MELISSA M GOBLE (NPI# 1578050928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578050928 |
Entity Type | Individual |
Full Name | MELISSA M GOBLE |
Credential | NP |
Practice Address |
320 E Main St Crosby MN 56441-1645 |
Practice Telephone | 2185467000 |
Practice Fax Number | 2185464400 |
Mailing Telephone | 2185467000 |
Mailing Fax Number | 2185464400 |
Enumeration Date | 2018-04-20 |
Last Update Date | 2018-04-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
CNP4459 | MN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598325276 | Melissa Lee Goble | Audiologist | 5454 Wisconsin Ave Ste 1535, Chevy Chase, MD 20815-6922 | 2019-06-16 |
Street Address |
320 E MAIN ST |
City | CROSBY |
State | MN |
Zip Code | 56441-1645 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356332407 | Randall Ora Card | Family Medicine | 320 E Main St, Crosby, MN 56441-1645 | 2005-10-28 |
1538776356 | Jenna Wentzlaff | Pharmacist | 320 E Main St, Crosby, MN 56441-1645 | 2020-09-25 |
1811504640 | Shawn Smart | Pharmacist | 320 E Main St, Crosby, MN 56441-1645 | 2020-09-25 |
1578176798 | Emily A Hilgers | Nurse Practitioner | 320 E Main St, Crosby, MN 56441-1645 | 2020-08-27 |
1053938381 | Katelyn Sarlette | Physician Assistant | 320 E Main St, Crosby, MN 56441-1645 | 2020-07-02 |
1962029678 | Ashley L Yager | Nurse Practitioner | 320 E Main St, Crosby, MN 56441-1645 | 2020-06-29 |
1669098307 | Ashley Laura Hanson | Nurse Practitioner | 320 E Main St, Crosby, MN 56441-1645 | 2020-06-18 |
1104447481 | Jesse A Oman | Nurse Practitioner | 320 E Main St, Crosby, MN 56441-1645 | 2020-04-28 |
1366062762 | Nathan Douglas Lehman | Physician Assistant | 320 E Main St, Crosby, MN 56441-1645 | 2020-04-26 |
1134769243 | Molly Jean Edmundson | Nurse Anesthetist, Certified Registered | 320 E Main St, Crosby, MN 56441-1645 | 2020-01-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043381676 | Shannon Marie Smith | Chiropractor | 5 West Main Street, Crosby, MN 56441 | 2006-11-13 |
1841207594 | Bruce B Cunningham | Family Medicine | 320 East Main St, Crosby, MN 56441 | 2006-08-02 |
1215911391 | Paul R Carey | Family Medicine | 320 East Main Street, Crosby, MN 56441 | 2005-12-02 |
1629550975 | Samuel T Feyder | Physician Assistant | 320 East Main Street, Crosby, MN 56441 | 2018-09-04 |
1205299385 | Ann E Johnson | Obstetrics & Gynecology | 320 East Main Street, Crosby, MN 56441 | 2016-04-05 |
1407238389 | Brian Holmgren | Internal Medicine | 320 East Main Street, Crosby, MN 56441 | 2015-06-26 |
1285013367 | Paige Elizabeth Holmgren | Family Medicine | 320 East Main Street, Crosby, MN 56441 | 2015-05-22 |
1891182341 | Robert G Johnson | Surgery | 320 East Main Street, Crosby, MN 56441 | 2015-04-22 |
1932514320 | Melissa Sueann Dyrdal | Nurse Practitioner | 320 East Main Street, Crosby, MN 56441 | 2014-06-25 |
1477973063 | James J Stokman | Orthopaedic Surgery | 320 East Main Street, Crosby, MN 56441 | 2014-04-22 |
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Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912941493 | Donna Claypool | Nurse Practitioner | 318 East Main Street, Crosby, MN 56441-1645 | 2006-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831448935 | Erica Scheffler | Nurse Practitioner | 3625 W. 65th St., Suite 100, Edina, MN 55435 | 2012-09-05 |
1225054638 | Pamela E Layton | Nurse Practitioner | 525 Portland Ave. So., Hsb 4th Floor, Mc 952, Minneapolis, MN 55415 | 2006-07-15 |
1417922584 | Shirley J Jarcho | Nurse Practitioner | 6565 France Ave South, Suite 300, Edina, MN 55435 | 2006-02-21 |
1285618041 | Wendy Marie Lovaas | Nurse Practitioner | 9825 Hospital Drive #205, Maple Grove, MN 55369 | 2005-12-05 |
1255806428 | Bethany Anne Hjelle | Nurse Practitioner | 9825 Hospital Dr Ste 205, Maple Grove, MN 55369-4480 | 2018-10-03 |
1770064560 | Gwendolyn M Neumeister | Nurse Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2018-08-28 |
1598245128 | Jennifer R Finger | Nurse Practitioner | 500 S Maple St, Waconia, MN 55387-1791 | 2018-08-14 |
1568915742 | Dory Bernadette Warren | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2016-07-25 |
1962805549 | Terri Halverson | Nurse Practitioner | Essentia Health Duluth Clinic, 400 East Third Street, Duluth, MN 55805-1951 | 2014-09-26 |
1336443191 | Jenny Ann Hsu | Nurse Practitioner | 3625 W 65th St, Suite 100, Edina, MN 55435-2106 | 2011-01-07 |
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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.