NICOLE KWAPICK (NPI# 1609251628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609251628 |
| Entity Type | Individual |
| Full Name | NICOLE KWAPICK |
| Practice Address |
1540 Randolph Ave Saint Paul MN 55105 |
| Mailing Address |
2025 Sloan Pl Ste 35 Saint Paul MN 55117-2092 |
| Practice Telephone | 6516998333 |
| Practice Fax Number | 6516999257 |
| Mailing Telephone | 6517721572 |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2019-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 11891 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3550 Labore Rd Ste 7, Vadnais Heights, MN 551105113 | 6517660520 | 6517669451 |
| Street Address |
1540 RANDOLPH AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346233731 | Amy Loreen Gilbert | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2005-08-31 |
| 1053731323 | Aaron Ulland | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2014-04-24 |
| 1073847067 | Sarah Christine Olson | Physician Assistant | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2009-09-24 |
| 1629258348 | Family Healthservices Minnesota, P.a. | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2007-11-09 |
| 1598983082 | East Metro Family Practice, P.a. | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2007-04-23 |
| 1366584526 | Family Healthservices Minnesota, P.a | Non-Pharmacy Dispensing Site | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2007-02-13 |
| 1427061944 | Alden R Tetlie | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2006-08-14 |
| 1124039177 | Denise J Long | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2006-08-11 |
| 1336150473 | Steven C Skildum | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2006-08-11 |
| 1316953086 | Michelle L Swiglo | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704020 | Grand Avenue Smiles | Dentist | 1845 Grand Avenue, St. Paul, MN 55105 | 2019-08-09 |
| 1205304839 | Michelle Marie Loken Price | Acupuncturist | 877 Lincoln Ave, Saint Paul, MN 55105 | 2018-11-13 |
| 1326566936 | Becky Lynn Lawyer | Counselor | 1704 Palace Ave, St Paul, MN 55105 | 2017-09-04 |
| 1679020226 | Internal Revolution Counseling and Consulting, L.L.C. | Psychologist | 1123 Grand Avenue, Suite 201, Saint Paul, MN 55105 | 2016-09-01 |
| 1487059689 | Jennifer Mason | Lactation Consultant, Non-RN | 1382 Summit Ave, Saint Paul, MN 55105 | 2014-10-30 |
| 1679818850 | Marc Lane Wolfson | Registered Nurse | 1148 Grand Avenue, St. Paul, MN 55105 | 2012-11-29 |
| 1457602781 | Charting Your Success | Social Worker | 2050 St Clair Avenue, Suite 1e, St Paul, MN 55105 | 2012-09-26 |
| 1871867549 | Stacia Hanson Ma Lp LLC | Psychologist | 889 Grand Avenue, Suite 203, St Paul, MN 55105 | 2012-02-28 |
| 1265718142 | Caitlin Marie Young | Midwife | 968 Grand Ave., St. Paul, MN 55105 | 2011-10-24 |
| 1659512622 | Wellness Cooperative LLC | Chiropractor | 976 Grand Ave., St. Paul, MN 55105 | 2009-03-20 |
| Find all providers in zip 55105 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
| 1679107841 | Kelsey Locken | Physician Assistant | 2285 University Ave W Unit 161, Saint Paul, MN 55114-1645 | 2020-02-26 |
| 1497395719 | Demitri Nichelle Gockel | Physician Assistant | 750 Otto Ave Unit 2242, Saint Paul, MN 55102-5042 | 2020-01-14 |
| 1245870203 | Ashley Kay Warner | Physician Assistant | 640 Jackson St # 11102f, Saint Paul, MN 55101-2595 | 2020-01-07 |
| 1275171795 | Keith Fertey Moy | Physician Assistant | 594 Montrose Ln, Saint Paul, MN 55116-1158 | 2019-12-16 |
| 1609417757 | Mh 101, PC | Physician Assistant | 1999 Shepard Rd, Saint Paul, MN 55116-3210 | 2019-09-30 |
| 1760048946 | Amity Alice Carlson | Physician Assistant | 1600 University Ave W Ste 205, Saint Paul, MN 55104-3825 | 2019-05-14 |
| 1740747872 | Angela Marie Schlangen | Physician Assistant | 435 Phalen Blvd., Mail Stop 51103c, Saint Paul, MN 55130-5302 | 2019-02-25 |
| 1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
| 1649720533 | Jeffrey Charles Otis | Physician Assistant | 405 Nebraska Ave E, Saint Paul, MN 55130-3226 | 2016-10-04 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55105 |
Please comment or provide details below to improve the information on NICOLE KWAPICK.
| 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.