KATIE MARIE CLABO (NPI# 1457910341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457910341 |
| Entity Type | Individual |
| Full Name | KATIE MARIE CLABO |
| Practice Address |
6401 France Ave S Edina MN 55435-2104 |
| Practice Telephone | 9529245000 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
6688 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6401 FRANCE AVE S |
| City | EDINA |
| State | MN |
| Zip Code | 55435-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162128 | Molly E Martin | Internal Medicine | 6401 France Ave S, Edina, MN 55435 | 2005-05-27 |
| 1760098156 | Tyler William Freiborg | Registered Nurse | 6401 France Ave S, Edina, MN 55435-2104 | 2020-09-21 |
| 1831707207 | Fairview Express Care | General Practice | 6401 France Ave S, Edina, MN 55435-2104 | 2020-07-21 |
| 1255951950 | Jennifer L Guptail | Dietitian, Registered | 6401 France Ave S, Edina, MN 55435-2104 | 2020-04-22 |
| 1053931964 | Emilee Kuehl | Nurse Practitioner | 6401 France Ave S, Edina, MN 55435-2104 | 2020-04-21 |
| 1689211526 | Angela Tullbane | Dietitian, Registered | 6401 France Ave S, Ll10, Edina, MN 55435 | 2019-12-10 |
| 1679119341 | Mckenzie Jo Young | Dietitian, Registered | 6401 France Ave S, Edina, MN 55435-2104 | 2019-11-18 |
| 1629619218 | Sonya Blyakher | Physical Therapist | 6401 France Ave S, Edina, MN 55435-2104 | 2019-10-04 |
| 1386294791 | Michelle Teigen | Nurse Anesthetist, Certified Registered | 6401 France Ave S, Edina, MN 55435-2104 | 2019-09-17 |
| 1134779853 | Vanesha Vasian Gordon-king | Nurse Practitioner | 6401 France Ave S, Edina, MN 55435-2104 | 2019-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609392695 | Nicholas Lee Villarreal | Nurse Practitioner | 6401 France Ave S, Edina, MN 55435-2104 | 2017-08-21 |
| 1831541564 | Casey Ann Loyd | Nurse Practitioner | 6401 France Ave S, Edina, MN 55435-2104 | 2016-07-06 |
| 1790154441 | Sarah Jordan Mccarthy-dougherty | Nurse Practitioner | 6401 France Ave S, Edina, MN 55435-2104 | 2015-09-23 |
| 1013359744 | Meghan Maureen Davitt | Nurse Practitioner | 7505 Metro Blvd Ste 400, Edina, MN 55439 | 2013-07-23 |
| 1902153240 | Anna Maria Blem Milner | Nurse Practitioner | 7505 Metro Blvd Ste 400, Edina, MN 55439 | 2012-08-06 |
| 1821302100 | Totianna Renee Prudhomme | Nurse Practitioner | 7505 Metro Blvd, Suite 400, Edina, MN 55439 | 2010-07-29 |
| 1134168628 | Jill Marie Scholz | Nurse Practitioner | 7505 Metro Blvd, Suite 400, Edina, MN 55439 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043826605 | Angela Jean Splettstoeszer | Nurse Practitioner | 916 Arch Ln Sw, Bemidji, MN 56601-8861 | 2020-09-18 |
| 1316581440 | Northern Lights Health LLC | Nurse Practitioner | 212 W Lake St, Waconia, MN 55387-1014 | 2019-10-31 |
| 1285190132 | Hudson M Omweri | Nurse Practitioner | 1621 Highway 47, Ogilvie, MN 56358-9005 | 2019-02-15 |
| 1184145914 | Andrea Lueck | Nurse Practitioner | 345 Smith Ave N Ste 301, Saint Paul, MN 55102-2346 | 2017-07-01 |
| 1871914887 | Brooke Habisch | Nurse Practitioner | 1200 Sixth Ave No Centracare Clinic, Saint Cloud, MN 56303 | 2013-12-17 |
| 1851635502 | Kim Noreen Garrett | Nurse Practitioner | 1703 Bradach Rd, Ely, MN 55731-8041 | 2012-11-19 |
| 1821365305 | Nathaniel I Cree | Nurse Practitioner | 500 Harvard St., Fairview University Hospital, Minneapolis, MN 55455 | 2011-11-28 |
| 1235461419 | Eric Andrew Reyer | Nurse Practitioner | 6401 Sycamore Ln N, Maple Grove, MN 55369-6356 | 2010-02-12 |
| 1457303067 | David A Palm | Nurse Practitioner | Hennepin County Medical Center, 701 Park Ave, Minneapolis, MN 55415 | 2006-05-16 |
| 1972567956 | Michelle D Lewis | Nurse Practitioner | 9900 Bren Rd East, Mail Route Mn 008-b213, Minnetonka, MN 55343-9664 | 2006-04-14 |
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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.