TWYLA DAWN BERGENSTAL (NPI# 1548774615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548774615 |
Entity Type | Individual |
Full Name | TWYLA DAWN BERGENSTAL |
Credential | AGACNP-BC, CNP |
Practice Address |
3300 Oakdale Ave N Robbinsdale MN 55422-2926 |
Mailing Address |
3115 Wild Flower Trl Medina MN 55340-8805 |
Practice Telephone | 6128766644 |
Mailing Telephone | 6128766644 |
Enumeration Date | 2017-11-27 |
Last Update Date | 2020-02-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 2125792 | MN | Nursing Service Providers |
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
5572 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3115 Wild Flower Trl, Medina, MN 553408805 | 6128766644 |
Street Address |
3300 OAKDALE AVE N |
City | ROBBINSDALE |
State | MN |
Zip Code | 55422-2926 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891795928 | Brian J De Michaelis | Radiology | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2005-07-29 |
1861093023 | Linda Yang | Nurse Anesthetist, Certified Registered | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-11-04 |
1265033815 | Andrew Mattila | Nurse Anesthetist, Certified Registered | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-11-02 |
1760081293 | Kirk Acero Butler | Nurse Anesthetist, Certified Registered | 3300 Oakdale Ave N, Robbinsdale, MN 55422 | 2020-10-26 |
1366056889 | Kelly L Downes | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422 | 2020-09-02 |
1568070209 | Alicia M Reichenbach | Nurse Practitioner | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-07-20 |
1427676550 | Kate Elizabeth Mastel | Nurse Practitioner | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-07-06 |
1730715707 | Amanda Evans | Physical Therapist | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-03-20 |
1417583766 | Karen R Diehl | Registered Nurse | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-03-19 |
1821624248 | Greta Danae Mousel | Registered Nurse | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-03-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
Find all providers in zip 55422 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639469455 | Elizabeth Ann Hutter-seebart | Nurse Practitioner | 3366 Oakdale Ave N, Suite 605, Robbinsdale, MN 55422-2948 | 2011-04-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043826605 | Angela Jean Splettstoeszer | Nurse Practitioner | 916 Arch Ln Sw, Bemidji, MN 56601-8861 | 2020-09-18 |
1316581440 | Northern Lights Health LLC | Nurse Practitioner | 212 W Lake St, Waconia, MN 55387-1014 | 2019-10-31 |
1285190132 | Hudson M Omweri | Nurse Practitioner | 1621 Highway 47, Ogilvie, MN 56358-9005 | 2019-02-15 |
1184145914 | Andrea Lueck | Nurse Practitioner | 345 Smith Ave N Ste 301, Saint Paul, MN 55102-2346 | 2017-07-01 |
1871914887 | Brooke Habisch | Nurse Practitioner | 1200 Sixth Ave No Centracare Clinic, Saint Cloud, MN 56303 | 2013-12-17 |
1851635502 | Kim Noreen Garrett | Nurse Practitioner | 1703 Bradach Rd, Ely, MN 55731-8041 | 2012-11-19 |
1821365305 | Nathaniel I Cree | Nurse Practitioner | 500 Harvard St., Fairview University Hospital, Minneapolis, MN 55455 | 2011-11-28 |
1235461419 | Eric Andrew Reyer | Nurse Practitioner | 6401 Sycamore Ln N, Maple Grove, MN 55369-6356 | 2010-02-12 |
1457303067 | David A Palm | Nurse Practitioner | Hennepin County Medical Center, 701 Park Ave, Minneapolis, MN 55415 | 2006-05-16 |
1972567956 | Michelle D Lewis | Nurse Practitioner | 9900 Bren Rd East, Mail Route Mn 008-b213, Minnetonka, MN 55343-9664 | 2006-04-14 |
Find all providers with the same taxonomy |
City | ROBBINSDALE |
Zip Code | 55422 |
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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.