RICHARD CLARK NIESSEN SR. (NPI# 1720318876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720318876 |
| Entity Type | Individual |
| Full Name | RICHARD CLARK NIESSEN SR. |
| Credential | C.P. |
| Practice Address |
2025 East River Park Way Shriners Hospitals for Children Twin Cities Mpls MN 55414-3604 |
| Practice Telephone | 6125966100 |
| Practice Fax Number | 6123305954 |
| Mailing Telephone | 6125966100 |
| Mailing Fax Number | 6123305954 |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2010-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2025 EAST RIVER PARK WAY SHRINERS HOSPITALS FOR CHILDREN TWIN CITIES |
| City | MPLS |
| State | MN |
| Zip Code | 55414-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1346888732 | Danielle Lee Ann Vogler-bos | Naturopath | 575 Se 9th St, Suite #52, Minneapolis, MN 55414 | 2019-12-16 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1346806585 | Kristen Bastug | Student in an Organized Health Care Education/Training Program | General Pediatrics and Adolescent Health, 1932k, 1717 Delaware Street Southeast, Suite 353, Minneapolis, MN 55414 | 2019-05-14 |
| 1053881698 | Lauren Michelle Scholder | Psychologist | 401 Main St Se Apt 7009, Minneapolis, MN 55414 | 2018-11-27 |
| 1427530666 | Kelli Howard | Psychologist | 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2018-09-04 |
| 1306370218 | Jiexiong Yang | Student in an Organized Health Care Education/Training Program | 814 Essex St Se, Minneapolis, MN 55414 | 2017-04-18 |
| 1598297699 | Patrick Curran | Student in an Organized Health Care Education/Training Program | 628 University Ave Se, Apt. 112, Minneapolis, MN 55414 | 2017-03-29 |
| 1679923957 | Jillian Theresa Tholen | Dietitian, Registered | 411 E Hennepin Ave, Minneapolis, MN 55414 | 2016-06-16 |
| 1073960290 | First Language Interpreter & Translation Services LLC | Interpreter | 2828 University Ave Se Suite 150, Minneapolis, MN 55414 | 2016-05-17 |
| Find all providers in zip 55414 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386900272 | Kyle Robert Hamre | Prosthetist | 6600 France Ave S, Suite 162, Edina, MN 55435-1805 | 2012-04-05 |
| 1043538531 | Jill Prinsen | Prosthetist | 360 Sherman St, Suite 299, Saint Paul, MN 55102-2564 | 2010-05-10 |
| 1558691600 | Rebecca Lynn Born | Prosthetist | 2025 East River Parkway, Minneapolis, MN 55414-3604 | 2010-01-12 |
| 1699908483 | Steven Jahn | Prosthetist | 6600 France Ave S, Suite 162, Edina, MN 55435-1805 | 2009-08-27 |
| 1760637052 | Sarah Mahowald | Prosthetist | 1 Veterans Dr, Prosthetic Dept. (121), Minneapolis, MN 55417-2309 | 2008-12-01 |
| 1063629368 | Peter Stasica | Prosthetist | 2200 University Ave W, #114, Saint Paul, MN 55114-1839 | 2007-05-17 |
| 1902013402 | Joseph Andrew Medvec | Prosthetist | 1 Veterans Dr, Prosthetics 121, Minneapolis, MN 55417-2309 | 2007-05-16 |
| 1013017813 | Chris Peter Boosalis | Prosthetist | 6600 France Ave S, Suite 162, Edina, MN 55435-1805 | 2006-09-22 |
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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.