RANDAL RICHARD STAATS (NPI# 1760572317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760572317 |
| Entity Type | Individual |
| Full Name | RANDAL RICHARD STAATS |
| Practice Address |
2414 Park Ave Minneapolis MN 55404-3713 |
| Practice Telephone | 6128795362 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2010-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
LP3816 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 215936800 | 05 |
| Street Address |
2414 PARK AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-3713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346336302 | Kevin Patrick Walsh | Counselor | 2414 Park Ave, Minneapolis, MN 55404-3713 | 2006-10-05 |
| 1598961351 | Diane Jeannette Waarvik | Nurse Practitioner | 2414 Park Ave, Minneapolis, MN 55404-3713 | 2007-06-26 |
| 1508910530 | Angela Kathleen Krebs | Counselor | 2414 Park Ave, Minneapolis, MN 55404-3713 | 2007-01-23 |
| 1275609927 | Debra Jane Schloer | Social Worker | 2414 Park Ave, Minneapolis, MN 55404-3713 | 2006-11-27 |
| 1942375910 | Joseph S. Duncan | Social Worker | 2414 Park Ave, Minneapolis, MN 55404-3713 | 2006-11-22 |
| 1942372081 | Donna Rae Mayotte | Counselor | 2414 Park Ave, Minneapolis, MN 55404-3713 | 2006-11-14 |
| 1598844078 | Ann N Stone | Psychologist | 2414 Park Ave, Minneapolis, MN 55404-3713 | 2006-11-03 |
| 1407945264 | Doris Joanne Bailey | Psychologist | 2414 Park Ave, Minneapolis, MN 55404-3713 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779127 | Abdifatah Nuuh | Psychologist | 4204 16th Ave S, Minneapolis, MN 55407-3312 | 2020-10-26 |
| 1033749163 | Neurocalm, LLC | Psychologist | 3153 Hennepin Ave Ste 211, Minneapolis, MN 55408-2620 | 2020-01-16 |
| 1679134373 | Lindsay Elissa Holt | Psychologist | 825 Nicollet Mall Ste 1455, Minneapolis, MN 55402-2703 | 2019-06-24 |
| 1427530666 | Kelli Howard | Psychologist | 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2018-09-04 |
| 1144706094 | Adrienne Sharma | Psychologist | 708 North 1st Street, Suite #242, Minneapolis, MN 55401 | 2018-07-13 |
| 1487156618 | Mercer Psychological Services Pllc | Psychologist | 410 E 48th St Ste 3, Minneapolis, MN 55419-5651 | 2018-03-04 |
| 1285166355 | Ross E Gubrud | Psychologist | 4421 Ellsworth Dr, Minneapolis, MN 55435-4149 | 2017-03-29 |
| 1144629403 | Donna Kulakowski | Psychologist | 3108 Hennepin Ave # 1, Minneapolis, MN 55408-2619 | 2014-08-22 |
| 1245644582 | Anshan Eckard | Psychologist | 128 Pleasant St Se, Appleby Hall, Minneapolis, MN 55455-0434 | 2014-06-14 |
| 1891122628 | John T Landry | Psychologist | 5325 Grand Ave S, Minneapolis, MN 55419-1358 | 2013-10-11 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
Please comment or provide details below to improve the information on RANDAL RICHARD STAATS.
| 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.