KAITLIN MCCUSKEY (NPI# 1437793676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437793676 |
Entity Type | Individual |
Full Name | KAITLIN MCCUSKEY |
Practice Address |
3050 Rosewood Ln N Plymouth MN 55441-2740 |
Practice Telephone | 6124836775 |
Enumeration Date | 2019-10-31 |
Last Update Date | 2019-10-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
3050 ROSEWOOD LN N |
City | PLYMOUTH |
State | MN |
Zip Code | 55441-2740 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
Find all providers in zip 55441 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558986281 | Courtney Laperriere | Student in an Organized Health Care Education/Training Program | 19 Welton Dr, Plymouth, MA 02360-2367 | 2020-06-09 |
1053934588 | Kailey Weichel | Student in an Organized Health Care Education/Training Program | 308 N Columbus Ave, Plymouth, NE 68424 | 2020-05-19 |
1568099661 | Nikko Sirdenis | Student in an Organized Health Care Education/Training Program | 9065 Corey Ct, Plymouth, MI 48170-3497 | 2020-03-26 |
1134760515 | Natalie Ann Ondayko | Student in an Organized Health Care Education/Training Program | 1698 Nantucket Rd, Plymouth, MI 48170-7000 | 2019-10-07 |
1407406143 | Peng Lee | Student in an Organized Health Care Education/Training Program | 190 Main St Apt C, Plymouth, NH 03264-1566 | 2019-09-15 |
1538722103 | Maxwell E Johnson | Student in an Organized Health Care Education/Training Program | 17 High St, Plymouth, New Hampshire, Plymouth, NH 03264 | 2019-04-18 |
1013475540 | Miqdad Tambawala | Student in an Organized Health Care Education/Training Program | 19 Highland Ave Ste 1057, Plymouth, NH 03264-1585 | 2019-03-04 |
1710480967 | Jeffrey Beauregard | Student in an Organized Health Care Education/Training Program | 47088 Brooks Ln, Plymouth, MI 48170-3476 | 2018-03-14 |
1588164198 | Mackenzie Rae Schuler | Student in an Organized Health Care Education/Training Program | 722 N Walnut St, Plymouth, IN 46563-1550 | 2018-02-20 |
1033638838 | Evan Hansen | Student in an Organized Health Care Education/Training Program | 5 First Street, Apartment B, Plymouth, NH 03264 | 2017-09-12 |
Find all providers in PLYMOUTH |
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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.