HEATHER JOAN HEATHCOTE LUEBBEN (NPI# 1871747865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871747865 |
| Entity Type | Individual |
| Full Name | HEATHER JOAN HEATHCOTE LUEBBEN |
| Credential | ADT, RDH |
| Practice Address |
8600 Nicollet Ave S Bloomington MN 55420-2824 |
| Mailing Address |
8960 Springbrook Drive Nw Suite 150 Minneapolis MN 55433-5852 |
| Practice Telephone | 5295412888 |
| Practice Fax Number | 9525412889 |
| Mailing Telephone | 7637847570 |
| Mailing Fax Number | 7637858960 |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2018-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | H6785 | MN | Dental Providers |
| Y | 125K00000X | Advanced Practice Dental Therapist | DT4 | MN | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8960 Springbrook Dr Nw, Suite 150, Minneapolis, MN 554335852 | 7637847570 | 7637858960 |
| Street Address |
8600 NICOLLET AVE S |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55420-2824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285636597 | Frank E Banfield | Pediatrics | 8600 Nicollet Ave S, Bloomington, MN 55420-2824 | 2005-06-01 |
| 1730616756 | Julia Dmitri Jesme | Nurse Practitioner | 8600 Nicollet Ave S, Bloomington, MN 55420-2824 | 2017-05-22 |
| 1982148227 | Katie Olson | Dental Therapist | 8600 Nicollet Ave S, Bloomington, MN 55420 | 2016-12-06 |
| 1134587603 | Megan Ferge | Social Worker | 8600 Nicollet Ave S, Bloomington, MN 55420 | 2016-01-29 |
| 1841619848 | Laura Jean Wallace | Pediatrics | 8600 Nicollet Ave S, Bloomington, MN 55420-2824 | 2014-04-08 |
| 1154687093 | Margaret Anne Sweeney | Obstetrics & Gynecology | 8600 Nicollet Ave S, Bloomington, MN 55420-2824 | 2012-04-04 |
| 1780979088 | Carrie Eckstam | Family Medicine | 8600 Nicollet Ave S, Bloomington, MN 55420-2824 | 2011-06-14 |
| 1194042887 | Aaron Kyle Graumann | Internal Medicine | 8600 Nicollet Ave S, Bloomington, MN 55420-2824 | 2010-04-21 |
| 1265602478 | Sara Marie Genutis Blackburn | Pediatrics | 8600 Nicollet Ave S, Bloomington, MN 55420-2824 | 2008-03-04 |
| 1285830885 | Laura Zontelli | Optometrist | 8600 Nicollet Ave S, Bloomington, MN 55420 | 2007-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
| 1720624810 | Sunshine Assisted Living Services LLC | Home Health | 9540 Columbus Ave S, Bloomington, MN 55420 | 2019-11-23 |
| 1417205246 | Jrb Holdings, LLC | Home Health | 9897 Lyndale Ave S, Bloomington, MN 55420 | 2012-08-28 |
| 1629223722 | Jennifer Jean Bormann | Audiologist | 8714 Lyndale Avenue South, Minneapolis, MN 55420 | 2008-11-18 |
| 1801055959 | Sarah J. Marsden | Speech-Language Pathologist | 900 W 94th St., Bloomington, MN 55420 | 2008-06-04 |
| 1699949784 | 1st Choice Care, Inc. | Home Health | 9035 Blaisdell Ave S, Bloomington, MN 55420 | 2008-04-18 |
| 1922295203 | Cornerstone Advocacy Service | Community/Behavioral Health | 1000 East 80th St, Bloomington, MN 55420 | 2007-10-01 |
| 1184769457 | Fairview Oxboro Pharmacy Mtm | Non-Pharmacy Dispensing Site | 600 W 98th Street, Bloomington, MN 55420 | 2007-02-21 |
| 1891831723 | A Caring Company, Inc. | In Home Supportive Care | 9001 East Bloomington Freeway, Sutie 145, Bloomington, MN 55420 | 2007-01-29 |
| 1134279318 | Jennifer Mary Connelly | Speech-Language Pathologist | 9001 E Bloomington Fwy Ste 141, Bloomington, MN 55420 | 2007-01-11 |
| Find all providers in zip 55420 | ||||
| Taxonomy Code | 125K00000X |
| Grouping | Dental Providers |
| Classification | Advanced Practice Dental Therapist |
| An Advanced Practice Dental Therapist is: (1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or (2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum. The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations. |
| Notes: Source: Summarized from Minnesota Statute 150A.106. [7/1/2012: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578117438 | Christina Marie Hubred | Advanced Practice Dental Therapist | Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 | 2019-07-30 |
| 1144733130 | Lydia J Diekmann | Advanced Practice Dental Therapist | 2711 Broadway Ave Ste A00, Slayton, MN 56172-1313 | 2017-11-13 |
| 1073872503 | Brieanne Kelsey Borntrager | Advanced Practice Dental Therapist | 13899 Hwy 13 S Frnt Rd, Savage, MN 55378-2135 | 2012-05-03 |
| 1023541695 | Carley Banks | Advanced Practice Dental Therapist | 1575 20th St Nw, Faribault, MN 55021 | 2017-04-10 |
| 1033642947 | Lauren Johnson | Advanced Practice Dental Therapist | 1575 20th St Nw, Suite 102, Faribault, MN 55021-2930 | 2017-04-07 |
| 1063953032 | Ashley Hueman | Advanced Practice Dental Therapist | 973 Skyline Dr Sw, Rochester, MN 55902-1220 | 2017-03-10 |
| 1124483656 | Tanu Dhoopar | Advanced Practice Dental Therapist | 3152 Minnehaha Ave, Minneapolis, MN 55406-1934 | 2015-12-29 |
| 1548631187 | Kaitlin Siewert | Advanced Practice Dental Therapist | 520 Main Street, Hawley, MN 56549 | 2015-10-08 |
| City | BLOOMINGTON |
| Zip Code | 55420 |
Please comment or provide details below to improve the information on HEATHER JOAN HEATHCOTE LUEBBEN.
| 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.