DR. SAMANTHA KAE PULLEN (NPI# 1609017714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609017714 |
| Entity Type | Individual |
| Full Name | DR. SAMANTHA KAE PULLEN |
| Credential | M.D. |
| Practice Address |
800 E 28th St Minneapolis MN 55407-3723 |
| Practice Telephone | 6128636766 |
| Mailing Telephone | 6128636766 |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2012-02-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 51627 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
800 E 28TH ST |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-3723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053314765 | Judy Garza | Specialist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2005-05-27 |
| 1568069060 | Brooke Evensen | Occupational Therapist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-10-07 |
| 1558968172 | Taiya Brown | Dietitian, Registered | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-10-06 |
| 1003413188 | Brandy Kozitza | Physical Medicine & Rehabilitation | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-10-02 |
| 1215554522 | Andrea Edwards | Genetic Counselor, MS | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-07-02 |
| 1740804350 | Danielle Krimmer | Registered Nurse | 800 E 28th St, Minneapolis, MN 55407-3799 | 2020-05-31 |
| 1225650005 | Kimberly Homan | Speech-Language Pathologist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-05-14 |
| 1568084630 | J&j Services, Inc | Durable Medical Equipment & Medical Supplies | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-05-12 |
| 1760011837 | Kayla Calhoun | Physical Therapist | 800 E 28th St, Minneapolis, MN 55407-3799 | 2020-04-02 |
| 1831727874 | Steven Thomas Schull | Student in an Organized Health Care Education/Training Program | 800 E 28th St, Minneapolis, MN 55407-3799 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857230 | Minneapolis Integrative Medicine Center, LLC | General Practice | 575 9th St Se Ste 52, Minneapolis, MN 55414-1399 | 2020-10-05 |
| 1689930554 | Linda Gail Olson | General Practice | 17935 24th Ave N, Minneapolis, MN 55447 | 2012-04-05 |
| 1487947248 | Ken Rosenblum | General Practice | 1418 Mount Curve Ave, Minneapolis, MN 55403-1010 | 2011-05-25 |
| 1235469594 | Andrej John Szabad | General Practice | 1615 E River Ter, Minneapolis, MN 55414-3676 | 2010-01-10 |
| 1861725335 | Chs Tennessee Medical, PC | General Practice | 380 Ameriprise Financial Ctr, Minneapolis, MN 55474-0003 | 2009-09-15 |
| 1477721157 | Akbar Sajady | General Practice | 4400 Oliver Avenue North, Minneapolis, MN 55412-1123 | 2008-02-14 |
| 1083734826 | Kenneth Reed Mcmillan | General Practice | 2020 Bloomington Ave, Minneapolis, MN 55404-3073 | 2007-03-29 |
| 1083740393 | Glen Joseph Booth | General Practice | 1089 25th Ave Se, Minneapolis, MN 55414-2637 | 2007-02-23 |
| 1811934763 | Neighborhood Healthsource | General Practice | 2301 Central Ave Ne, Minneapolis, MN 55418 | 2006-06-01 |
| 1871101238 | Fairview Express Care | General Practice | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-07-21 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
Please comment or provide details below to improve the information on DR. SAMANTHA KAE PULLEN.
| 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.