SARA SUZANNE REVIER (NPI# 1447531512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447531512 |
| Entity Type | Individual |
| Full Name | SARA SUZANNE REVIER |
| Credential | C.N.S. |
| Practice Address |
1200 Sixth Ave N Centracare Clinic St Cloud MN 56303-2735 |
| Practice Telephone | 3202525131 |
| Mailing Telephone | 3202525131 |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2011-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | R-156135-7 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1200 SIXTH AVE N CENTRACARE CLINIC |
| City | ST CLOUD |
| State | MN |
| Zip Code | 56303-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848122 | Bernard Rudolph Erickson | Internal Medicine | 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 | 2005-08-11 |
| 1255796918 | Tiffany Nicole Sande | Nurse Practitioner | 1200 Sixth Ave N, St Cloud, MN 56303-2735 | 2015-12-23 |
| 1417327651 | Larae A. Lymer | Nurse Practitioner | 1200 Sixth Ave N, St Cloud, MN 56303-2735 | 2015-09-30 |
| 1154799781 | Sarah Catherine Babst | Nurse Practitioner | 1200 Sixth Ave N, St Cloud, MN 56303-2735 | 2015-09-14 |
| 1376933366 | Milissa Sue Mcduffee | Nurse Practitioner | 1200 Sixth Ave N, Centracare Clinic River Campus/heart & Vascular Center, St Cloud, MN 56303-2735 | 2015-01-28 |
| 1174911127 | Kristin Ann Gjerset | Nurse Practitioner | 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 | 2014-12-29 |
| 1306253323 | Karen Rae Gozel | Clinical Nurse Specialist | 1200 Sixth Ave N, St Cloud, MN 56303-2735 | 2014-07-22 |
| 1093120131 | Courtney Lynn Brever | Physician Assistant | 1200 Sixth Ave N, St Cloud, MN 56303-2735 | 2014-06-27 |
| 1104230879 | Alyssa Marie Monson | Dietitian, Registered | 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 | 2014-06-20 |
| 1780023846 | Patrick Wayne Odens | Internal Medicine | 1200 Sixth Ave N, St Cloud, MN 56303-2735 | 2013-06-21 |
| 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 | 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 |
|---|---|---|---|---|
| 1306253323 | Karen Rae Gozel | Clinical Nurse Specialist | 1200 Sixth Ave N, St Cloud, MN 56303-2735 | 2014-07-22 |
| 1285990226 | Amy Marie Railson | Clinical Nurse Specialist | 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 | 2012-04-04 |
| 1134379068 | Jennifer L Bauerly | Clinical Nurse Specialist | 1200 Sixth Ave No, Centracare Clinic, St Cloud, MN 56303-2735 | 2008-09-29 |
| 1346374048 | Kari A O Comnick | Clinical Nurse Specialist | 1200 Sixth Ave No, Centra Care Clinic, St Cloud, MN 56303 | 2007-03-15 |
| 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.