ERVING WAYNE LONDON (NPI# 1730145764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730145764 |
| Entity Type | Individual |
| Full Name | ERVING WAYNE LONDON |
| Credential | CNP |
| Practice Address |
4600 Lake Road Ave Ste 301 Robbinsdale MN 55422-1845 |
| Practice Telephone | 7635887099 |
| Practice Fax Number | 7635222222 |
| Mailing Telephone | 7635887099 |
| Mailing Fax Number | 7635222222 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2018-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R0779645 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 894628100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9550 Upland Ln N, Suite 100, Maple Grove, MN 553694481 | 7635376000 | 7635376666 |
| Street Address |
4600 LAKE ROAD AVE STE 301 |
| City | ROBBINSDALE |
| State | MN |
| Zip Code | 55422-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447711015 | Medical Consultants Clinic Pa | Clinic/Center | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2019-03-27 |
| 1073022372 | Sean Sullivan Dwyer | Physician Assistant | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2017-09-29 |
| 1306254206 | Emily Anderson | Clinical Nurse Specialist | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2014-07-24 |
| 1275881971 | Dodson Pain Consultants, P.a. Corp | Clinic/Center | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2012-08-28 |
| 1275850927 | Eric Ryan Van Hecke | Physician Assistant | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2010-04-21 |
| 1003987876 | Erick James Lundgren | Chiropractor | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422 | 2006-11-13 |
| 1649201161 | Tammie Jean Porras | Nurse Practitioner | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| 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 |
|---|---|---|---|---|
| 1891026522 | Nancy Jo Downerd | Nurse Practitioner | 3300 Oakdale Ave No, North Memorial Medical Center, Robbinsdale, MN 55422 | 2010-01-20 |
| 1063481364 | Kathryn B Hoversten | Nurse Practitioner | 3366 Oakdale Ave N Ste 450, Robbinsdale, MN 55422-2957 | 2006-03-17 |
| 1285608232 | Cynthia J. Sly | Nurse Practitioner | 3366 Oakdale Avenue North, Suite 315, Robbinsdale, MN 55422 | 2006-02-15 |
| 1902431166 | Katie Marie Patnode | Nurse Practitioner | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-03-09 |
| 1194365999 | Samantha Julianne Johnson | Nurse Practitioner | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-01-09 |
| 1114561065 | Holly J. Swanson | Nurse Practitioner | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2019-11-04 |
| 1740746932 | Lindsay Rae Kammann | Nurse Practitioner | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2019-02-13 |
| 1568940260 | Cassandra Parker | Nurse Practitioner | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2018-08-03 |
| 1245744234 | Amanda J Mickelson | Nurse Practitioner | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2017-11-29 |
| 1649640020 | Sarah Ames | Nurse Practitioner | 3300 Oakdale Ave N, Robbinsdale, MN 55422 | 2015-09-29 |
| Find all providers in ROBBINSDALE | ||||
| City | ROBBINSDALE |
| Zip Code | 55422 |
Please comment or provide details below to improve the information on ERVING WAYNE LONDON.
| 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.