MARY LOUISE DYSART (NPI# 1477645299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477645299 |
| Entity Type | Individual |
| Full Name | MARY LOUISE DYSART |
| Credential | CNP |
| Practice Address |
1 Veterans Dr Minneapolis MN 55417-2309 |
| Mailing Address |
8756 140th Street Blvd Apple Valley MN 55124-9420 |
| Practice Telephone | 6124671285 |
| Mailing Telephone | 6124671285 |
| Mailing Fax Number | 6127275631 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R078900-4 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 VETERANS DR |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55417-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023012762 | Peter T. Mitchell | Nurse Practitioner | 1 Veterans Dr, 111h, Minneapolis, MN 55417-2309 | 2005-06-10 |
| 1114527926 | Phuong Duy Le | Pharmacist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-30 |
| 1437759453 | Rebecca Fritze | Social Worker | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-28 |
| 1225637713 | Jedidiah Cates | Recreation Therapist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-26 |
| 1457950719 | Alisha Beckett | Physical Therapist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-19 |
| 1982203303 | Madeline Wollersheim | Speech-Language Pathologist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-19 |
| 1285232611 | Hannah Schmidt | Registered Nurse | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-16 |
| 1134736861 | Samuel William Schieffer | Pharmacist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-09-27 |
| 1306452727 | Kate Finn | Psychologist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-09-21 |
| 1447865068 | Amanda Mueller | Pharmacist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1174160832 | Susan Jacobson | Pharmacist | One Veterans Drive (119), Minneapolis, MN 55417 | 2019-12-02 |
| 1699240580 | Angela Cox | Social Worker | Vamc Minneapolis, 1 Veterans Drive (1k), Minneapolis, MN 55417 | 2018-10-08 |
| 1407353519 | Kirsten Kathleen Rydberg | Registered Nurse | One Veteran Drive, Minneapolis, MN 55417 | 2018-04-06 |
| 1902306038 | Ksa Psychological Services, LLC | Psychologist | 5603 Chicago Ave., Minneapolis, MN 55417 | 2018-02-15 |
| 1770025710 | Elizabeth Kate Adam | Registered Nurse | 613 E Minnehaha Pkwy, Minneapolis, MN 55417 | 2016-11-08 |
| 1831579754 | John Rossakis | Occupational Therapist | 5708 42nd Ave S, Minneapolis, MN 55417 | 2015-06-05 |
| 1205214566 | Karin Shelstad | Specialist/Technologist | 5501 10th Av S, Minneapolis, MN 55417 | 2015-05-07 |
| 1750712733 | Debra Sand | Massage Therapist | 2750 E 50th Street, Minneapolis, MN 55417 | 2013-12-02 |
| 1669764221 | Michael Alan Newman | Internal Medicine | One Veterans Drive (111-0), Minneapolis Veterans Affairs Medical Center, Minneapolis, MN 55417 | 2011-05-13 |
| Find all providers in zip 55417 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942762828 | Jodi Lynn Martin | Nurse Practitioner | 720 Washington Ave Se Ste 300, Minneapolis, MN 55414-2904 | 2019-04-01 |
| 1437506417 | Zahra Roble | Nurse Practitioner | 1801 Nicolllet Ave S, Minneapolis, MN 55403 | 2016-05-19 |
| 1891170593 | Lindsey Smith | Nurse Practitioner | 421 18th Ave N, Minneapolis, MN 55411-3314 | 2015-07-23 |
| 1689068421 | Bridget Flynn | Nurse Practitioner | 6100 11th Ave S, Minneapolis, MN 55417-3208 | 2015-03-18 |
| 1386931178 | Abimbola Adenike Matti | Nurse Practitioner | 732 E Lake St, Pain Relief Center of Minnesota, Minneapolis, MN 55407-1547 | 2011-06-30 |
| 1235421660 | Meghann Rae Cody | Nurse Practitioner | 500 Harvard St Se Unit 7d, Minneapolis, MN 55455-0363 | 2011-05-04 |
| 1710218151 | Sheila Kathleen Smith | Nurse Practitioner | 814 S 3rd St, Minneapolis, MN 55415 | 2010-01-25 |
| 1295926129 | Michelle A Aldrich Rn Cnp Pa | Nurse Practitioner | 4215 31st Ave S, Minneapolis, MN 55406-3311 | 2007-08-06 |
| 1881783801 | Denise Rae Erickson | Nurse Practitioner | One Verans Dr., Minneapolis, MN 55417 | 2006-10-11 |
| 1316972011 | Jean H Lewis | Nurse Practitioner | 1 Veterans Dr Ive 112d, Minneapolis, MN 55417-2309 | 2006-07-11 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55417 |
Please comment or provide details below to improve the information on MARY LOUISE DYSART.
| 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.