STACIE MARIE KNUTSON (NPI# 1720304439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720304439 |
| Entity Type | Individual |
| Full Name | STACIE MARIE KNUTSON |
| Practice Address |
2450 Riverside Ave East Building, Room Mb560 Minneapolis MN 55454-1450 |
| Practice Telephone | 6126262941 |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2016-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
56178 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
2450 RIVERSIDE AVE EAST BUILDING, ROOM MB560 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55454-1450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568462570 | Sreejaya Veluvali | Psychiatry & Neurology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2005-08-01 |
| 1588265375 | Fairview Health Services | General Acute Care Hospital | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-11-06 |
| 1215535927 | Katrina Joelle Christian | Student in an Organized Health Care Education/Training Program | 2450 Riverside Ave, Department of Pediatrics, 6 East Building, Minneapolis, MN 55454-5510 | 2020-10-14 |
| 1023616208 | Jodi Renee Nelson | Psychologist | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-10-11 |
| 1912504150 | Pamela Norling | Counselor | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-10-01 |
| 1225635345 | Trevor Ryan Goldsmith | Nurse Anesthetist, Certified Registered | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-10-01 |
| 1215534342 | Michelle L White | Marriage & Family Therapist | 2450 Riverside Ave, Attn: Adult Cd Lodging Plus, Minneapolis, MN 55454-1450 | 2020-10-01 |
| 1295341048 | Tobias Zander Donlon | Student in an Organized Health Care Education/Training Program | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-09-17 |
| 1417562497 | Megan Farr | Dietitian, Registered | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-09-15 |
| 1871101238 | Fairview Express Care | General Practice | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
| 1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
| 1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
| 1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
| 1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
| 1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
| 1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
| 1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
| 1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
| Find all providers in zip 55454 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649723511 | Ryan Greene | Pediatrics | 2450 Riverside Ave Bldg M663, Minneapolis, MN 55454-1450 | 2016-07-27 |
| 1376713107 | Charles Webster Shepard | Pediatrics | 2530 Chicago Avenue South Suite 500, Minneapolis, MN 55404 | 2008-03-07 |
| 1932392347 | Shashi Raj | Pediatrics | 2525 Chicago Ave Ste 500, Minneapolis, MN 55404-4518 | 2007-08-20 |
| 1346280351 | Barbara Kelly Gleason Han | Pediatrics | 800 E 28th St, Suite H2100, Minneapolis Heart Institute, Minneapolis, MN 55407 | 2006-06-07 |
| 1659877181 | Massimo Griselli | Pediatrics | University of Minnesota Physicians, 500 Harvard Street Se, Minneapolis, MN 55455-0363 | 2018-04-03 |
| 1841738952 | Children's Health Care | Pediatrics | 2525 Chicago Avenue South, Minneapolis, MN 55404-4518 | 2017-02-09 |
| 1801141502 | Varun Aggarwal | Pediatrics | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2012-07-18 |
| 1285992354 | Joanna M Lowisz | Pediatrics | 2525 Chicago Ave S, Minneapolis, MN 55404 | 2012-04-26 |
| 1346506961 | Kavisha Milesh Shah | Pediatrics | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2012-04-09 |
| 1740599513 | Marko Vezmar | Pediatrics | 2530 Chicago Ave, Ste 500, Minneapolis, MN 55404-4291 | 2010-09-28 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55454 |
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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.