MS. RENEE DIANE KOEMPTGEN


Address: 701 Park Ave, Minneapolis, MN 55415-1623
Phone: 6128739300

MS. RENEE DIANE KOEMPTGEN (NPI# 1811098486) 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) 1811098486
Entity Type Individual
Full Name MS. RENEE DIANE KOEMPTGEN
Credential CNS
Practice Address 701 Park Ave
Minneapolis
MN 55415-1623
Mailing Address 176 Hawes Ave
Shoreview
MN 55126-6233
Practice Telephone 6128739300
Mailing Telephone 6513306313
Enumeration Date 2006-09-26
Last Update Date 2019-11-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0809X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Adult
R1092266 MN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3301 7th Ave North, Amrtc, Anoka, MN 55303 7637124330 7637124322

Office Location

Street Address 701 PARK AVE
City MINNEAPOLIS
State MN
Zip Code 55415-1623

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750387734 David C Templeman Orthopaedic Surgery 701 Park Ave, Department of Orthopedics, Minneapolis, MN 55415-1623 2005-06-23
1164029336 James Wayne Fisher Psychologist 701 Park Ave, Minneapolis, MN 55415-1623 2020-10-01
1396351482 Emily Ann Beck Physical Therapist 701 Park Ave, Minneapolis, MN 55415-1623 2020-09-23
1932714524 Manju Elizabeth Alexander Psychologist 701 Park Ave, Minneapolis, MN 55415-1623 2020-09-10
1043838675 Ayan Hashi Student in an Organized Health Care Education/Training Program 701 Park Ave, Minneapolis, MN 55415-1623 2020-07-09
1366068561 Roberto Emilio Fu Carrasco Student in an Organized Health Care Education/Training Program 701 Park Ave, Minneapolis, MN 55415-1623 2020-06-23
1104448810 Michael Berryman Student in an Organized Health Care Education/Training Program 701 Park Ave, Minneapolis, MN 55415-1623 2020-05-15
1811519192 Viktoriya A. Ishchuk Student in an Organized Health Care Education/Training Program 701 Park Ave, Minneapolis, MN 55415-1623 2020-05-10
1861014235 Abdurahman Salah Ibrahim Student in an Organized Health Care Education/Training Program 701 Park Ave, Minneapolis, MN 55415-1623 2020-05-08
1962024430 Timothy Baerg Student in an Organized Health Care Education/Training Program 701 Park Ave, Minneapolis, MN 55415-1623 2020-05-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114547643 Kevin Reininger Pharmacist 730 S 8th St., Pharmacy Department, Minneapolis, MN 55415 2020-04-24
1124674551 Andrew Michael Baker Pathology Hennepin County Medical Examiner, 530 Chicago Ave, Minneapolis, MN 55415 2019-08-12
1598326951 Monazza Iqbal Chaudhry Student in an Organized Health Care Education/Training Program Hennepin County Medical Center 701 Park Avenue, Minneapolis, MN 55415 2019-06-26
1760947196 Brandon Haas Pharmacist 701 Park Ave Rll, Minneapolis, MN 55415 2019-02-11
1710474192 Andrea Kramer Student in an Organized Health Care Education/Training Program Hennepin County Medical Center Emergency Medicine, 701 Park Avenue, Minneapolis, MN 55415 2018-04-20
1750888640 Alexandra Rose Coward Student in an Organized Health Care Education/Training Program Hennepin County Medical Center - General Surgery, 701 Park Avenue, Minneapolis, MN 55415 2018-04-09
1194235861 Gretchen Jane Vanderlinden-wang Social Worker Hennepin County Medical Center Adult Psychiatry Clinic, 701 Park Avenue, Shapiro Building, Suite S1.110, Minneapolis, MN 55415 2017-10-06
1720501117 Dominique Lacha Jones Advanced Practice Midwife 716 South 7th Street, Purple Building Level 5, Minneapolis, MN 55415 2017-07-18
1669905618 Joseph Douglas Steffens Internal Medicine 701 Park Avenue, Internal Medicine Residency Program, Hennepin County Medical Center, Minneapolis, MN 55415 2017-04-06
1215469689 Michael Reitz Student in an Organized Health Care Education/Training Program 701 Park Avenue, B5.118, Minneapolis, MN 55415 2017-04-03
Find all providers in zip 55415

Taxonomy Information

Taxonomy Code 364SP0809X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285725291 Kimberly M Wolf Clinical Nurse Specialist 701 Park Ave # O8, Minneapolis, MN 55415-1623 2006-09-27
1194049585 Elaine Hope Darst Clinical Nurse Specialist 615 1st Ave Ne, Suite 310, Minneapolis, MN 55413-2447 2010-03-15
1376873331 Cretilli and Associates, Pa Clinical Nurse Specialist 5430 Edgewater Blvd, Minneapolis, MN 55417-2604 2010-01-13
1356671010 Vicki Jo Dean-gramlich Clinical Nurse Specialist 701 Park Ave, Minneapolis, MN 55415-1623 2009-12-31
1134371321 Jennifer Marie Wolfe Clinical Nurse Specialist 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 2008-10-21
1215151402 Merrie Jean Kaas Clinical Nurse Specialist 615 1st Ave Ne, Suite 310, Minneapolis, MN 55413-2447 2007-04-12
1104947241 Louise Marie Mcnamara Clinical Nurse Specialist 615 1st Ave Ne, Suite 310, Minneapolis, MN 55413-2447 2007-04-03
1588780068 Marlene Grace Buskirk Clinical Nurse Specialist 615 1st Ave Ne, Suite 310, Minneapolis, MN 55413-2447 2007-03-22
1184724056 Lori Kay Baier Clinical Nurse Specialist 1 Veterans Dr, Minneapolis, MN 55417-2309 2006-09-22
1700984770 Denise Dehn Farr Clinical Nurse Specialist 1 Veterans Dr, Route 116a, Minneapolis, MN 55417-2309 2006-09-21
Find all providers in MINNEAPOLIS

Competitor

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City MINNEAPOLIS
Zip Code 55415

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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.

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