GUSTAVUS ADOLPHUS COLLEGE (NPI# 1508911330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508911330 |
| Entity Type | Organization |
| Organization Name | GUSTAVUS ADOLPHUS COLLEGE |
| Other Organization Name | GUSTAVUS ADOLPHUS COLLEGE HEALTH SERVICE |
| Practice Address |
800 W College Ave Health Service Saint Peter MN 56082-1485 |
| Practice Telephone | 5079338000 |
| Practice Fax Number | 5079336074 |
| Mailing Telephone | 5079338000 |
| Mailing Fax Number | 5079336074 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KENNETH C WESTPHAL (VP FOR FINANCE) |
| Authorized Official Telephone | 5079338000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363LF0000X |
Nurse Practitioner Specialization: Family |
R0914222 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R1563698 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Gustavus Adolphus College Health Service | Other Name - Individual/Organization |
| Street Address |
800 W COLLEGE AVE HEALTH SERVICE |
| City | SAINT PETER |
| State | MN |
| Zip Code | 56082-1485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083688543 | Matthew James Eberhardt | Specialist/Technologist | 800 W College Ave, Lund Center, Saint Peter, MN 56082-1485 | 2006-02-13 |
| 1780211375 | Gabrielle Slykas | Student in an Organized Health Care Education/Training Program | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-24 |
| 1407482649 | Anna Karyn Nietz | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-19 |
| 1043845936 | Abigail Jo Schammel | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-11 |
| 1437784055 | Sierra Meyer | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-04 |
| 1619501343 | Chad Haugstad | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1498 | 2020-03-03 |
| 1740814474 | Sydeny Leigh Swenson | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-03 |
| 1659905388 | David Skylee Peal | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-03 |
| 1568096295 | Ashley Nicole Tapio | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-03 |
| 1477187102 | Kenneth Nhac-phi Hoang | Specialist/Technologist | 800 W College Ave, Saint Peter, MN 56082-1485 | 2020-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295276079 | Ashley Jaspers | Nurse Practitioner | 1900 N. Sunrise Drive, Suite #200, St. Peter, MN 56082 | 2017-03-14 |
| 1841730876 | Go Therapy Inc | Speech-Language Pathologist | 830 Sunrise Dr Ste B, Saint Peter, MN 56082 | 2017-02-23 |
| 1487063210 | Ashley Krug | Specialist/Technologist | 800 West College Ave, Saint Peter, MN 56082 | 2014-08-06 |
| 1235578519 | Mikkel Dean Haugen | Dentist | 402 Sunrise Drive, St Peter, MN 56082 | 2013-06-19 |
| 1104163849 | House of Hope, Inc. | Community/Behavioral Health | 201 West Park Row, Suite B, Saint Peter, MN 56082 | 2013-01-15 |
| 1851579700 | Laura J. Hulsebus | Chiropractor | 206 West Walnut St, St Peter, MN 56082 | 2008-02-02 |
| 1588857072 | Michael Joseph Lange | Psychologist | 1703 Csah 15, St. Peter, MN 56082 | 2007-08-20 |
| 1235290420 | Andrew D. Lundquist | Podiatrist | 1901 Oid Minnesota Ave, Mankato Clinic @ Daniel's Health Center, St. Peter, MN 56082 | 2006-12-12 |
| 1962517037 | Mary A Snyder | Dentist | 202 W Walnut, St Peter, MN 56082 | 2006-08-20 |
| 1124041504 | Diane Ruth Bruder | Nurse Practitioner | 2000 Klein Street, St. Peter, MN 56082 | 2006-07-25 |
| Find all providers in zip 56082 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770113748 | Christine Fossum | Nurse Practitioner | 501 S Minnesota Ave, Saint Peter, MN 56082-2507 | 2020-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466368 | Amalia Jo Folland Harvey | Nurse Practitioner | 19883 Evensong Ct, Farmington, MN 55024-8688 | 2020-10-29 |
| 1710586235 | Jackelyn Laura Peterson | Nurse Practitioner | 10101 Bren Rd E Unit 345, Minnetonka, MN 55343-0060 | 2020-10-26 |
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1861091704 | Morgan Rohl | Nurse Practitioner | 117 12th Ave Nw Apt 2, Rochester, MN 55901-2787 | 2020-10-21 |
| 1063010304 | Kalie R Mccauley | Nurse Practitioner | 11452 Brook Rd Nw, Elk River, MN 55330-8739 | 2020-10-09 |
| 1659978930 | Sarah Jean Mudge | Nurse Practitioner | 350 Harbor Dr, Duluth, MN 55802-2600 | 2020-10-08 |
| 1285231621 | Karlu Dorleh | Nurse Practitioner | 14151 Territorial Rd Unit 212, Maple Grove, MN 55369-5725 | 2020-10-08 |
| 1447857669 | Kimberly Dawn Bursch-tewalt | Nurse Practitioner | 11884 237th Ave Nw, Elk River, MN 55330-8255 | 2020-10-01 |
| 1639786312 | Peter Wahl | Nurse Practitioner | 4652 Lyndale Ave S, Minneapolis, MN 55419-5302 | 2020-09-28 |
| 1568078616 | Joanna Kay Rehm | Nurse Practitioner | 3025 Eagandale Pl Apt 338, Eagan, MN 55121-1236 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETER |
| Zip Code | 56082 |
Please comment or provide details below to improve the information on GUSTAVUS ADOLPHUS COLLEGE.
| 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.