MR. COLE JAMES KRIETT (NPI# 1861965774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861965774 |
| Entity Type | Individual |
| Full Name | MR. COLE JAMES KRIETT |
| Credential | PA-C |
| Practice Address |
500 W Grant St Lake City MN 55041-1143 |
| Mailing Address |
23 Kingswood Ct Lake City MN 55041-2207 |
| Practice Telephone | 6513453321 |
| Mailing Telephone | 6512123887 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4600-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 12893 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1221 Whipple St, Eau Claire, WI 547035270 | 7158383311 |
| Street Address |
500 W GRANT ST |
| City | LAKE CITY |
| State | MN |
| Zip Code | 55041-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689650350 | Ann Marie Lowe | Family Medicine | 500 W Grant St, Lake City, MN 55041-1143 | 2005-12-15 |
| 1689280406 | Kelly Marie Kennedy | Pharmacist | 500 W Grant St, Lake City, MN 55041-1143 | 2020-09-17 |
| 1447863972 | Mayo Clinic Health System-lake City | Non-Pharmacy Dispensing Site | 500 W Grant St, Lake City, MN 55041-1143 | 2020-08-25 |
| 1124638341 | Rebekah Richter | Physical Therapist | 500 W Grant St, Lake City, MN 55041-1143 | 2020-08-03 |
| 1225661416 | Patricia Elena Servin-hughes | Nurse Practitioner | 500 W Grant St, Lake City, MN 55041-1143 | 2020-02-17 |
| 1598318016 | Shannon Campbell | Physical Therapist | 500 W Grant St, Lake City, MN 55041-1143 | 2019-07-23 |
| 1992217673 | Tina Marie Montgomery | Speech-Language Pathologist | 500 W Grant St, Lake City, MN 55041-1143 | 2017-11-02 |
| 1972015923 | Heather Nagel | Physical Therapist | 500 W Grant St, Lake City, MN 55041-1143 | 2017-10-31 |
| 1821500265 | Simone Leanne Lenertz | Occupational Therapist | 500 W Grant St, Lake City, MN 55041-1143 | 2017-10-25 |
| 1629580071 | Kelly Rehder | Physical Therapist | 500 W Grant St, Lake City, MN 55041-1143 | 2017-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285136242 | Perry Dental, Ltd. | Dentist | 210 N. Lakeshore Dr., Lake City, MN 55041 | 2018-03-06 |
| 1790182335 | Innovative Chiropractic Center | Chiropractor | 201 D East Ave., Red Wing, MN 55041 | 2014-11-25 |
| 1245327147 | David F Valkos | Chiropractor | 106 So Washington St, Lake City, MN 55041 | 2006-10-10 |
| 1063441830 | Michael D Ackermann | Optometrist | 117 W Center St, Lake City, MN 55041 | 2006-07-02 |
| 1760668693 | Elizabeth Agnes Olson | Chiropractor | 106 S Washington St, Lake City, MN 55041-1034 | 2008-01-10 |
| 1194900936 | Valkos Chiropractic Office, LLC | Clinic/Center | 106 S Washington St, Lake City, MN 55041-1034 | 2007-12-28 |
| 1417333428 | River Oaks At Lake Pepin, LLC. | Home Health | 815 N High St, Lake City, MN 55041-1225 | 2015-08-03 |
| 1124189444 | Stephen Lee Brown | Dentist | 1350 N 7th St, Lake City, MN 55041-1251 | 2006-12-12 |
| 1114188307 | Pepin Valley Dental | Clinic/Center | 1350 N 7th St, Lake City, MN 55041-1251 | 2008-06-19 |
| 1366627564 | Lesa Ann Funke | Dental Hygienist | 1350 N 7th St, Lake City, MN 55041-1251 | 2008-01-07 |
| Find all providers in zip 55041 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780143511 | Tara Eaddy Barrineau | Physician Assistant | 1998 Saint James Rd, Lake City, SC 29560-8626 | 2019-03-19 |
| 1235613423 | Susana Romero Martinez | Physician Assistant | 5085 W Us Highway 90, Lake City, FL 32055-8191 | 2018-09-24 |
| 1326370420 | Jerry Albert Johnstone | Physician Assistant | 1201 Enterprise Ave, Apt 610, Lake City, TX 77573 | 2010-02-01 |
| 1225241649 | John Geary Windham | Physician Assistant | 373 Se Country Club Rd, Lake City, FL 32025-4987 | 2007-05-08 |
| 1801011663 | Alfred Otero | Physician Assistant | 1465 W Us Highway 90 Ste 100, Lake City, FL 32055-6154 | 2007-04-16 |
| 1679684823 | William David Sanders | Physician Assistant | 213 Sw Main Blvd, Lake City, FL 32025 | 2006-08-31 |
| 1982691218 | Anthony R Lambert | Physician Assistant | 1289 Sw State Road 47, Lake City, FL 32025-0484 | 2005-10-03 |
| 1891795175 | John P Odonnell | Physician Assistant | 173 Nw Albritton Ln, Lake City, FL 32055-4451 | 2005-07-28 |
| 1831745710 | Caitlin Altman Jordan | Physician Assistant | 258 N Ron Mcnair Blvd, Lake City, SC 29560-2462 | 2019-08-15 |
| 1316505910 | Elizabeth Jean Halbur | Physician Assistant | 1351 W Main St, Lake City, IA 51449-1585 | 2019-05-30 |
| Find all providers in LAKE CITY | ||||
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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.