ROXANNE GOSNELL (NPI# 1558843458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558843458 |
| Entity Type | Individual |
| Full Name | ROXANNE GOSNELL |
| Other Name | ROXANNE FRANCIS KOEBLE |
| Credential | AGNP |
| Practice Address |
9900 Bren Rd E Minnetonka MN 55343-9664 |
| Mailing Address |
92 Hassel Rice Dr Mars Hill NC 28754-4500 |
| Practice Telephone | 8283809064 |
| Mailing Telephone | 8283809064 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
5010949 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9900 BREN RD E |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55343-9664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720557 | Dawn M Berger | Nurse Practitioner | 9900 Bren Rd E, Mail Route Mn 008-b213, Minnetonka, MN 55343-9664 | 2005-06-14 |
| 1447866652 | Tana Desimone | Internal Medicine | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2020-09-22 |
| 1467078691 | Candy Ray Jones | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2020-06-23 |
| 1295366813 | Ashley Brimmer | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2020-02-02 |
| 1134770621 | Reagan Walls | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2019-09-25 |
| 1700448073 | Tara Carroll | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2019-07-08 |
| 1831753326 | Tiffany Lager Wyttenbach | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2019-04-30 |
| 1386104180 | Kutreni Lachelle Carter | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2019-03-20 |
| 1962962530 | Denise Pennicooke | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2019-03-20 |
| 1588122378 | Clerisse Ann Ewelike | Nurse Practitioner | 9900 Bren Rd E, Mail Route Mn 008-b213, Minnetonka, MN 55343-9664 | 2019-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689230542 | Madison C Korus | Behavior Technician | 5501 Feltl Road, Minnetonka, MN 55343 | 2019-05-16 |
| 1942708508 | Teammd Physicians of Texas Inc | Case Manager/Care Coordinator | 9900 Bren Rd E # 8-b217, Minnetonka, MN 55343 | 2018-01-30 |
| 1659899284 | Midwest Medical Transit | Transportation Broker | 1001 Main Street #125, Hopkins, MN 55343 | 2017-09-04 |
| 1376070367 | Noor Translation and Interpretation Services LLC | Interpreter | 5620 Smetana Drive, Ste 300, Office D, Minnetonka, MN 55343 | 2017-05-22 |
| 1871043240 | Katherine Rae Skarphol | Speech-Language Pathologist | 5501 Feltl Rd, Hopkins, MN 55343 | 2016-10-10 |
| 1215481478 | Safi Care Transportation | Non-emergency Medical Transport (VAN) | 1001 Mainstreet, Ste 125, Hopkins, MN 55343 | 2016-08-05 |
| 1649723420 | Stephanie Stackhouse | Internal Medicine | 5520 Bristol Lane, Minnetonka, MN 55343 | 2016-07-28 |
| 1023479706 | Counter Point Recovery | Substance Abuse Rehabilitation Facility | 5022 Baker Rd, Minnetonka, MN 55343 | 2016-03-09 |
| 1851766356 | Enrique Mendoza Rojas | Nurse Practitioner | 9900 Ben Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2015-12-09 |
| 1013307230 | Susanna Monroe | Nurse Practitioner | Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343 | 2015-01-26 |
| Find all providers in zip 55343 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942239801 | Marilyn Rima | Nurse Practitioner | 9701 Data Park, Mn006-w600, Minnetonka, MN 55343-9026 | 2006-07-02 |
| 1396733739 | Mary Jeanne Keith | Nurse Practitioner | 401 Carlson Parkway, Cp340, Minnetonka, MN 55305-5387 | 2005-10-10 |
| 1023502911 | Trixy M. Headden | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2018-06-14 |
| 1295257202 | Bethany Joy Best | Nurse Practitioner | 401 Carlson Pkwy, Minnetonka, MN 55305-5359 | 2017-07-11 |
| 1457894313 | Kevyn Ann Taylor | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2016-11-28 |
| 1013387778 | Anthony Bray | Nurse Practitioner | 9900 Bren Rd East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2015-10-06 |
| 1952780793 | Cinderesa Armstrong | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2015-05-27 |
| 1073943148 | Alicia Gripper | Nurse Practitioner | 9900 Bren Rd East, Mail Route Mn 008-b213, Minnetonka, MN 55343-9664 | 2013-11-26 |
| 1417387598 | Maritza Johnson | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2013-11-26 |
| 1689916512 | Marketa Keishia Taylor | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2013-03-18 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55343 |
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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.