DEBORAH MARIE LINDGREN-CLENDENEN (NPI# 1790835445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790835445 |
| Entity Type | Individual |
| Full Name | DEBORAH MARIE LINDGREN-CLENDENEN |
| Credential | RN, MN, GNP-BC, APNP |
| Practice Address |
800 E 28th St H2100 Minneapolis MN 55407-3723 |
| Mailing Address |
2508 Colfax Ave S Minneapolis MN 55405-2946 |
| Practice Telephone | 6128633900 |
| Practice Fax Number | 6128631681 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2012-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
115271-030 | WI | Nursing Service Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4024-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
R1088908 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 2954796-00 | 05 |
| Street Address |
800 E 28TH ST H2100 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-3723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053314765 | Judy Garza | Specialist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2005-05-27 |
| 1568069060 | Brooke Evensen | Occupational Therapist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-10-07 |
| 1558968172 | Taiya Brown | Dietitian, Registered | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-10-06 |
| 1003413188 | Brandy Kozitza | Physical Medicine & Rehabilitation | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-10-02 |
| 1215554522 | Andrea Edwards | Genetic Counselor, MS | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-07-02 |
| 1740804350 | Danielle Krimmer | Registered Nurse | 800 E 28th St, Minneapolis, MN 55407-3799 | 2020-05-31 |
| 1225650005 | Kimberly Homan | Speech-Language Pathologist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-05-14 |
| 1568084630 | J&j Services, Inc | Durable Medical Equipment & Medical Supplies | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-05-12 |
| 1760011837 | Kayla Calhoun | Physical Therapist | 800 E 28th St, Minneapolis, MN 55407-3799 | 2020-04-02 |
| 1831727874 | Steven Thomas Schull | Student in an Organized Health Care Education/Training Program | 800 E 28th St, Minneapolis, MN 55407-3799 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083027536 | Mueni C Mualuko | Nurse Practitioner | 2220 Riverside Ave # Ms 26602g, Geriatrics Department Ms 26602g/ 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2014-06-03 |
| 1487937892 | Jonathan Deforest Olson | Nurse Practitioner | 30 W 22nd St, #204, Minneapolis, MN 55404-2428 | 2011-09-21 |
| 1386738995 | Jean F Wyman | Nurse Practitioner | Dept of Ob/gyn & Women's Health, 420 Delaware Street Se Mmc 395, Minneapolis, MN 55455 | 2006-10-03 |
| 1861593212 | Donna Mae Aske | Nurse Practitioner | 1 Veteran Drive, Minneapolis, MN 55417 | 2006-09-26 |
| 1326082991 | Patricia Anne Camillo | Nurse Practitioner | 2900 Thomas Ave S Apt 1903, Minneapolis, MN 55416-4583 | 2006-06-15 |
| 1730128505 | Sarah Louise Isakson | Nurse Practitioner | Mail Route 11414, 800 E. 28th Street, Minneapolis, MN 55407-3799 | 2006-06-06 |
| 1972121952 | Alicia Joy Minnis | Nurse Practitioner | 1415 Lilac Dr N Ste 190, Minneapolis, MN 55422-4544 | 2020-07-07 |
| 1508485970 | Christina Bricout | Nurse Practitioner | 3433 Broadway St Ne Ste 300, Minneapolis, MN 55413-1761 | 2020-04-15 |
| 1033746714 | Jennifer Voss | Nurse Practitioner | 3433 Broadway St Ne Ste 300, Minneapolis, MN 55413-1761 | 2020-03-24 |
| 1972153443 | Marianne Loftus | Nurse Practitioner | 3433 Broadway St Ne Ste 300, Minneapolis, MN 55413-1761 | 2019-09-17 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
Please comment or provide details below to improve the information on DEBORAH MARIE LINDGREN-CLENDENEN.
| 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.