TRACY ANNE CHISHOLM (NPI# 1740378033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740378033 |
| Entity Type | Individual |
| Full Name | TRACY ANNE CHISHOLM |
| Credential | PA-C |
| Practice Address |
3366 Oakdale Ave N Suite 103 Robbinsdale MN 55422-2948 |
| Mailing Address |
4200 Dahlberg Dr Suite 300 Golden Valley MN 55422-4840 |
| Practice Telephone | 7635207870 |
| Practice Fax Number | 7635207580 |
| Mailing Telephone | 9525125600 |
| Mailing Fax Number | 9525125651 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2015-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
10830 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003240078 | Tracy Leigh Chisholm | Psychologist | 22400 Johnson Rd, West Linn, OR 97068-9722 | 2013-08-27 |
| Street Address |
3366 OAKDALE AVE N SUITE 103 |
| City | ROBBINSDALE |
| State | MN |
| Zip Code | 55422-2948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598746513 | Jennifer A Flaherty | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2005-11-08 |
| 1164954020 | Brianna Kay Randall | Physician Assistant | 3366 Oakdale Ave N, Ste 104, Robbinsdale, MN 55422-2948 | 2017-03-30 |
| 1699228999 | Matthew Idle | Dentist | 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | 2016-08-03 |
| 1598135287 | Kelly Lynn Vanderheyden | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2015-10-07 |
| 1134599038 | Kari Ann Gabrielse | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2015-10-05 |
| 1346621919 | Anna E Marjan | Surgery | 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | 2015-06-09 |
| 1982008413 | Amanda Lynn Solyntjes | Specialist/Technologist | 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | 2014-10-13 |
| 1417351941 | Rachael Jensen | Specialist/Technologist | 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | 2014-10-13 |
| 1801205984 | Travis Wayne Urbatch | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2014-08-04 |
| 1609217769 | Rita Ann Anderson | Nurse Practitioner | 3366 Oakdale Ave N, Suite 551, Robbinsdale, MN 55422-2948 | 2013-07-17 |
| Find all providers in the same location | ||||
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972135978 | Cassie Lynn Yager | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-02-07 |
| 1174044606 | Pantelan Yang | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422 | 2017-07-06 |
| 1649718453 | Cassondra Marie Deming | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2017-02-01 |
| 1992131221 | Cari Schwede | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2013-09-18 |
| 1164705158 | Sarah Ann Docken | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2011-09-26 |
| 1669679486 | Kyle R Exsted | Physician Assistant | 3366 Oakdale Ave N, Suites 103 & 104, Robbinsdale, MN 55422-2948 | 2007-06-27 |
| 1982796199 | Jennifer A. Greseth | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194120204 | Nathan C Clapper | Physician Assistant | 3580 Arcade St Ste 100, Vadnais Heights, MN 55127-7135 | 2014-10-31 |
| 1003180555 | Elizabeth K Saterenzoller | Physician Assistant | 1015 Marsh Street, Mankato, MN 56002-8673 | 2012-03-01 |
| 1477824472 | Andrea Jo Pitzl | Physician Assistant | 3208 36th Ave Ne, St Anthony, MN 55418-1713 | 2012-01-23 |
| 1447560693 | Jeanine Marie Edstrom | Physician Assistant | 1185 Town Centre Dr Ste 200, Eagan, MN 55123-1343 | 2010-10-20 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1194042390 | Gerald Frederick Anderson | Physician Assistant | 4060 Haines Rd, #104, Duluth, MN 55811-1746 | 2010-04-27 |
| 1558683904 | Oswaldo Serge | Physician Assistant | 4036 3rd St Nw, Rochester, MN 55901-7564 | 2010-02-25 |
| 1417288945 | Amanda Kay Johnson | Physician Assistant | 201 W Center St Ei-01 Surgical Assistant, Rochester, MN 55902-3003 | 2010-01-22 |
| 1790922755 | Jenelle Cecilia Rock | Physician Assistant | 1950 Northwestern Ave S, Suite 102, Stillwater, MN 55082-7590 | 2009-01-13 |
| 1174775514 | Nathan J Nistler | Physician Assistant | 3580 Arcade Stq, Vadnais Heights, MN 55127-7135 | 2008-10-16 |
| Find all providers with the same taxonomy | ||||
| City | ROBBINSDALE |
| Zip Code | 55422 |
Please comment or provide details below to improve the information on TRACY ANNE CHISHOLM.
| 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.