SHANA SUSANNE DECKARD (NPI# 1811545270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811545270 |
| Entity Type | Individual |
| Full Name | SHANA SUSANNE DECKARD |
| Credential | RN |
| Practice Address |
1 Veterans Dr Minneapolis MN 55417-2309 |
| Mailing Address |
18949 114th St Se Big Lake MN 55309-4627 |
| Practice Telephone | 6124674112 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
R163460-8 | MN | Nursing Service Providers |
| Street Address |
1 VETERANS DR |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55417-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023012762 | Peter T. Mitchell | Nurse Practitioner | 1 Veterans Dr, 111h, Minneapolis, MN 55417-2309 | 2005-06-10 |
| 1114527926 | Phuong Duy Le | Pharmacist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-30 |
| 1437759453 | Rebecca Fritze | Social Worker | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-28 |
| 1225637713 | Jedidiah Cates | Recreation Therapist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-26 |
| 1457950719 | Alisha Beckett | Physical Therapist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-19 |
| 1982203303 | Madeline Wollersheim | Speech-Language Pathologist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-19 |
| 1285232611 | Hannah Schmidt | Registered Nurse | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-16 |
| 1134736861 | Samuel William Schieffer | Pharmacist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-09-27 |
| 1306452727 | Kate Finn | Psychologist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-09-21 |
| 1447865068 | Amanda Mueller | Pharmacist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1174160832 | Susan Jacobson | Pharmacist | One Veterans Drive (119), Minneapolis, MN 55417 | 2019-12-02 |
| 1699240580 | Angela Cox | Social Worker | Vamc Minneapolis, 1 Veterans Drive (1k), Minneapolis, MN 55417 | 2018-10-08 |
| 1407353519 | Kirsten Kathleen Rydberg | Registered Nurse | One Veteran Drive, Minneapolis, MN 55417 | 2018-04-06 |
| 1902306038 | Ksa Psychological Services, LLC | Psychologist | 5603 Chicago Ave., Minneapolis, MN 55417 | 2018-02-15 |
| 1770025710 | Elizabeth Kate Adam | Registered Nurse | 613 E Minnehaha Pkwy, Minneapolis, MN 55417 | 2016-11-08 |
| 1831579754 | John Rossakis | Occupational Therapist | 5708 42nd Ave S, Minneapolis, MN 55417 | 2015-06-05 |
| 1205214566 | Karin Shelstad | Specialist/Technologist | 5501 10th Av S, Minneapolis, MN 55417 | 2015-05-07 |
| 1750712733 | Debra Sand | Massage Therapist | 2750 E 50th Street, Minneapolis, MN 55417 | 2013-12-02 |
| 1669764221 | Michael Alan Newman | Internal Medicine | One Veterans Drive (111-0), Minneapolis Veterans Affairs Medical Center, Minneapolis, MN 55417 | 2011-05-13 |
| Find all providers in zip 55417 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802113 | Margaret Bauer | Registered Nurse | 2518 1st Ave S, Minneapolis, MN 55404-4317 | 2020-08-18 |
| 1023592094 | Saida Abdi | Registered Nurse | 2021 E Hennepin Ave Ste 402-1, Minneapolis, MN 55413-2700 | 2018-09-17 |
| 1093220857 | Wendy Lou Young | Registered Nurse | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2017-12-02 |
| 1356467039 | Judith May Schwartz | Registered Nurse | 920 E 28th St, Ste. 180, Minneapolis, MN 55407-1139 | 2007-03-22 |
| 1427172881 | Betsy Vance Wilson | Registered Nurse | 920 E 28th St, Suite 620, Minneapolis, MN 55407-1139 | 2007-03-19 |
| 1447348016 | Linda Marie Daninger | Registered Nurse | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2006-10-10 |
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| 1295368348 | Florence Home Care LLC | Registered Nurse | 1034 Adams St, Anoka, MN 55303-2620 | 2020-02-18 |
| 1245880723 | Hibo Ahmed | Registered Nurse | 351 93rd Ave Ne, Blaine, MN 55434-1230 | 2019-09-16 |
| 1760042253 | Adams Health Care Services, LLC | Registered Nurse | 10036 Washburn Ave S, Bloomington, MN 55431 | 2019-06-17 |
| 1336617398 | Shannon Wilson | Registered Nurse | 228 19th St Sw, Rochester, MN 55902-2327 | 2018-11-07 |
| 1326525726 | Megan Heuer Korhonen | Registered Nurse | 616 America Ave Nw Ste 130, Bemidji, MN 56601-3848 | 2018-07-27 |
| 1497265995 | My Legal Nurse Consultants LLC | Registered Nurse | 10608 Arrowhead St Nw, Coon Rapids, MN 55433-4013 | 2017-10-10 |
| 1881134716 | Laura Evenson | Registered Nurse | 61953 251st Ave, Mantorville, MN 55955-6039 | 2017-02-25 |
| 1093810244 | Grattan Health Care Incorporated | Registered Nurse | 5710 County Road 121, Fort Ripley, MN 56449-1486 | 2006-09-13 |
| 1427044239 | Janette Mary Setterquist | Registered Nurse | 927 Trettel Ln, Cloquet, MN 55720-1345 | 2005-09-27 |
| 1467064402 | Pang Vang | Registered Nurse | 115 Magnolia Ave W, Saint Paul, MN 55117-4916 | 2020-08-20 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55417 |
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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.