KRISTEN LESLIE EIDE (NPI# 1548332646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548332646 |
| Entity Type | Individual |
| Full Name | KRISTEN LESLIE EIDE |
| Credential | M.A., L.P. |
| Practice Address |
12805 Highway 55 Suite 211 Plymouth MN 55441-3859 |
| Practice Telephone | 7635509005 |
| Practice Fax Number | 7635592118 |
| Mailing Telephone | 7635509005 |
| Mailing Fax Number | 7635592118 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
LP3617 | MN | Behavioral Health & Social Service Providers |
| Street Address |
12805 HIGHWAY 55 SUITE 211 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55441-3859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699708396 | Soteria Family Health Center | Clinic/Center | 12805 Highway 55, Suite 111, Plymouth, MN 55441-3859 | 2006-07-08 |
| 1093261521 | Navigating Changes LLC | Counselor | 12805 Highway 55, Suite 402, Plymouth, MN 55441-3859 | 2016-08-25 |
| 1194101212 | Autism Family Therapy Inc | Marriage & Family Therapist | 12805 Highway 55, Suite 402, Plymouth, MN 55441-3859 | 2015-07-31 |
| 1831525435 | Ann Elizabeth Huber | Advanced Practice Midwife | 12805 Highway 55, Suite 111, Plymouth, MN 55441-3859 | 2013-09-16 |
| 1366874299 | Jeff Shively, Msw, Licsw | Social Worker | 12805 Highway 55, Suite 200, Plymouth, MN 55441-3880 | 2013-08-02 |
| 1376782961 | Jeff William Shively | Social Worker | 12805 Highway 55, Suite 200, Plymouth, MN 55441-3859 | 2009-02-05 |
| 1245437573 | Kristin Carpenter | Massage Therapist | 12805 Highway 55, Suite 210, Plymouth, MN 55441-3859 | 2007-06-29 |
| 1558491852 | Sherri Ann Rauen | Massage Therapist | 12805 Highway 55, Suite 208, Plymouth, MN 55441-3859 | 2007-03-06 |
| 1497820039 | Minnesota Psychological Resources | Counselor | 12805 Highway 55, Suite 211, Plymouth, MN 55441-3859 | 2006-11-21 |
| 1659446276 | David Burdette Mellberg | Psychologist | 12805 Highway 55, Suite 211, Plymouth, MN 55441-3859 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
| 1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
| 1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| Find all providers in zip 55441 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801431481 | Christine Williams, Ms, LLP,pllc | Psychologist | 190 N Main St Ste D, Plymouth, MI 48170-1236 | 2019-11-07 |
| 1457718587 | Julie Morin | Psychologist | 12800 Industrial Park Blvd Ste 200, Plymouth, MN 55441-3929 | 2016-01-20 |
| 1538497672 | Debbie Marie Little | Psychologist | 409 Plymouth Rd Ste 100, Plymouth, MI 48170-1898 | 2009-12-01 |
| 1629005277 | Jane Harris | Psychologist | 3131 Fernbrook Ln N, Suite 102, Plymouth, MN 55447-5321 | 2006-06-27 |
| 1649254954 | Integrated Counseling Centers, Inc. | Psychologist | 64 Industrial Park Rd, Plymouth, MA 02360-4829 | 2005-11-30 |
| 1700355153 | Emily Bednar | Psychologist | 409 Plymouth Rd Ste 250, Plymouth, MI 48170-1842 | 2018-11-15 |
| 1497108864 | Joshua W Meendering | Psychologist | 9800 Shelard Pkwy Ste 110, Plymouth, MN 55441 | 2016-07-20 |
| 1710358387 | Rebecca Rowena Sullivan Bertram | Psychologist | 9800 Rockford Rd, Plymouth, MN 55442-2811 | 2015-10-08 |
| 1922368299 | Helaine Bolter | Psychologist | 3300 Fernbrook Ln N, #120, Plymouth, MN 55447-5338 | 2012-05-21 |
| 1225309446 | Reed Psychological Services, LLC | Psychologist | 9800 Shelard Pkwy Ste 110, Plymouth, MN 55441-6451 | 2012-01-19 |
| Find all providers in PLYMOUTH | ||||
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| 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.