PAMELA JENNESS FRESKE (NPI# 1912497041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912497041 |
| Entity Type | Individual |
| Full Name | PAMELA JENNESS FRESKE |
| Practice Address |
1700 University Ave W Fl 6 Saint Paul MN 55104-3727 |
| Mailing Address |
3322 37th Ave S Minneapolis MN 55406-2139 |
| Practice Telephone | 6512322273 |
| Mailing Telephone | 6127245544 |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
4592 | MN | Behavioral Health & Social Service Providers |
| Street Address |
1700 UNIVERSITY AVE W FL 6 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-3727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164498739 | Alain F Broccard | Internal Medicine | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2006-02-24 |
| 1376059188 | Meghan Kerry Dunnigan | Nurse Practitioner | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-12-17 |
| 1699209643 | Jennifer Leafblad | Social Worker | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-04-17 |
| 1033641758 | Megan Lifto | Clinical Nurse Specialist | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-03-31 |
| 1841737814 | Alyssa Edwards | Registered Nurse | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-01-27 |
| 1811434038 | Sarah Marie Olson | Clinical Neuropsychologist | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-01-25 |
| 1801346093 | Caroline Kuria | Nurse Practitioner | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2016-10-11 |
| 1902294358 | Dana Alexandra Peterson | Nurse Practitioner | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2015-01-07 |
| 1225426174 | Hayley Maxwell | Counselor | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2014-12-30 |
| 1225435167 | Jesse Cramer | Counselor | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2014-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669992186 | Stephanie Bruss | Psychologist | 821 Raymond Ave # 130c, Saint Paul, MN 55114-1503 | 2017-06-26 |
| 1679977326 | Jennifer D. Karel | Psychologist | 1123 Grand Ave Ste 301, Saint Paul, MN 55105-2629 | 2014-10-09 |
| 1699038265 | Minnesota Organization On Fetal Alcohol Syndrome (mofas) | Psychologist | 2233 University Ave W Ste 395, Saint Paul, MN 55114-1600 | 2012-06-19 |
| 1821356098 | Mainhia Khang | Psychologist | 393 Dunlap St N Ste 105, Saint Paul, MN 55104-4211 | 2012-04-25 |
| 1609153378 | Quo Psychotherapy, P.a. | Psychologist | 821 Raymond Ave Ste 230c, Saint Paul, MN 55114-1525 | 2011-11-09 |
| 1831486216 | Bonnie Sue Mcmillin | Psychologist | 457 Portland Ave, 3, Saint Paul, MN 55102-2499 | 2011-07-06 |
| 1285935064 | Sarah L. Hart, Ph.d., LLC | Psychologist | 241 Cleveland Ave S Ste P, Saint Paul, MN 55105-1208 | 2010-11-09 |
| 1003149717 | Tamarind Knutson | Psychologist | 1360 Energy Park Dr Ste 340, Saint Paul, MN 55108-5298 | 2009-09-13 |
| 1659604874 | Andrea Elizabeth Anderson | Psychologist | 2383 University Ave W Ste 200, U.S. Bank Building, Second Floor, Saint Paul, MN 55114-1603 | 2009-09-08 |
| 1639307622 | Nicole Heffron, LLC | Psychologist | 889 Grand Ave, Suite 202, Saint Paul, MN 55105-3008 | 2009-06-29 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on PAMELA JENNESS FRESKE.
| 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.