AMY LEE SELLY (NPI# 1659536019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659536019 |
| Entity Type | Individual |
| Full Name | AMY LEE SELLY |
| Credential | CNP |
| Practice Address |
100 State Ave Faribault MN 55021-6337 |
| Practice Telephone | 5073343921 |
| Mailing Telephone | 5073343921 |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R-145818-5 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 STATE AVE |
| City | FARIBAULT |
| State | MN |
| Zip Code | 55021-6337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396745022 | Terence P Cahill | Family Medicine | 100 State Ave, Faribault, MN 55021-6337 | 2005-07-22 |
| 1336754555 | Allina Health System | Clinic/Center | 100 State Ave, Faribault, MN 55021-6337 | 2020-09-14 |
| 1952963670 | Joni Renee Rykken | Audiologist | 100 State Ave, Faribault, MN 55021-6337 | 2019-07-02 |
| 1760953897 | Matthew Ahlskog | Physician Assistant | 100 State Ave, Faribault, MN 55021-6337 | 2018-12-16 |
| 1376026989 | Sheryl Borka | Social Worker | 100 State Ave, Faribault, MN 55021 | 2018-09-10 |
| 1255812590 | Griselda Lopez | Nurse Practitioner | 100 State Ave, Faribault, MN 55021-6337 | 2018-08-24 |
| 1255731220 | Michelle Crosby | Nurse Practitioner | 100 State Ave, Faribault, MN 55021-6337 | 2014-08-27 |
| 1871907246 | Sakina Sachak | Emergency Medicine | 100 State Ave, Faribault, MN 55021-6337 | 2014-06-13 |
| 1992050330 | Christine M Werner | Nurse Practitioner | 100 State Ave, Faribault, MN 55021-6337 | 2012-07-23 |
| 1932461480 | Jennifer Hart | Physician Assistant | 100 State Ave, Faribault, MN 55021-6337 | 2012-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872831 | Kent William Lundstrom | Pharmacist | 612 4th Street Nw, Faribault, MN 55021 | 2020-08-19 |
| 1053957357 | M&t Sisters of Serendipity Pllc | Counselor | 212a Centralave, Faribault, MN 55021 | 2019-11-21 |
| 1639720485 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 200 8th Avenue Nw, Faribault, MN 55021 | 2019-09-24 |
| 1235663428 | Tanya Borchert | Social Worker | 100 State Avenue, Faribault, MN 55021 | 2017-04-14 |
| 1235589854 | Bashir Omar I | Interpreter | 2426 Park Ave # 309, Faribault, MN 55021 | 2016-06-14 |
| 1790150381 | Rainbow United Care Transportation LLC | Non-emergency Medical Transport (VAN) | 1738 Patrick Bay, Faribault, MN 55021 | 2015-12-08 |
| 1740625938 | Steven James Klapmeier | Family Medicine | 1101 Linden Lane, Mcfffrb Health Service, Faribault, MN 55021 | 2013-05-02 |
| 1528306040 | Discovery Public School of Faribault | Local Education Agency (LEA) | 126 8th St. Nw, Faribault, MN 55021 | 2013-01-17 |
| 1164790374 | Emmanuel Douah | Pharmacist | 612 4th Avenue Nw, Faribault, MN 55021 | 2011-12-02 |
| 1770873937 | Faribault Senior Living LLC | Assisted Living Facility | 843 Faribault Road, Faribault, MN 55021 | 2011-04-08 |
| Find all providers in zip 55021 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457906166 | Hope Michelle Martinez | Nurse Practitioner | 100 State Ave Fl 1, Faribault, MN 55021-6337 | 2019-08-08 |
| 1215540810 | Bauj S Yang | Nurse Practitioner | 300 State Ave, Faribault, MN 55021-6319 | 2020-08-25 |
| 1255812590 | Griselda Lopez | Nurse Practitioner | 100 State Ave, Faribault, MN 55021-6337 | 2018-08-24 |
| 1992050330 | Christine M Werner | Nurse Practitioner | 100 State Ave, Faribault, MN 55021-6337 | 2012-07-23 |
| 1801124565 | Sandra Paddock | Nurse Practitioner | 1101 Linden Ln, Faribault, MN 55021-6400 | 2009-11-18 |
| 1093982837 | Nancy Lynn Pesta Walsh | Nurse Practitioner | 200 State Ave, Faribault, MN 55021-6339 | 2008-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466368 | Amalia Jo Folland Harvey | Nurse Practitioner | 19883 Evensong Ct, Farmington, MN 55024-8688 | 2020-10-29 |
| 1710586235 | Jackelyn Laura Peterson | Nurse Practitioner | 10101 Bren Rd E Unit 345, Minnetonka, MN 55343-0060 | 2020-10-26 |
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1861091704 | Morgan Rohl | Nurse Practitioner | 117 12th Ave Nw Apt 2, Rochester, MN 55901-2787 | 2020-10-21 |
| 1063010304 | Kalie R Mccauley | Nurse Practitioner | 11452 Brook Rd Nw, Elk River, MN 55330-8739 | 2020-10-09 |
| 1659978930 | Sarah Jean Mudge | Nurse Practitioner | 350 Harbor Dr, Duluth, MN 55802-2600 | 2020-10-08 |
| 1285231621 | Karlu Dorleh | Nurse Practitioner | 14151 Territorial Rd Unit 212, Maple Grove, MN 55369-5725 | 2020-10-08 |
| 1447857669 | Kimberly Dawn Bursch-tewalt | Nurse Practitioner | 11884 237th Ave Nw, Elk River, MN 55330-8255 | 2020-10-01 |
| 1639786312 | Peter Wahl | Nurse Practitioner | 4652 Lyndale Ave S, Minneapolis, MN 55419-5302 | 2020-09-28 |
| 1568078616 | Joanna Kay Rehm | Nurse Practitioner | 3025 Eagandale Pl Apt 338, Eagan, MN 55121-1236 | 2020-09-23 |
| 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.