DR. KELLIE S SWEET (NPI# 1811977481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811977481 |
| Entity Type | Individual |
| Full Name | DR. KELLIE S SWEET |
| Other Name | DR. KELLIE SUE SWEET CIESIELSKI |
| Credential | DO |
| Practice Address |
200 University Ave E Saint Paul MN 55101-2507 |
| Mailing Address |
1600 W 22nd St Sioux Falls SD 57105-1521 |
| Practice Telephone | 6512912848 |
| Practice Fax Number | 6516026885 |
| Mailing Telephone | 6053121000 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2019-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
5101015638 | MI | Allopathic & Osteopathic Physicians |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
11282 | SD | Allopathic & Osteopathic Physicians |
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
64510 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | CK6240 | 01 | |
| MI | 4513318 | 05 |
| Street Address |
200 UNIVERSITY AVE E |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55101-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336138882 | Tara Vonne Brodersen | Dentist | 200 University Ave E, Saint Paul, MN 55101-2507 | 2005-10-18 |
| 1184236739 | Anna Rauch | Nurse Practitioner | 200 University Ave E, Saint Paul, MN 55101-2507 | 2020-08-17 |
| 1891319943 | Gillette Children's Specialty Healthcare | Non-Pharmacy Dispensing Site | 200 University Ave E, Saint Paul, MN 55101-2507 | 2020-06-04 |
| 1144843343 | Smitha Elizabeth Mathew | Orthopaedic Surgery | 200 University Ave E, Saint Paul, MN 55101-2507 | 2020-05-21 |
| 1750927554 | Carol Skerbitz | Dietitian, Registered | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-11-27 |
| 1780220798 | Karri Larson | Dietitian, Registered | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-11-25 |
| 1316583560 | Julia Lang | Dietitian, Registered | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-11-22 |
| 1033755285 | Stephanie K Campbell | Dietitian, Registered | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-11-22 |
| 1629614912 | Ashley Ann Clintsman | Dietitian, Registered | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-11-21 |
| 1770057135 | Katherine Marie Nelson | Nurse Practitioner | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
| 1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
| 1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
| 1699284919 | Eric Mcgillis | Emergency Medicine | Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 | 2017-09-29 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1992182323 | Theresa Annette Cashdollar-powell | Social Worker | 640 Jackson, St Paul, MN 55101 | 2015-05-06 |
| 1770986101 | Margaret Augusta Cutter | Physician Assistant | 200 Univeristy Ave E, Saint Paul, MN 55101 | 2014-09-30 |
| 1851641419 | Lisa Rae Caturia | Occupational Therapy Assistant | 640 Jackson St, 8th Floor, St Paul, MN 55101 | 2012-09-11 |
| 1558619478 | Rph On The Go | Community/Behavioral Health | 172 E 6th Street, 704, Saint Paul, MN 55101 | 2012-08-27 |
| 1184994212 | Duyen Truong | Pharmacist | 604 Jackson Street, St. Paul, MN 55101 | 2012-01-05 |
| Find all providers in zip 55101 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205200383 | Child Neurology Solutions Pllc | Psychiatry & Neurology | 360 Sherman St, Suite 399, Fort Road Medical Center, Saint Paul, MN 55102-2564 | 2015-11-30 |
| 1962829432 | Jamie Marie Eskuri | Psychiatry & Neurology | 200 University Ave E, Saint Paul, MN 55101-2507 | 2014-03-23 |
| 1154587863 | Nitin Agarwal | Psychiatry & Neurology | 225 Smith Ave N, Saint Paul, MN 55102-2533 | 2008-08-01 |
| 1134318488 | Nicole Jeanette Williams Doonan | Psychiatry & Neurology | 200 University Ave E, Saint Paul, MN 55101-2507 | 2007-10-22 |
| 1740360734 | Beverly S Wical | Psychiatry & Neurology | 200 University Ave E, Saint Paul, MN 55101-2507 | 2006-10-16 |
| 1043309172 | Betty J Ong | Psychiatry & Neurology | 200 University Ave E, Saint Paul, MN 55101-2507 | 2006-10-12 |
| 1467561464 | Timothy Feyma | Psychiatry & Neurology | 200 University Ave E, Office 3344, Saint Paul, MN 55101-2507 | 2006-08-30 |
| 1578571436 | Michael D Frost | Psychiatry & Neurology | 225 Smith Ave N, Suite 201, Saint Paul, MN 55102-2697 | 2006-08-04 |
| 1710908447 | Jason S Doescher | Psychiatry & Neurology | 225 Smith Ave N, Suite 201, Saint Paul, MN 55102-2697 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346735750 | Hicham Dabaja | Psychiatry & Neurology | 200 1st St Sw, Rochester, MN 55905-0001 | 2018-06-27 |
| 1154607489 | Janet Elgallab | Psychiatry & Neurology | 2828 Chicago Ave Ste 200, Minneapolis, MN 55407-1544 | 2011-11-01 |
| 1154563401 | Amanda M Moen | Psychiatry & Neurology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2009-04-01 |
| 1306092655 | Laura Catherine Speltz | Psychiatry & Neurology | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2008-08-18 |
| 1790997393 | Sonya Grace Wang | Psychiatry & Neurology | 5775 Wayzata Blvd Ste 255, Minneapolis, MN 55416-1275 | 2007-05-04 |
| 1306873625 | John Thomas Macdonald | Psychiatry & Neurology | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2006-06-26 |
| 1407893753 | Richard Jess Kanoff | Psychiatry & Neurology | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-06-02 |
| 1598712465 | Donald John Chadwick | Psychiatry & Neurology | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2006-05-27 |
| 1952354870 | Armantina Malvarez Espinosa | Psychiatry & Neurology | 675 E Nicollet Blvd, Suite 100, Burnsville, MN 55337-6749 | 2006-05-19 |
| 1639138431 | Keith D Larson | Psychiatry & Neurology | 1511 Northway Dr, Suite 202, Saint Cloud, MN 56303-1261 | 2006-03-21 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55101 |
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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.