 913 E 26th St # 401, Minneapolis, MN 55404-4515 | 2013-11-19 |
| 1942642681 | Jean Vaneps | Clinical Nurse Specialist | 708 Division St, Deer River, MN 56636-8706 | 2013-07-23 |
| 1174745715 | Susan M Karnitz | Clinical Nurse Specialist | 1575 Beam Avenue, Maplewood, MN 55109 | 2007-05-03 |
| 1598805079 | Marybeth L O Neil | Clinical Nurse Specialist | 2100 Campus Dr Se, Rochester, Rochester, MN 55904-4831 | 2007-02-07 |
| 1700955366 | Geropsych Health Services, Inc. | Clinical Nurse Specialist | 611 Spruce Grove Ln Nw, Bemidji, MN 56601-7746 | 2006-11-07 |
| 1912008152 | Molly S Fritz-beckers | Clinical Nurse Specialist | Range Mental Health Center Perpich Building, 3203 W 3rd Ave, Hibbing, MN 55746 | 2006-09-26 |
| 1407866510 | Saunda St Martin | Clinical Nurse Specialist | 24760 Hospital Drive, Redlake, MN 56671 | 2006-08-09 |
| 1578577953 | Nancy Menzel | Clinical Nurse Specialist | 15 S Pilot Ct, Mankato, MN 56001-4127 | 2006-07-28 |
| 1417901109 | Jodie Duntley | Clinical Nurse Specialist | 701 Park Ave # S1, Minneapolis, MN 55415-1623 | 2006-05-19 |
| 1992766869 | Gay M Bartholic | Clinical Nurse Specialist | 2345 Ariel Street N - Mail Stop 13601a, Healthpartners Regions Behavioral Health - Maplewood, Maplewood, MN 55109-2248 | 2006-03-30 |
| 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.