CAMILLE KAY GORSEGNER (NPI# 1811266000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811266000 |
| Entity Type | Individual |
| Full Name | CAMILLE KAY GORSEGNER |
| Credential | LPN |
| Practice Address |
500 3rd Ave Se Suite 2 Pine City MN 55063 |
| Practice Telephone | 3206296674 |
| Practice Fax Number | 3206296630 |
| Mailing Telephone | 3206296674 |
| Mailing Fax Number | 3206296630 |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L61496-2 | MN | Nursing Service Providers |
| Street Address |
500 3RD AVE SE SUITE 2 |
| City | PINE CITY |
| State | MN |
| Zip Code | 55063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629226949 | Community Supports Programming Services LLC | Home Health | 500 3rd Ave Se, Suite 2, Pine City, MN 55063 | 2008-08-28 |
| 1992065320 | Julie Rae Voagenes | Licensed Practical Nurse | 500 3rd Ave Se, Suite 2, Pine City, MN 55063 | 2012-05-18 |
| 1467721654 | Casey Jean Segarra | Licensed Practical Nurse | 500 3rd Ave Se, Suite 2, Pine City, MN 55063 | 2011-12-19 |
| 1639448749 | Karen Lynn Overholser Hovland | Registered Nurse | 500 3rd Ave Se, Suite 2, Pine City, MN 55063 | 2011-12-19 |
| 1154628360 | Jennifer Marie Hiler | Registered Nurse | 500 3rd Ave Se, Suite 2, Pine City, MN 55063 | 2011-02-24 |
| 1033437041 | Sadie Christine Binger | Registered Nurse | 500 3rd Ave Se, Suite 2, Pine City, MN 55063-1535 | 2010-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861025595 | B&b Guardian Angels Home Care Services, Inc | Home Health | 27680 Beroun Crossing Road, Pine City, MN 55063 | 2020-02-21 |
| 1346684289 | Power Chairs and Scooter Store Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 540 Main St S, Pine City, MN 55063 | 2013-04-22 |
| 1225387327 | Avalon Meridian Behavioral Health | Health Maintenance Organization | 645 3rd Avenue Sw, Pine City, MN 55063 | 2012-09-05 |
| 1033233788 | Meadow Creek LLC | Substance Abuse Rehabilitation Facility | 17305 Meadow Creek Lane, Pine City, MN 55063 | 2007-03-19 |
| 1477647006 | Rachel E Waxberg | Chiropractor | 805 Main Street South, Pine City, MN 55063 | 2006-10-03 |
| 1306947494 | Joseph Norbert Nilsson | Chiropractor | 253 5th St Se, Pine City, MN 55063 | 2006-09-25 |
| 1851324313 | Pine Eye Associates, Pa | Optometrist | 110 Evergreen Square, Pine City, MN 55063 | 2006-07-08 |
| 1053372656 | Kristie Ann Roberts | Dentist | 1105 Hillside Ave Sw, Pine City, MN 55063 | 2006-03-31 |
| 1114495827 | Kelly Ann Buchta | Social Worker | 220 Railroad St Se, Pine City, MN 55063 | 2018-11-12 |
| 1104317445 | Bethany Renee Cleary | Counselor | 220 Railroad St Se, Pine City, MN 55063 | 2018-05-22 |
| Find all providers in zip 55063 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285181362 | Corin M Smith | Licensed Practical Nurse | 83 Holden Rd, Pine City, NY 14871-9564 | 2016-09-06 |
| 1902035512 | Debra Erickson | Licensed Practical Nurse | 14856 Edgewater Rd Ne, Pine City, MN 55063-5642 | 2009-07-06 |
| 1013163328 | Deborah Ann Titsworth | Licensed Practical Nurse | 341 Bird Creek Rd, Pine City, NY 14871-9731 | 2008-08-18 |
| 1992065320 | Julie Rae Voagenes | Licensed Practical Nurse | 500 3rd Ave Se, Suite 2, Pine City, MN 55063 | 2012-05-18 |
| 1467721654 | Casey Jean Segarra | Licensed Practical Nurse | 500 3rd Ave Se, Suite 2, Pine City, MN 55063 | 2011-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437774437 | Mackensie Eder | Licensed Practical Nurse | 12310 Singletree Ln Apt 2334, Eden Prairie, MN 55344-7983 | 2020-06-15 |
| 1659990331 | Sybilla Materla | Licensed Practical Nurse | 20694 Keystone Ave Unit C, Lakeville, MN 55044-6175 | 2020-04-13 |
| 1760021067 | S&e Staffing | Licensed Practical Nurse | 14250 43rd Ave N Apt D, Plymouth, MN 55446-3628 | 2020-01-03 |
| 1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
| 1699327858 | Agnes Remeshi | Licensed Practical Nurse | 2070 9th Ave E Apt 105, North Saint Paul, MN 55109-2242 | 2019-07-09 |
| 1780143453 | Shari Bernice Duwenhoegger | Licensed Practical Nurse | 9037 Garland Ln N, Maple Grove, MN 55311-1285 | 2019-03-13 |
| 1194281998 | Sawo M Lansana | Licensed Practical Nurse | 14125 Virginia Ave S Ste 311, Savage, MN 55378-2669 | 2019-02-16 |
| 1811453061 | Lacey Evelius | Licensed Practical Nurse | 400 Mineral Pond Ct, Anoka, MN 55303-1049 | 2019-02-13 |
| 1467923243 | Chinenye Amadi | Licensed Practical Nurse | 1350 High Site Dr Apt 218, Eagan, MN 55121-2153 | 2018-12-05 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| Find all providers with the same taxonomy | ||||
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| 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.