TERESA BEKKALA (NPI# 1528502556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528502556 |
| Entity Type | Individual |
| Full Name | TERESA BEKKALA |
| Practice Address |
14001 Ridgedale Dr Ste 100 Minnetonka MN 55305-1781 |
| Mailing Address |
1960 Shenandoah Ct Unit B Plymouth MN 55447-6419 |
| Practice Telephone | 9524730211 |
| Practice Fax Number | 9524737908 |
| Mailing Telephone | 6122265670 |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
CNP 4828 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14001 RIDGEDALE DR STE 100 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-1781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063486595 | Burton Allan Benson Jr. | Pediatrics | 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305-1781 | 2006-02-13 |
| 1821612433 | Hannah Marie Stende | Registered Nurse | 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305-1781 | 2020-05-31 |
| 1144718933 | Kirsten Dougherty | Nurse Practitioner | 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305-1781 | 2018-04-26 |
| 1942728936 | Shane Mcwhirter | Pediatrics | 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305-1781 | 2017-08-30 |
| 1427410778 | Hoa Ly Trinh | Nurse Practitioner | 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305-1781 | 2016-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336642131 | Caitlin Anna Lingbeck | Nurse Practitioner | 14001 Ridgedale Dr #100, Minnetonka, MN 55305-1781 | 2018-03-18 |
| 1497043954 | Kathryn Elizabeth Douglass | Nurse Practitioner | 17750 Hutchins Dr., Minnetonka, MN 55345 | 2011-07-19 |
| 1952373102 | Tamara Lynn Whyte Kasmarik | Nurse Practitioner | 17705 Hutchins Dr Ste 101, Minnetonka, MN 55345-4102 | 2006-02-02 |
| 1144718933 | Kirsten Dougherty | Nurse Practitioner | 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305-1781 | 2018-04-26 |
| 1427410778 | Hoa Ly Trinh | Nurse Practitioner | 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305-1781 | 2016-03-25 |
| 1104074434 | Andrea Margaret Gravley | Nurse Practitioner | 17705 Hutchins Dr Ste 101, Minnetonka, MN 55345-4102 | 2008-08-28 |
| 1134188766 | Elizabeth Anne Hass | Nurse Practitioner | 17705 Hutchins Dr, Suite 101, Minnetonka, MN 55345-4145 | 2006-03-22 |
| 1639147192 | Nicole Anne Martens | Nurse Practitioner | 17705 Hutchins Dr, Minnetonka, MN 55345-4145 | 2006-03-10 |
| 1871560441 | Lynda Jean Stuber | Nurse Practitioner | 14001 Ridgedale Dr, Ste 100, Minnetonka, MN 55305-1781 | 2006-03-02 |
| 1306810833 | Madalynne Helen Ahmann | Nurse Practitioner | 14001 Ridgedale Dr, #100, Minnetonka, MN 55305-1753 | 2006-02-13 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
Please comment or provide details below to improve the information on TERESA BEKKALA.
| 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.