BROOKE HABISCH (NPI# 1871914887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871914887 |
| Entity Type | Individual |
| Full Name | BROOKE HABISCH |
| Practice Address |
1200 Sixth Ave No Centracare Clinic Saint Cloud MN 56303 |
| Mailing Address |
1253 Iffert Ave Se Buffalo MN 55313-5020 |
| Practice Telephone | 3202525131 |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2019-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
6118 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 224Y00000X | Clinical Exercise Physiologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1406 6th Ave N, Saint Cloud, MN 56303 | 3206567020 | |
| 911 Northland Dr, Princeton, MN 553712172 | 7633896426 |
| Street Address |
1200 SIXTH AVE NO CENTRACARE CLINIC |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851886840 | James Alexander Lastowski | Nurse Practitioner | 4406 Lake Trudy Dr, Saint Cloud, FL 34769-1639 | 2018-06-22 |
| 1285138719 | Jacqueline Lee | Nurse Practitioner | 1200 6th Ave N, Saint Cloud, MN 56303 | 2018-03-20 |
| 1184022733 | Gregory James Trobec | Nurse Practitioner | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2014-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043826605 | Angela Jean Splettstoeszer | Nurse Practitioner | 916 Arch Ln Sw, Bemidji, MN 56601-8861 | 2020-09-18 |
| 1316581440 | Northern Lights Health LLC | Nurse Practitioner | 212 W Lake St, Waconia, MN 55387-1014 | 2019-10-31 |
| 1285190132 | Hudson M Omweri | Nurse Practitioner | 1621 Highway 47, Ogilvie, MN 56358-9005 | 2019-02-15 |
| 1184145914 | Andrea Lueck | Nurse Practitioner | 345 Smith Ave N Ste 301, Saint Paul, MN 55102-2346 | 2017-07-01 |
| 1851635502 | Kim Noreen Garrett | Nurse Practitioner | 1703 Bradach Rd, Ely, MN 55731-8041 | 2012-11-19 |
| 1821365305 | Nathaniel I Cree | Nurse Practitioner | 500 Harvard St., Fairview University Hospital, Minneapolis, MN 55455 | 2011-11-28 |
| 1235461419 | Eric Andrew Reyer | Nurse Practitioner | 6401 Sycamore Ln N, Maple Grove, MN 55369-6356 | 2010-02-12 |
| 1457303067 | David A Palm | Nurse Practitioner | Hennepin County Medical Center, 701 Park Ave, Minneapolis, MN 55415 | 2006-05-16 |
| 1972567956 | Michelle D Lewis | Nurse Practitioner | 9900 Bren Rd East, Mail Route Mn 008-b213, Minnetonka, MN 55343-9664 | 2006-04-14 |
| 1679170278 | Paul R Jerve | Nurse Practitioner | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
Please comment or provide details below to improve the information on BROOKE HABISCH.
| 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.