ST. CATHERINE UNIVERSITY SCHOOL BASED HEALTH CLINIC (NPI# 1467071084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467071084 |
| Entity Type | Organization |
| Organization Name | ST. CATHERINE UNIVERSITY SCHOOL BASED HEALTH CLINIC |
| Practice Address |
5045 Division Ave White Bear Lake MN 55110 |
| Mailing Address |
2004 Randolph Ave. F-22 St. Paul MN 55105 |
| Practice Telephone | 6516532923 |
| Mailing Telephone | 6516906101 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |
| Authorized Official Name | JESSICA M MIEHE (CLINIC DIRECTOR) |
| Authorized Official Telephone | 6516532923 |
| Authorized Official Credential | MSN, RN |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. CATHERINE UNIVERSITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Bear Care Health and Wellness Center | Doing Business As Name - Organization |
| Street Address |
5045 DIVISION AVE, |
| City | WHITE BEAR LAKE |
| State | MN |
| Zip Code | 55110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922450618 | Lisa Marie Thatcher | Podiatrist | 4653 White Bear Pkwy., St. Paul, MN 55110 | 2016-07-06 |
| 1558725598 | White Bear Dentists, PC | Dentist | 1970 Buerkle Road, White Bear Lake, MN 55110 | 2016-04-06 |
| 1124486246 | Julie Blaske | Counselor | 1310 Hwy 96 E, Suite 200, White Bear Lake, MN 55110 | 2016-02-03 |
| 1851761514 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 1920 Buerkle Rd, White Bear Lake, MN 55110 | 2015-10-06 |
| 1821496969 | Leah Eichmiller | Acupuncturist | 2183 3rd Street, C/o Indulge Salon, White Bear Lake, MN 55110 | 2014-12-05 |
| 1447672084 | Ashley Rath | Chiropractor | 1247 Gun Club Rd., White Bear Lake, MN 55110 | 2014-01-16 |
| 1790121291 | Advanced Medical Home Care, LLC | Home Health | 2555 County Road E East, Suite 101, White Bear Lake, MN 55110 | 2013-05-11 |
| 1134468465 | Emergency Physicians Professional Association | Clinic/Center | 1159 E. County Road E, Vadnais Heights, MN 55110 | 2013-02-06 |
| 1639444284 | Rebecca Lynn Blaede | Counselor | 4858 Banning Avenue, White Bear Lake, MN 55110 | 2012-03-15 |
| 1760771810 | Maria Leora Amaro Simmons | Pharmacist | 1403 Highway 96e, White Bear Lake, MN 55110 | 2011-03-29 |
| Find all providers in zip 55110 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669005948 | Kevin Charles Carlson | Nurse Practitioner | 19303 Sorrel Ct, Corcoran, MN 55340-4447 | 2020-02-14 |
| 1144862996 | Alade Lateef Hamza | Nurse Practitioner | 4808 85th Ave N Ste 300, Brooklyn Park, MN 55443-1816 | 2019-10-14 |
| 1114584869 | Tenzin Lhamo | Nurse Practitioner | 195 Windsor Ln, New Brighton, MN 55112-3366 | 2019-05-28 |
| 1255834859 | Ashley M Morehouse | Nurse Practitioner | 625 S 4th St Ste A, Le Sueur, MN 56058-2203 | 2018-03-10 |
| 1013457381 | Lydia Nyakonu Sherman | Nurse Practitioner | 606 24th Ave S #620, Minneapolis, MN 55454 | 2017-03-06 |
| 1912447780 | Zillah Mulubisha | Nurse Practitioner | Brooklyn Park Clinic, 7650 Zane Ave N, Minneapolis, MN 55443 | 2017-02-27 |
| 1245615194 | Jennifer Nelson | Nurse Practitioner | 480 Osborne Rd Ne Ste 220, Fridley, MN 55432-2866 | 2015-07-21 |
| 1912397142 | Solomon Africanus Wesseh Jr. | Nurse Practitioner | 10135 43rd Ct Ne, Saint Michael, MN 55376-3015 | 2015-01-26 |
| 1780084004 | Angela Rae Fox | Nurse Practitioner | 7383 Upper 157th St W, Apple Valley, MN 55124-5108 | 2014-08-25 |
| 1841409265 | Jody Lee Ashley | Nurse Practitioner | 15921 Andrie St Nw, Ramsey, MN 55303-3874 | 2007-05-22 |
| Find all providers with the same taxonomy | ||||
| City | WHITE BEAR LAKE |
| Zip Code | 55110 |
Please comment or provide details below to improve the information on ST. CATHERINE UNIVERSITY SCHOOL BASED HEALTH CLINIC.
| 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.