MS. PAMELA KELLOGG (NPI# 1568762904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568762904 |
| Entity Type | Individual |
| Full Name | MS. PAMELA KELLOGG |
| Credential | PHN |
| Practice Address |
1301 18th Ave Nw Ste A Austin MN 55912-1988 |
| Practice Telephone | 5074379770 |
| Practice Fax Number | 5074342695 |
| Mailing Telephone | 5074379770 |
| Mailing Fax Number | 5074342695 |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
R120874-6 | MN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114088150 | Pamela Parkinson Kellogg | Psychiatry & Neurology | 101 Ivy St, Brookline, MA 02446-4004 | 2006-12-13 |
| 1932501921 | Pamela Kellogg | Physical Therapist | 223 W Ironwood Dr, Coeur D Alene, ID 83814-2651 | 2014-09-22 |
| 1265831051 | Pamela Kellogg | Social Worker | 105 S Garden Ave, Newport, WA 99156-5055 | 2014-08-18 |
| Street Address |
1301 18TH AVE NW STE A |
| City | AUSTIN |
| State | MN |
| Zip Code | 55912-1988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003143819 | Mower County Human Services | Case Management | 1301 18th Ave Nw Ste A, Austin, MN 55912-1988 | 2009-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710538152 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 313 2nd Ave Ne, Austin, MN 55912 | 2019-09-26 |
| 1669029831 | David Kuehn | Specialist/Technologist | 1508 Main St. N, Austin, MN 55912 | 2019-08-22 |
| 1841844396 | Heather A Peterson | Social Worker | 101 21st Street Se, Austin, MN 55912 | 2019-08-01 |
| 1477058287 | Gerard Academy | Counselor | 1101 28th St Ne, Austin, MN 55912 | 2018-03-26 |
| 1821518739 | Steven Register | Specialist/Technologist | 1803 2nd Ave Sw, Austin, MN 55912 | 2017-06-21 |
| 1366849259 | Kristen Ashley Templeton | Dentist | 800 1st Avenue Sw, Austin, MN 55912 | 2014-11-20 |
| 1336560333 | Rem Woodvale, Inc. Cottonwood | Intermediate Care Facility, Mentally Retarded | 2311 9th Avenue Sw, Austin, MN 55912 | 2013-12-18 |
| 1780923458 | Kurt Baumgartner | Hearing Instrument Specialist | 507 1 St Nw, Austin, MN 55912 | 2013-01-31 |
| 1396059242 | Lorna Kay Siefke-harbor | Psychologist | 902 19th Ave Sw, Austin, MN 55912 | 2010-08-03 |
| 1972777068 | Stanley Brent Stutzman | Psychologist | 301 12 Place Nw, Austin, MN 55912 | 2008-04-18 |
| Find all providers in zip 55912 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164973954 | Laquisha Renee Umemba | Registered Nurse | 6725 Derby Downs Dr, Austin, TX 78747-3954 | 2016-10-17 |
| 1609050392 | Cindy Jo Gomez | Registered Nurse | 12041 Dessau Rd Apt 1103, Austin, TX 78754-1714 | 2007-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609359827 | Sarah Jean Riedel | Registered Nurse | 631 Jefferson St N, Wadena, MN 56482-2336 | 2018-09-13 |
| 1770062028 | Laura Patricia Stefanski | Registered Nurse | 10910 Kentucky Ave N, Champlin, MN 55316-3822 | 2018-08-08 |
| 1104276070 | Khadra Mohamed | Registered Nurse | 515 15th Ave S, Apt 251, Minneapolis, MN 55454-1588 | 2016-06-21 |
| 1801257662 | Meghan Zigrida Paquette | Registered Nurse | 6055 161st Street Nw, Cass Lake, MN 56601 | 2016-03-08 |
| 1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
| 1487099933 | Diane Boyenga | Registered Nurse | 2 Roundwind Rd, Luverne, MN 56156-1300 | 2013-05-09 |
| 1780924811 | Lindsay Prescott | Registered Nurse | 308 S Dekalb St, Redwood Falls, MN 56283-1915 | 2013-02-27 |
| 1952654857 | Annmarie J Suess | Registered Nurse | 105 S 5th St Ste 119h, Olivia, MN 56277-1375 | 2012-10-17 |
| 1659646958 | Diane Shepherd | Registered Nurse | 115 Sixth St. Nw, Suite E, Cass Lake, MN 56601-3061 | 2012-03-20 |
| 1558691238 | Vicki Lynn Roff | Registered Nurse | 6248 Balsam Rd Nw, Bemidji, MN 56601-7728 | 2010-01-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. PAMELA KELLOGG.
| 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.