MRS. KATHLEEN M. THIEDE (NPI# 1700945086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700945086 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN M. THIEDE |
| Credential | MA, RN, FNP-C |
| Practice Address |
1200 Kenwood Ave Css Student Health Service Duluth MN 55811-4199 |
| Practice Telephone | 2187236282 |
| Practice Fax Number | 2187235953 |
| Mailing Telephone | 2187236282 |
| Mailing Fax Number | 2187235953 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R1480412 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1200 KENWOOD AVE CSS STUDENT HEALTH SERVICE |
| City | DULUTH |
| State | MN |
| Zip Code | 55811-4199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205820859 | Todd Neuharth | Specialist/Technologist | 1200 Kenwood Ave, College of St. Scholastica, Duluth, MN 55811-4199 | 2005-09-08 |
| 1659911204 | Mary Beny Becerril-gonzalez | Specialist/Technologist | 1200 Kenwood Ave, Duluth, MN 55811-4199 | 2020-01-12 |
| 1558909036 | Ryan Anthony Johnson | Specialist/Technologist | 1200 Kenwood Ave, Duluth, MN 55811-4199 | 2019-12-16 |
| 1821636374 | Nicholas Joseph Economou | Student in an Organized Health Care Education/Training Program | 1200 Kenwood Ave, Duluth, MN 55811-4199 | 2019-12-16 |
| 1326609595 | Monique Duplessis | Specialist/Technologist | 1200 Kenwood Ave, Duluth, MN 55811-4199 | 2019-06-27 |
| 1235790403 | Colton Herring | Specialist/Technologist | 1200 Kenwood Ave, Duluth, MN 55811-4199 | 2019-06-27 |
| 1144881319 | Kennedy Mae Appleton | Specialist/Technologist | 1200 Kenwood Ave, Duluth, MN 55811-4199 | 2019-06-27 |
| 1053972224 | Cecelia Barnes | Specialist/Technologist | 1200 Kenwood Ave, Duluth, MN 55811-4199 | 2019-06-27 |
| 1780245951 | Babajide Ifonlaja | Student in an Organized Health Care Education/Training Program | 1200 Kenwood Ave, Duluth, MN 55811-4199 | 2019-06-27 |
| 1508427782 | Jake Edward Carroll | Specialist/Technologist | 1200 Kenwood Ave, Duluth, MN 55811-4199 | 2019-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417515339 | Kyle Olson-merrick | Dentist | 320 W Myrtle St, Ste 100, Duluth, MN 55811 | 2019-06-05 |
| 1184288979 | Pdg, P.a. | Clinic/Center | 4891 Miller Truck Hwy., Suite 100, Hermantown, MN 55811 | 2019-04-26 |
| 1528589843 | Breanna Joy Greenly | Counselor | 4720 Burning Tree Road, Birch Tree Center, Duluth, MN 55811 | 2017-06-28 |
| 1396102398 | Debbie Christian | Registered Nurse | 4815 Burning Tree Rd Suite 100, Duluth, MN 55811 | 2016-01-21 |
| 1831556935 | Megan Marie Paris | Psychologist | 715 East Central Entrance, Duluth, MN 55811 | 2016-01-20 |
| 1740666908 | Angela Fedo | Physical Therapy Assistant | 2101 Trinity Rd, Duluth, MN 55811 | 2015-08-10 |
| 1649657479 | Kayla Stephenson | Specialist/Technologist | 5024 Morris Thomas Road, Hermantown, MN 55811 | 2015-04-30 |
| 1073918843 | Northern Lives Inc. | Assisted Living Facility | 4014 Trinity Road, Duluth, MN 55811 | 2014-10-23 |
| 1114326238 | Donald Hermanson | Specialist/Technologist | 801 Boulder Drive, Apt. 202, Duluth, MN 55811 | 2014-08-14 |
| 1679990857 | Jodie Little | Pharmacist | 801 W. Central Entrance, Shopko Pharmacy 2114, Duluth, MN 55811 | 2014-03-25 |
| Find all providers in zip 55811 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877723 | Camille Watson-clarke | Nurse Practitioner | 3650 Steve Reynolds Blvd Ste 316, Duluth, GA 30096-4506 | 2020-09-30 |
| 1568089340 | Emily Abernethy | Nurse Practitioner | 1001 E Superior St Ste 401, Duluth, MN 55802-2229 | 2020-06-29 |
| 1588159388 | Marilyne Jones | Nurse Practitioner | 3920 Club Dr Apt 724, Duluth, GA 30096-7101 | 2018-06-25 |
| 1225534977 | Philip Douglas Knese | Nurse Practitioner | 1012 E 2nd St Bldg A, Duluth, MN 55805-2200 | 2018-04-02 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1477964559 | Vincentia Asantewah Adjei | Nurse Practitioner | 6340 Sugarloaf Pkwy Ste 200, Duluth, GA 30097-4329 | 2014-05-12 |
| 1346473998 | Patricia A Trachte | Nurse Practitioner | 107 Ksc, Umd Quick Care, Duluth, MN 55812 | 2009-08-31 |
| 1992864821 | The College of St. Scholastica | Nurse Practitioner | Css 1200 Kenwood Avenue, Student Health Service, Duluth, MN 55811 | 2006-12-06 |
| 1508979253 | New Day Health | Nurse Practitioner | 1180 88th Ave. West, Suite 2, Duluth, MN 55808 | 2006-08-16 |
| 1770558751 | Thelma Berry Cummings | Nurse Practitioner | 3650 Steve Reynolds Boulevard, Kp Medical Center At Gwinnett, Duluth, GA 30086 | 2006-02-22 |
| Find all providers in DULUTH | ||||
Please comment or provide details below to improve the information on MRS. KATHLEEN M. THIEDE.
| 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.