MS. KATHLEEN J LIETZAU (NPI# 1730164567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730164567 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN J LIETZAU |
| Credential | APCNS |
| Practice Address |
6950 146th St W Suite 100 Apple Valley MN 55124-4513 |
| Mailing Address |
3100 W Lake St Suite 210 Minneapolis MN 55416-4527 |
| Practice Telephone | 9524321484 |
| Practice Fax Number | 9524322328 |
| Mailing Telephone | 6129256033 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2013-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
R94581-9 | MN | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 392143300 | 05 |
| Street Address |
6950 146TH ST W SUITE 100 |
| City | APPLE VALLEY |
| State | MN |
| Zip Code | 55124-4513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134175300 | Mary Anna Miller | Psychologist | 6950 146th St W, Apple Valley, MN 55124-4513 | 2006-05-26 |
| 1346220969 | Psi Health Care Inc | Durable Medical Equipment & Medical Supplies | 6950 146th St W, Suite 110, Apple Valley, MN 55124-4513 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
| 1629612569 | Gadaa Care Transportation | Non-emergency Medical Transport (VAN) | 7296 157th St W, Apple Valley, MN 55124 | 2019-11-04 |
| 1356831515 | Dustin W Seabolt | Hearing Instrument Specialist | 15071 Dunwood Trl, Apple Valley, MN 55124 | 2018-05-14 |
| 1639687189 | Dentalign P.a. | Clinic/Center | 15875 Emperor Avenue, Apple Valley, MN 55124 | 2018-01-18 |
| 1982126926 | Apex Family Chiropractic LLC | Chiropractor | 15678 Pilot Knob Road, Suite 120, Apple Valley, MN 55124 | 2017-07-12 |
| 1821523028 | Robin Marie Parker | Nurse Practitioner | 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 | 2017-04-25 |
| 1134578826 | Ellen Denise Jacobson | Dentist | 14682 Pennock Avenue South, Apple Valley, MN 55124 | 2016-06-03 |
| 1831568708 | Clearriver Inc. | Home Health | 13790 Elkhart Rd, Apple Valley, MN 55124 | 2015-09-21 |
| 1265826879 | Next Level Fitness Co | Public Health or Welfare | 14645 Felton Ct, 104, Apple Valley, MN 55124 | 2015-03-20 |
| 1568872216 | Jon Butala | Marriage & Family Therapist | 4300 W 147th St., Suite 204, Apple Valley, MN 55124 | 2014-05-04 |
| Find all providers in zip 55124 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073095063 | Taylor Ohotto | Registered Nurse | 644 Willoughby Way W, Hopkins, MN 55305-5352 | 2018-09-05 |
| 1043650534 | William Clare Cebulla | Registered Nurse | 29538 Olinda Trl, Lindstrom, MN 55045-9440 | 2013-06-27 |
| 1851638159 | Mary Kay Borgstrom | Registered Nurse | 905 Forest Ave E Ste 150, Mora, MN 55051-1632 | 2013-01-08 |
| 1780951103 | Helen Margaret Knox | Registered Nurse | Hennepin County Government Center A14, 300 So 6th St, Minneapolis, MN 55487-0001 | 2011-11-30 |
| 1023229085 | Patricia K. Cretilli | Registered Nurse | 5430 Edgewater Blvd, Minneapolis, MN 55417-2604 | 2007-05-24 |
| 1093862732 | April Leta Wolfson | Registered Nurse | 327 Marschall Rd # 350, Shakopee, MN 55379-1687 | 2007-01-04 |
| 1992716245 | Cheryl A. Covert | Registered Nurse | 1044 Saint Johns Bay, Woodbury, MN 55129-8537 | 2006-08-11 |
| 1760956668 | Kathleen Elizabeth Pengelly | Registered Nurse | 762 Transfer Rd Ste 21, Saint Paul, MN 55114-1489 | 2019-01-15 |
| 1255777322 | Sandra Jean Shadley | Registered Nurse | 225 Sherburne St N, Stillwater, MN 55082-4726 | 2013-05-16 |
| 1134497399 | Barbara Ann Erickson | Registered Nurse | 300 S 6th St, Government Center A1400, Minneapolis, MN 55487-0999 | 2011-12-02 |
| Find all providers with the same taxonomy | ||||
| City | APPLE VALLEY |
| Zip Code | 55124 |
Please comment or provide details below to improve the information on MS. KATHLEEN J LIETZAU.
| 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.