DR. ALISSA JOY REDDING (NPI# 1760614390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760614390 |
| Entity Type | Individual |
| Full Name | DR. ALISSA JOY REDDING |
| Credential | DPM |
| Practice Address |
417 Franklin St S Glenwood MN 56334-1598 |
| Mailing Address |
10 4th Ave Se Glenwood MN 56334-1820 |
| Practice Telephone | 3206344521 |
| Practice Fax Number | 3203343249 |
| Mailing Telephone | 3206342276 |
| Mailing Fax Number | 3206342244 |
| Enumeration Date | 2009-08-15 |
| Last Update Date | 2018-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
880 | MN | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10 4th Ave Se, Glenwood, MN 563341820 | 3206344521 | 3203343249 |
| Street Address |
417 FRANKLIN ST S |
| City | GLENWOOD |
| State | MN |
| Zip Code | 56334-1598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649285172 | Glacial Ridge Hospital District | Family Medicine | 417 Franklin St S, Glenwood, MN 56334-1518 | 2006-07-31 |
| 1558816561 | Tanya Freske | Nurse Practitioner | 417 Franklin St S, Glenwood, MN 56334-1518 | 2016-08-19 |
| 1013335520 | Laura Davis Huggins | Family Medicine | 417 Franklin St S, Glenwood, MN 56334-1518 | 2014-04-01 |
| 1992901086 | Scott Ryan Maanum | Family Medicine | 417 Franklin St S, Glenwood, MN 56334-1598 | 2007-06-25 |
| 1699788752 | Michael Holte | Orthopaedic Surgery | 417 Franklin St S, Glenwood, MN 56334-1518 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306206446 | Glacial Ridge Hospital District | Optometrist | 16 West Minnesota Avenue, Suite 102, Glenwood, MN 56334 | 2016-03-02 |
| 1922320142 | Michael David Flaten | Marriage & Family Therapist | 100 17th Ave Nw, Suite #2 Lakeland Mental Health Center, Glenwood, MN 56334 | 2010-02-16 |
| 1427107721 | G E Maher Ltd | Dentist | 101 First Avenue Sw, Glenwood, MN 56334 | 2007-01-09 |
| 1740340256 | Jeremy Myrom | Dentist | 1616 N Franklin St, Glenwood, MN 56334 | 2006-12-12 |
| 1144380627 | Scott William Ringdahl | Dentist | 1616 N Franklin Str, Glenwood, MN 56334 | 2006-12-12 |
| 1487802021 | Elizabeth Ziemba Colsen | Surgery | 10 4th Ave Se, Glenwood, MN 56334 | 2008-09-08 |
| 1427210533 | David Edward Polzin | Family Medicine | 10 4th Ave Se, Glenwood, MN 56334 | 2008-06-30 |
| 1225258247 | Dental Health Services Minnewaska Pllc | Dentist | 1616 N Franklin Str, Glenwood, MN 56334 | 2007-05-01 |
| 1194968750 | Gerald Edward Maher | Dentist | 101 First Ave Sw, Glenwood, MN 56334-0174 | 2009-04-13 |
| 1548444243 | Jean Marie Mcdermott | Case Manager/Care Coordinator | 102 1st St Ne, #2, Glenwood, MN 56334-1201 | 2007-12-18 |
| Find all providers in zip 56334 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629389341 | Michael Stephen Bevan | Podiatrist | 825 Nicollet Mall Ste 517, Minneapolis, MN 55402 | 2010-06-28 |
| 1568595783 | Stephen Bryan Wahman | Podiatrist | 1575 Sherwood Rd, Shoreview, MN 55126-8517 | 2007-03-14 |
| 1760465215 | Minh Chau Margaret Nguyen | Podiatrist | 7600 France Ave S Ste 1100, Edina, MN 55435-5924 | 2005-11-29 |
| 1689655722 | Michael B Debrule | Podiatrist | 6600 Lyndale Ave S, Suite#130, Richfield, MN 55423-3380 | 2005-11-07 |
| 1649279753 | Thomas Joseph Holsinger | Podiatrist | 1527 Broadway St, Alexandria, MN 56308-2537 | 2005-07-20 |
| 1558898114 | Kristofor James Kalvig | Podiatrist | 6625 Lyndale Ave S Ste 105, Richfield, MN 55423-2673 | 2017-05-15 |
| 1740544527 | Aaron Daniel Corfield | Podiatrist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2012-06-27 |
| 1912286964 | Otter Tail Podiatry P.C. | Podiatrist | 120 E Junius Ave, Fergus Falls, MN 56537-2819 | 2011-08-09 |
| 1134412802 | Karimah Z Shabazz | Podiatrist | 6600 Lyndale Ave S Ste 130, Richfield, MN 55423-3398 | 2011-05-27 |
| 1699968875 | Michael B Debrule Dpm, Pa | Podiatrist | 301 N 3rd St, Marshall, MN 56258-1328 | 2007-08-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ALISSA JOY REDDING.
| 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.