KATY JEAN SROCK


Address: 520 Nw 5th St, Brainerd, MN 56401-2902
Phone: 2188293235

KATY JEAN SROCK (NPI# 1790138550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790138550
Entity Type Individual
Full Name KATY JEAN SROCK
Credential CNP
Practice Address 520 Nw 5th St
Brainerd
MN 56401-2902
Practice Telephone 2188293235
Mailing Telephone 2188293235
Enumeration Date 2016-07-18
Last Update Date 2018-11-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0808X Clinical Nurse Specialist
Specialization: Psych/Mental Health
R 210000-5 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 520 NW 5TH ST
City BRAINERD
State MN
Zip Code 56401-2902

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205305406 Susan Lee Schwankl Counselor 520 Nw 5th St, Brainerd, MN 56401-2902 2018-11-16
1720563919 William Lee Wilson Jr. Social Worker 520 Nw 5th St, Brainerd, MN 56401-2902 2018-10-03
1962988774 Rebecca Gonzalez Nurse Practitioner 520 Nw 5th St, Brainerd, MN 56401-2902 2018-07-15
1558717371 Michelle Kimman Marriage & Family Therapist 520 Nw 5th St, Brainerd, MN 56401-2902 2016-05-11
1689020752 Megan Kay Mueller Marriage & Family Therapist 520 Nw 5th St, Brainerd, MN 56401-2902 2016-05-09
1881051621 Miranda Kay Skinner Counselor 520 Nw 5th St, Brainerd, MN 56401 2016-01-25
1639517238 Jean Kocer Social Worker 520 Nw 5th St, Brainerd, MN 56401-2902 2013-06-05
1649547589 Mary Darlene Millicent Counselor 520 Nw 5th St, Brainerd, MN 56401-2902 2011-11-21
1154619823 Tamara Rose Kmecik Social Worker 520 Nw 5th St, Brainerd, MN 56401-2902 2011-07-15
1164725008 Kimberly Ashley Westaway Social Worker 520 Nw 5th St, Brainerd, MN 56401-2902 2010-12-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396222832 Nicholas James Manning Physical Therapist 7350 Clearwater Rd N, Baxter, MN 56401 2018-07-27
1952819757 Hannah Marie Darabi Physical Therapist Essentia Health Rehabilitation Services, 2016 South Sixth Street, Brainer, MN 56401 2018-01-15
1154867406 Nancy Ann Schauer Social Worker 823 Maple Street, Northern Pine Mental Health Center, Brainerd, MN 56401 2017-01-10
1336530310 Audrey Jean Twit Pharmacist 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 2015-02-11
1245638584 The Renneke Chiropractic Clinic Physical Therapist 623 Madison St., Brainerd, MN 56401 2014-12-19
1124420179 Jenna Niggeler Acupuncturist 1001 Kingwood St Ste 119a, Brainerd, MN 56401 2014-09-22
1073933719 Nicholas Adam Lesmeister Orthopaedic Surgery 2014 South 6th Street, Brainerd, MN 56401 2014-04-21
1073864666 Jennifer L. Owens Marriage & Family Therapist 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 2012-09-24
1619297447 Christine Elaine Smalling Licensed Practical Nurse 6317 Estate Circle Drive, Brainerd, MN 56401 2010-06-03
1528241577 Dannia Lor Vang Pharmacist 2024 South 6th St, Clinic Pharmacy, Brainerd, MN 56401 2007-12-13
Find all providers in zip 56401

Taxonomy Information

Taxonomy Code 364SP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730542572 Iris Reproductive Psychiatric Clinic Clinical Nurse Specialist 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 2016-03-30
1922159680 Kristie Lee Sward Clinical Nurse Specialist 160 Kellogg Blvd E Ste 8200, Saint Paul, MN 55101-1420 2007-01-16
1447333513 Karen Sue Finck Clinical Nurse Specialist 615 1st Ave Ne, Suite 310, Minneapolis, MN 55413-2447 2006-10-23
1548289259 Judith Hilary Weis Clinical Nurse Specialist 27 1st St Sw, Crosby, MN 56441-1417 2006-07-19
1184170383 Jessica Michelle Cadriel Clinical Nurse Specialist 100 Freeman Dr, Saint Peter, MN 56082-3504 2016-08-28
1063864395 Sherryl St.martin Clinical Nurse Specialist 3101 Superior Dr Nw, Rochester, MN 55901-1993 2016-07-11
1386099505 Luke Schwartz Moretti Clinical Nurse Specialist 2450 Riverside Ave, 6a East, Minneapolis, MN 55454-1450 2016-04-25
1053771428 Psychnurse P.C. Clinical Nurse Specialist 3000 County Road 42 W, Suite 210, Burnsville, MN 55337-4824 2016-02-29
1396100046 Jamie Lynn Giles Clinical Nurse Specialist 3021 Harbor Ln N, Suite 206, Plymouth, MN 55447-5109 2015-12-23
1447529854 Pamela Christian Boldt Clinical Nurse Specialist 7580 160th St W, Lakeville, MN 55044-8348 2011-12-14
Find all providers with the same taxonomy

Competitor

Search similar providers

City BRAINERD
Zip Code 56401

Improve Information

Please comment or provide details below to improve the information on KATY JEAN SROCK.

Dataset Information

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.

Trending Searches