MARK FLICKINGER (NPI# 1609245349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609245349 |
| Entity Type | Individual |
| Full Name | MARK FLICKINGER |
| Practice Address |
19021 Freeport St Nw Ste 400 Elk River MN 55330-1278 |
| Mailing Address |
308 1st St E Jordan MN 55352-1524 |
| Practice Telephone | 7636333800 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
R 219231-4 | MN | Nursing Service Providers |
| Street Address |
19021 FREEPORT ST NW STE 400 |
| City | ELK RIVER |
| State | MN |
| Zip Code | 55330-1278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316923089 | Cynthia Torkelson | Marriage & Family Therapist | 19021 Freeport St Nw, Suite 500, Elk River, MN 55330-1278 | 2005-12-15 |
| 1992047914 | Cyndie Deridder | Social Worker | 19021 Freeport St Nw, Suite 400, Elk River, MN 55330-1278 | 2013-03-18 |
| 1710256508 | Carol Cantleberry | Home Health | 19021 Freeport St Nw, Suite 400, Elk River, MN 55330-1278 | 2011-12-22 |
| 1033416490 | Sarah Landsem | Occupational Therapist | 19021 Freeport St Nw, Elk River, MN 55330-1278 | 2011-02-22 |
| 1922303312 | Andrea Michal Howells Worsfold | Occupational Therapist | 19021 Freeport St Nw, Elk River, MN 55330-1278 | 2011-01-17 |
| 1669772679 | Paul Christian Olson | Speech-Language Pathologist | 19021 Freeport St Nw, Elk River, MN 55330-1278 | 2010-10-25 |
| 1477585222 | Jessica A Norton | Physician Assistant | 19021 Freeport St Nw, Suite 100, Elk River, MN 55330-1278 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504139 | Jacob Stevens | Pharmacist | 19216 Freeport Ave, Cub Pharmacy, Elk River, MN 55330 | 2020-07-01 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1346888609 | Katie Eberley | Counselor | 9425 Quantrelle Ave, Otsego, MN 55330 | 2019-12-18 |
| 1649839986 | Jodi Marie Pikula | Massage Therapist | 710 Dodge Ave, Suite C, Elk River, MN 55330 | 2019-06-11 |
| 1144793878 | Northern Cities Therapy, Inc. | Counselor | 19230 Evans St Nw Ste 100, Elk River, MN 55330 | 2019-01-04 |
| 1144715236 | Jennifer Kay Dahlseid | Chiropractor | 200 5th St Nw Ste J, Elk River, MN 55330 | 2018-06-29 |
| 1124542089 | Megan Majsterski Lazere | Counselor | 9245 Quantrelle Avenue, Otsego, MN 55330 | 2017-08-01 |
| 1134674237 | Rescare Minnesota | Community Based Residential Treatment Facility, Mental Illness | 633 Upland Ave Nw, Elk River, MN 55330 | 2016-08-18 |
| 1356894927 | Allison Benz | Counselor | 9245 Quantrelle Ave, Otsego, MN 55330 | 2016-07-29 |
| 1447615141 | Laura Stevenson | Speech-Language Pathologist | 15990 90th St., Otsego, MN 55330 | 2015-12-22 |
| Find all providers in zip 55330 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356650238 | Sandy Jo Johnson | Registered Nurse | 20132 Ulysses Street. Nw, Elk River, MN 55330 | 2010-09-27 |
| 1437487857 | Cynthia Dennelle Anderson | Registered Nurse | 19309 Upland St Nw, Elk River, MN 55330-4140 | 2009-11-23 |
| 1184933962 | Nancy Thompson | Registered Nurse | 20132 Ulysses St Nw, Elk River, MN 55330-2254 | 2010-09-28 |
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|---|---|---|---|---|
| 1043825284 | Charity Care Inc Professional Service Corporation | Registered Nurse | 10909 Brittany Dr N, Champlin, MN 55316-3838 | 2020-09-14 |
| 1932712346 | Optimum Healthcare Services LLC | Registered Nurse | 8400 Normandale Lake Blvd Ste 920, Bloomington, MN 55437-3843 | 2020-08-25 |
| 1649880303 | Nasra Amin | Registered Nurse | 2511 N 4th St, Minneapolis, MN 55411-2122 | 2020-08-06 |
| 1699384131 | Amazing Home LLC | Registered Nurse | 3220 County Road 10 Ste 117, Brooklyn Ctr, MN 55429-3073 | 2020-07-30 |
| 1942822200 | Rose Moraa Oyaro | Registered Nurse | 8315 Garfield Ave S, Bloomington, MN 55420-2228 | 2020-05-09 |
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1629607361 | Chelsea Elizabeth Jessen | Registered Nurse | 1414 Laurel Ave Apt L334, Minneapolis, MN 55403-1263 | 2020-04-05 |
| 1467088781 | Angel Hearts Health Care Services LLC | Registered Nurse | 6509 76th Ave N, Brooklyn Park, MN 55428-1433 | 2020-03-18 |
| 1578198677 | Home Care Nurse Solutions | Registered Nurse | 1902 Fairmount Ave, Saint Paul, MN 55105-1538 | 2020-03-09 |
| 1285267484 | Joanna Shady | Registered Nurse | 60 Himango Rd, Esko, MN 55733-9523 | 2020-02-15 |
| Find all providers with the same taxonomy | ||||
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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.