KRISTA MANNINO (NPI# 1790217040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790217040 |
| Entity Type | Individual |
| Full Name | KRISTA MANNINO |
| Credential | REGISTERED NURSE |
| Practice Address |
635 Ivy Ave E Saint Paul MN 55130-3422 |
| Mailing Address |
29365 Mary St Lindstrom MN 55045-9526 |
| Practice Telephone | 6517712420 |
| Practice Fax Number | 6517712421 |
| Mailing Telephone | 6517712420 |
| Mailing Fax Number | 6517712421 |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
244232-3 | MN | Nursing Service Providers |
| Street Address |
635 IVY AVE E |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55130-3422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932403292 | Mary Jean Przybylski | Registered Nurse | 635 Ivy Ave E, Saint Paul, MN 55130-3422 | 2010-12-30 |
| 1346743879 | Kablia Tao Moua | Registered Nurse | 635 Ivy Ave E, Saint Paul, MN 55130-3422 | 2018-03-12 |
| 1801331442 | Nou Herr | Registered Nurse | 635 Ivy Ave E, Saint Paul, MN 55130 | 2017-01-05 |
| 1790152767 | Thomas Huerth | Registered Nurse | 635 Ivy Ave E, Saint Paul, MN 55130-3422 | 2015-08-26 |
| 1235506247 | Jackie Yang | Registered Nurse | 635 Ivy Ave E, Saint Paul, MN 55130-3422 | 2015-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904587 | Confident Care LLC | In Home Supportive Care | 1040 Arkwright Street, Saint Paul, MN 55130 | 2018-09-01 |
| 1881015253 | Lucas Bosco Wanga | Psychologist | 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 | 2014-01-02 |
| 1174865570 | Sarang Patel | Internal Medicine | 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 | 2013-03-23 |
| 1427394501 | Zongxee Lee | Registered Nurse | 1072 Payne Ave, St. Paul, MN 55130 | 2012-12-18 |
| 1740532753 | One Stop Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1049 Payne Ave Suite C, St Paul, MN 55130 | 2012-10-15 |
| 1689923997 | Alexis Simmons | Counselor | 402 University Ave East, Suite A-127, Saint Paul, MN 55130 | 2012-08-31 |
| 1689804064 | Group Health Plan, Inc. | Durable Medical Equipment & Medical Supplies | 537 Phalen Blvd, Saint Paul, MN 55130 | 2009-07-21 |
| 1477756534 | Chad Everett Christensen | Chiropractor | 1073 Payne Ave, Saint Paul, MN 55130 | 2007-06-07 |
| 1922219021 | Qwik Urgent Care Clinic | Family Medicine | 1239 Payne Avenue, Saint Paul, MN 55130 | 2007-05-24 |
| 1275743981 | Yia Vang | Technician | 1100 Arkwright St., St. Paul, MN 55130 | 2007-05-23 |
| Find all providers in zip 55130 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578198677 | Home Care Nurse Solutions | Registered Nurse | 1902 Fairmount Ave, Saint Paul, MN 55105-1538 | 2020-03-09 |
| 1639736150 | Hassan Hussein Sirat | Registered Nurse | 1068 Raymond Ave Apt 204, Saint Paul, MN 55108-1535 | 2019-05-20 |
| 1134633704 | Overcomer Healthcare Service Corporation | Registered Nurse | 1238 Birmingham St, Saint Paul, MN 55106-2116 | 2017-11-18 |
| 1306368956 | Kong Yang | Registered Nurse | 1261 Payne Ave # 102, Saint Paul, MN 55130-3668 | 2017-07-14 |
| 1679094304 | Lisa Pouliot | Registered Nurse | 2356 University Ave W Ste 220, Saint Paul, MN 55114-1850 | 2017-07-03 |
| 1790205698 | Der Yang | Registered Nurse | 2356 University Ave W #220, Saint Paul, MN 55114 | 2017-06-21 |
| 1184152084 | Mai Nhia Vang | Registered Nurse | 1261 Payne Ave Ste 102, Saint Paul, MN 55130-3668 | 2017-05-23 |
| 1548700677 | Susan Nduta Apollo | Registered Nurse | 2316 Londin Ct E # 28, Saint Paul, MN 55119-5517 | 2017-03-08 |
| 1255873931 | Bethlehem Kiflom | Registered Nurse | 1800 Graham Ave Unit 330, Saint Paul, MN 55116-1371 | 2016-11-10 |
| 1598207797 | Alemu Jirane | Registered Nurse | 1327 Maynard Dr E Apt 545, Saint Paul, MN 55116-2977 | 2016-11-06 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55130 |
Please comment or provide details below to improve the information on KRISTA MANNINO.
| 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.