PAIN INJURY AND BRAIN CENTERS OF AMERICA LLC


Address: 4465 Highway 61, Goodview, MN 55987-1659
Phone: 5074101144

PAIN INJURY AND BRAIN CENTERS OF AMERICA LLC (NPI# 1912287038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912287038
Entity Type Organization
Organization Name PAIN INJURY AND BRAIN CENTERS OF AMERICA LLC
Practice Address 4465 Highway 61
Goodview
MN 55987-1659
Practice Telephone 5074101144
Practice Fax Number 5074101144
Mailing Telephone 5074101144
Mailing Fax Number 5074101144
Enumeration Date 2011-08-20
Last Update Date 2011-08-20
Authorized Official Name HAL KENNER (CLINICIAN)
Authorized Official Telephone 5074101144
Authorized Official Credential CRNA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163W00000X Registered Nurse R134470-7 MN Nursing Service Providers

Office Location

Street Address 4465 HIGHWAY 61
City GOODVIEW
State MN
Zip Code 55987-1659

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427338177 Tammy Schultz Kenner Specialist 4465 Highway 61, Goodview, MN 55987-1659 2011-08-26
1811277544 Matthew Paul Fliss Specialist 4465 Highway 61, Goodview, MN 55987-1659 2011-08-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891277232 Jamie Sanders Social Worker 51 East 4th St Suite 307, Winona, MN 55987 2018-09-01
1841727823 Stacey A Czaplewski Specialist/Technologist 175 West Mark Street, Winona State University-139 Memorial Hall, Winona, MN 55987 2017-05-22
1083145361 Kevin Lee Knack Counselor 902 E. Second St. Suite 326, Acumen Counseling, Winona, MN 55987 2017-03-27
1467993865 Melissa Lee Peterson Specialist/Technologist 23559 Co. Rd. 20, Winona, MN 55987 2017-03-17
1790226280 Nikolas Porter Lyon Specialist/Technologist 634 Franklin St, East Lake B 306-4, Winona, MN 55987 2017-03-16
1821424953 Sara Beth Borchardt Chiropractor 1423 West Service Drive, Winona, MN 55987 2013-09-20
1952614273 Kristin Janelle Noble Chiropractor 117 W. 3rd St., Winona, MN 55987 2010-07-15
1033435615 Christine E. Clark Pharmacist 1122 Hwy 61, Winona, MN 55987 2010-04-08
1346401544 Andrew Dean Mork Dentist 50 W Second Street, Winona, MN 55987 2008-06-19
1508073693 Lawrence J Green Psychologist 61 W 4th St, Winona, MN 55987 2007-05-17
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Taxonomy Information

Taxonomy Code 163W00000X
Grouping Nursing Service Providers
Classification Registered Nurse

Taxonomy Definition

(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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1841899150 Sarah Nyandoro Registered Nurse 10635 Pond Curv, Woodbury, MN 55129-5810 2020-10-19
1679180988 Louise Dybdahl Registered Nurse 1460 Montreal St Se, Hutchinson, MN 55350-3318 2020-09-30
1932716461 Krista Ann Donabauer Registered Nurse 13620 302nd Ave Nw, Princeton, MN 55371-3728 2020-09-29
1427664721 Casi Marie Short Registered Nurse 629 Eastgate Pkwy, Mahtomedi, MN 55115-1737 2020-09-22
1518572908 Shannon Walsten Registered Nurse 216 Emory Ln Se, Rochester, MN 55904-8479 2020-09-11
1427663970 Sheena Marie Fawn Buchholtz Registered Nurse 14962 Hillside Trl, Savage, MN 55378-3629 2020-09-11
1700490679 Sophia Alexandra Erdahl Registered Nurse 15380 Cottonwood St Nw, Andover, MN 55304-8503 2020-09-08
1083228076 Briann Minnig Registered Nurse 8116 158th St, Savage, MN 55378-6608 2020-09-07
1104430180 Patience K Nixon Registered Nurse 1955 153rd Ln Nw, Andover, MN 55304-2591 2020-09-07
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Competitor

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City GOODVIEW
Zip Code 55987

Improve Information

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Dataset Information

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.

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