SHANA KATHLYN KONGSJORD (NPI# 1750606984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750606984 |
| Entity Type | Individual |
| Full Name | SHANA KATHLYN KONGSJORD |
| Other Name | SHANA KATHLYN FIDELDY |
| Credential | CNP |
| Practice Address |
1025 10th Ave Ne Duluth Clinic Deer River Deer River MN 56636-8703 |
| Practice Telephone | 2182468275 |
| Mailing Telephone | 2182468275 |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2011-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R179908-0 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1025 10TH AVE NE DULUTH CLINIC DEER RIVER |
| City | DEER RIVER |
| State | MN |
| Zip Code | 56636-8703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386621928 | Judy A. Garshelis | Nurse Practitioner | 1025 10th Ave Ne, Essentia Health Deer River Clinic, Deer River, MN 56636-8703 | 2005-12-26 |
| 1871873521 | Ellen Diane Stephan | Nurse Practitioner | 1025 10th Ave Ne, Deer River, MN 56636-8703 | 2011-08-26 |
| 1023396736 | Kristina Lee Conner | Nurse Practitioner | 1025 10th Ave Ne, Deer River, MN 56636-8703 | 2011-07-29 |
| 1649593856 | Casey Morris | Physician Assistant | 1025 10th Ave Ne, Duluth Deer River, Deer River, MN 56636-8703 | 2010-03-03 |
| 1053488452 | Arndt Beroen Braaten | Emergency Medicine | 1025 10th Ave Ne, Deer River, MN 56636-8703 | 2006-11-29 |
| 1134295538 | Thomas Edward Howard | Family Medicine | 1025 10th Ave Ne, Deer River, MN 56636-8703 | 2006-11-28 |
| 1861568024 | Mary Margaret Braaten | Family Medicine | 1025 10th Ave Ne, Deer River, MN 56636-8703 | 2006-11-28 |
| 1417989351 | David Charles Goodall | Family Medicine | 1025 10th Ave Ne, Deer River, MN 56636-8703 | 2006-07-07 |
| 1578592267 | Dianna Mae Kachinske | Nurse Practitioner | 1025 10th Ave Ne, Deer River, MN 56636-8703 | 2006-07-03 |
| 1609805456 | Byron David Kion Hoffman | Family Medicine | 1025 10th Ave Ne, Deer River, MN 56636-8703 | 2006-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417464157 | Deer River Dental Clinic | Dentist | 111 Main Street E, Deer River, MN 56636 | 2018-01-03 |
| 1992251235 | Ashley Ann Seedorf | Counselor | 313 Main Avenue, Deer River, MN 56636 | 2016-08-28 |
| 1376969675 | Thomas Kleinkauf | Family Medicine | 33688 East Point Rd, Deer River, MN 56636 | 2014-03-11 |
| 1073527651 | Brielle A Loe | Family Medicine | 300 West Conan St., Duluth Clinic-ely, Ely, MN 56636 | 2006-07-28 |
| 1619949328 | Jeffrey Lee Carter | Dentist | 111 Main Street, Deer River, MN 56636 | 2006-02-06 |
| 1811425895 | Leah Hildebrandt | Dentist | 111 Main St, Po Box 40, Deer River, MN 56636 | 2017-06-02 |
| 1689739435 | Independent School District No 317 | Local Education Agency (LEA) | 101 1st Ave Ne, Deer River, MN 56636-0307 | 2006-12-22 |
| 1144794793 | Michaela Ashlyn Fairbanks | Specialist/Technologist | 44711 County Road 18, Deer River, MN 56636-2148 | 2019-01-16 |
| 1407153158 | Judy Louise Lemieux | Chiropractor | 37958 Amen Lake Rd, Deer River, MN 56636-3064 | 2011-02-15 |
| 1043554702 | Rodney C Horgen | Chiropractor | 37958 Amen Lake Rd, Deer River, MN 56636-3064 | 2012-11-19 |
| Find all providers in zip 56636 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386621928 | Judy A. Garshelis | Nurse Practitioner | 1025 10th Ave Ne, Essentia Health Deer River Clinic, Deer River, MN 56636-8703 | 2005-12-26 |
| 1306250402 | Tasha Waage | Nurse Practitioner | 115 10th Ave Ne Ste A, Deer River, MN 56636-8795 | 2014-06-17 |
| 1871873521 | Ellen Diane Stephan | Nurse Practitioner | 1025 10th Ave Ne, Deer River, MN 56636-8703 | 2011-08-26 |
| 1023396736 | Kristina Lee Conner | Nurse Practitioner | 1025 10th Ave Ne, Deer River, MN 56636-8703 | 2011-07-29 |
| 1265681571 | Janna Lynn Block | Nurse Practitioner | 115 10th Ave Ne Ste A, Essentia Health Deer River Clinic, Deer River, MN 56636-8795 | 2008-09-10 |
| 1619043759 | Nancy Carol Zupan | Nurse Practitioner | 115 10th Ave Ne Ste A, Deer River, MN 56636-8795 | 2006-11-28 |
| 1578592267 | Dianna Mae Kachinske | Nurse Practitioner | 1025 10th Ave Ne, Deer River, MN 56636-8703 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466368 | Amalia Jo Folland Harvey | Nurse Practitioner | 19883 Evensong Ct, Farmington, MN 55024-8688 | 2020-10-29 |
| 1710586235 | Jackelyn Laura Peterson | Nurse Practitioner | 10101 Bren Rd E Unit 345, Minnetonka, MN 55343-0060 | 2020-10-26 |
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1861091704 | Morgan Rohl | Nurse Practitioner | 117 12th Ave Nw Apt 2, Rochester, MN 55901-2787 | 2020-10-21 |
| 1063010304 | Kalie R Mccauley | Nurse Practitioner | 11452 Brook Rd Nw, Elk River, MN 55330-8739 | 2020-10-09 |
| 1659978930 | Sarah Jean Mudge | Nurse Practitioner | 350 Harbor Dr, Duluth, MN 55802-2600 | 2020-10-08 |
| 1285231621 | Karlu Dorleh | Nurse Practitioner | 14151 Territorial Rd Unit 212, Maple Grove, MN 55369-5725 | 2020-10-08 |
| 1447857669 | Kimberly Dawn Bursch-tewalt | Nurse Practitioner | 11884 237th Ave Nw, Elk River, MN 55330-8255 | 2020-10-01 |
| 1639786312 | Peter Wahl | Nurse Practitioner | 4652 Lyndale Ave S, Minneapolis, MN 55419-5302 | 2020-09-28 |
| 1568078616 | Joanna Kay Rehm | Nurse Practitioner | 3025 Eagandale Pl Apt 338, Eagan, MN 55121-1236 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | DEER RIVER |
| Zip Code | 56636 |
Please comment or provide details below to improve the information on SHANA KATHLYN KONGSJORD.
| 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.