PARTNERS IN EXCELLENCE INC (NPI# 1467598730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467598730 |
| Entity Type | Organization |
| Organization Name | PARTNERS IN EXCELLENCE INC |
| Practice Address |
14301 Ewing Ave S Burnsville MN 55306-4885 |
| Practice Telephone | 9527465350 |
| Practice Fax Number | 9527466131 |
| Mailing Telephone | 9527465350 |
| Mailing Fax Number | 9527466131 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2014-12-10 |
| Authorized Official Name | MS. DEBORAH K THOMAS (CHIEF EXECUTIVE OFFICE) |
| Authorized Official Telephone | 9524052583 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PROVIDER ID# - STATE OF WI - PARTNERS IN EXCELLENCE | 1467598730 | 01 | |
| NPI NUMBER - KATHERINE SYTNIAK | 1275960502 | 01 | |
| JACQUELYN SCHMIDA NPI NUMBER | 1215912662 | 01 | |
| WI | STATE OF WI PROVIDER # - JACQUELINE SCHMIDA | 1528009560 | 01 |
| MN | BCBS PROVIDER # EIBI SERVICES | 152D1PA | 01 |
| MN | LICENSE # - GERARD LASALLE | LP1359 | 01 |
| MN | SANDRA MANNS NPI NUMBER | 1558521443 | 01 |
| NPI NUMBER - AISHA BEYER | 1780988394 | 01 | |
| WI | DR. CHARLES MOORE | 1028.57 | 01 |
| DR CHARLES MOORE NPI NUMBER | 123522104 | 01 | |
| MN | BCBS PROVIDER ID # - LACROSSE SITE FOR EIBI SERVICES | 4DT59PA | 01 |
| MN | BCBS PROVIDER ID # - LACROSSE SITE OCCUPATIONAL THERAPY SERVICES | CZ31PA | 01 |
| NPI NUMBER - ELLEN HOXIE | 1891006599 | 01 | |
| CAQH PROVIDER ID# - DR CHARLES MOORE | 11420695 | 01 | |
| NPI # - ERICA BRANDAU | 1861764938 | 01 | |
| NPI NUMBER - KALA MCCLELLAN | 1477987831 | 01 | |
| NPI # - DR. CHARLES M MOORE | 1235282104 | 01 | |
| NPI NUMBER - JENNA AVERBECK FORMERLY JENNA NIKULA | 1659656429 | 01 | |
| MN | CIGNA PROVIDER NUMBER | AN35342220001 | 01 |
| NPI - CORTNEY WAKEFIELD | 1821331570 | 01 | |
| WI | WI STATE LICENSE - DR. CHARLES M MOORE | 1028-57 | 01 |
| NPI # - GERARD LASALLE | 1700944675 | 01 | |
| MN | BCBS OF MN PROVIDER ID# - SPEECH, LANGUAGE PATHOLOGY | 475I4PA | 01 |
| WI | JACKIE SCHMIDA WI LICENSE | 651-154 | 01 |
| MN | BCBS OF MN PROVIDER ID# - OCCUPATIONAL THERAPY SERVICES | 70G18PA | 01 |
| NPI NUMBER - STEPHANY REETZ | 1225474570 | 01 |
| Street Address |
14301 EWING AVE S |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55306-4885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557455 | Abby L Hatcher | Behavioral Analyst | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-10-29 |
| 1952913063 | Alyssa Chang | Behavior Technician | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-08-19 |
| 1568071249 | Taylor Fosse | Behavior Technician | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-07-28 |
| 1639797608 | Ryan Jacob Bailey | Behavior Technician | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-07-07 |
| 1336766120 | Jami Marie Kadolph | Behavior Technician | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-06-29 |
| 1285259705 | Madeline Lavictoire | Behavior Technician | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-06-10 |
| 1205459112 | Erin Lunz | Behavior Technician | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-05-26 |
| 1568084119 | Tyler Jordan Smith | Counselor | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-05-16 |
| 1326671496 | Monica Johnson | Behavior Technician | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-02-18 |
| 1972135994 | Rachel Jeppesen | Behavior Technician | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2020-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095438 | Roers Senior Living Burnsville LLC | Assisted Living Facility | 14401 Grand Avenue, Burnsville, MN 55306 | 2020-02-19 |
| 1639717986 | Kaylee Nadine Frederickson | Speech-Language Pathologist | 14451 Grand Ave S, Burnsville, MN 55306 | 2019-12-17 |
| 1780236893 | Nichole Arn | Occupational Therapist | 14301 Ewing Avenue, Burnsville, MN 55306 | 2019-07-10 |
| 1942708516 | Nicholas John Solverson | Chiropractor | 14671 Chicago Ave Apt 6, Burnsville, MN 55306 | 2018-01-29 |
| 1164978672 | Benjamin Halpern | Dentist | 14344 Burnhaven Drive, Burnsville, MN 55306 | 2016-08-26 |
| 1528478336 | Michael Patrick Hennes | Chiropractor | 14587 Grand Ave Ste 112, Burnsville, MN 55306 | 2014-05-01 |
| 1467799924 | Dentalign, Pa | Dentist | 2999 County Road 42 W Suite 138, Burnsville, MN 55306 | 2013-01-03 |
| 1417205436 | Heather Heide | Student in an Organized Health Care Education/Training Program | 14750 Lac Lavon Dr, Burnsville, MN 55306 | 2012-08-23 |
| 1427243898 | Rehana Leila Ahmed-saucedo | Dermatology | 14305 Southcross Dr, Suite 110, Burnsville, MN 55306 | 2007-09-10 |
| 1881815397 | Kyle James Colbert | Chiropractor | 745 Crystal Lake Rd East, Burnsville, MN 55306 | 2007-05-01 |
| Find all providers in zip 55306 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518067701 | Jerry Blume | Psychologist | 1523 Highway 13 E, Burnsville, MN 55337-2917 | 2006-09-25 |
| 1649893587 | Nicole M. Johnson, Psyd, Lp, LLC | Psychologist | 200 E Travelers Trl Ste 205, Burnsville, MN 55337-4191 | 2020-05-27 |
| 1821166653 | Patricia Mary Peterson | Psychologist | 1500 Mcandrews Rd W, Suite 224, Burnsville, MN 55337-4432 | 2006-12-01 |
| 1861588253 | Lutheran Counseling Center | Psychologist | 1523 Highway 13 E, Burnsville, MN 55337-2917 | 2006-10-05 |
| 1558461731 | Anastasia Evans | Psychologist | 1523 Highway 13 E, Burnsville, MN 55337-2917 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347854 | Shining Light Skill Building LLC | Psychologist | 3055 Old Highway 8 Ste 106b, St. Anthony, MN 55418 | 2020-08-17 |
| 1245750652 | Sara Vaccarella | Psychologist | 331 W Superior St Ste 300, Duluth, MN 55802-4532 | 2017-06-27 |
| 1780124305 | Families First Counseling Services LLC | Psychologist | 103 S Kingston St, Caledonia, MN 55921-1315 | 2017-03-01 |
| 1598150930 | Nova Bhs | Psychologist | 521 Tanglewood Dr., Shoreview, MN 55126 | 2015-04-02 |
| 1801208566 | Rose Mary Boerboom | Psychologist | 415 N 1st St, #502, Minneapolis, MN 55401-4305 | 2014-05-28 |
| 1881015253 | Lucas Bosco Wanga | Psychologist | 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 | 2014-01-02 |
| 1992145288 | Rowan P Buckley | Psychologist | 6825 Owen St Ste 201, Loretto, MN 55357-9713 | 2013-07-01 |
| 1063781771 | Julie Ann Gomer | Psychologist | 13700 Reimer Dr N Ste 220, Maple Grove, MN 55311-4548 | 2011-12-26 |
| 1750697587 | Megan Horwitz Plumstead | Psychologist | 1619 Dayton Ave Ste 327, Saint Paul, MN 55104-6495 | 2010-08-31 |
| 1073826913 | Scott Michael Jacoby | Psychologist | 2110 Lyndale Ave S, Minneapolis, MN 55405-3196 | 2010-07-20 |
| Find all providers with the same taxonomy | ||||
| City | BURNSVILLE |
| Zip Code | 55306 |
Please comment or provide details below to improve the information on PARTNERS IN EXCELLENCE INC.
| 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.