AMY KLEKOTKA (NPI# 1891277067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891277067 |
| Entity Type | Individual |
| Full Name | AMY KLEKOTKA |
| Practice Address |
1739 Hickory Hill Dr Eagan MN 55122-2411 |
| Practice Telephone | 2185917476 |
| Mailing Telephone | 2185917476 |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 1934201 | MN | Nursing Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1739 HICKORY HILL DR |
| City | EAGAN |
| State | MN |
| Zip Code | 55122-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651753 | Alvaro Jesus Jimenez Aguilar | Registered Nurse | 1764 Silver Bell Rd, Eagan, MN 55122 | 2019-01-02 |
| 1194213280 | Amherst H. Wilder Foundation | Lodging | Lincoln Place, 1997 Gold Trail, Eagan, MN 55122 | 2018-04-25 |
| 1831541168 | Mackenzie Lea Kerber | Counselor | 3410 Federal Dr Suite 101, Eagan, MN 55122 | 2016-07-11 |
| 1285010074 | Eagan Pointe Senior Living | Assisted Living Facility | 4232 Black Hawk Road, Eagan, MN 55122 | 2015-08-04 |
| 1700268828 | Kara Beth Rose | Specialist/Technologist | 4560 Cinnamon Ridge Trail, Eagan, MN 55122 | 2015-06-25 |
| 1558740803 | Samuel Johnson | Physician Assistant | 2901 Metro Drive, Suite 527, Bloomington, MN 55122 | 2015-05-20 |
| 1528451028 | Judi Ross Holistic Therapy, LLC | Marriage & Family Therapist | 4141 Old Sibley Memorial Highway, Eagan, MN 55122 | 2015-03-09 |
| 1447649637 | Leah Ruth Streitman | Physician Assistant | 3460 Washington Dr Ste 200, Eagan, MN 55122 | 2015-01-12 |
| 1518362193 | Cedar Valley Center for Child & Family Therapy | Preferred Provider Organization | 3460 Washington Dr., Suite 110, Eagan, MN 55122 | 2014-10-25 |
| 1316351703 | Wecare Dental of Eagan P.c | Clinic/Center | 1625 Lena Court Suite 100, Eagan, MN 55122 | 2014-06-13 |
| Find all providers in zip 55122 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450440 | Jeremy Lee Vanlaningham | Registered Nurse | 1256 Duckwood Dr, Eagan, MN 55123-1027 | 2020-09-05 |
| 1134742646 | Rebecca Schugel | Registered Nurse | 3565 Woodland Ct, Eagan, MN 55123-2454 | 2020-05-19 |
| 1730651753 | Alvaro Jesus Jimenez Aguilar | Registered Nurse | 1764 Silver Bell Rd, Eagan, MN 55122 | 2019-01-02 |
| 1902308398 | Breanna Trier | Registered Nurse | 2795 Pilot Knob Rd Ste 300, Eagan, MN 55121-1930 | 2018-03-01 |
| 1942739859 | Sandra Ami Coulibaly | Registered Nurse | 4534 Villa Pkwy Unit A, Eagan, MN 55122-1985 | 2017-06-06 |
| 1366987620 | Sadio Ismail | Registered Nurse | 3248 Hillside Ct, Eagan, MN 55121-2355 | 2016-12-22 |
| 1396100376 | Jessica Otts | Registered Nurse | 4561 Slater Rd Apt 103, Eagan, MN 55122-3374 | 2015-12-17 |
| 1497173256 | Lisa Burke | Registered Nurse | 4301 Amber Dr, Eagan, MN 55122-2038 | 2014-03-30 |
| 1376978049 | Lynn Alcorn Frame | Registered Nurse | 4401 Clover Ln, Unit A, Eagan, MN 55122-2437 | 2013-09-12 |
| 1124313929 | Megan E Smith | Registered Nurse | 3500 Federal Dr, Eagan, MN 55122-1346 | 2011-06-09 |
| Find all providers in EAGAN | ||||
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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.