ELI SEDO (NPI# 1912566530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912566530 |
Entity Type | Individual |
Full Name | ELI SEDO |
Practice Address |
1440 Spartan Ave Albert Lea MN 56007-1328 |
Practice Telephone | 7012137123 |
Mailing Telephone | 7012137123 |
Enumeration Date | 2019-06-07 |
Last Update Date | 2019-06-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
2455792 | MN | Nursing Service Providers |
N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
2455792 | MN | Nursing Service Providers |
Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
2455792 | MN | Nursing Service Providers |
Street Address |
1440 SPARTAN AVE |
City | ALBERT LEA |
State | MN |
Zip Code | 56007-1328 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700395860 | Kelsey Paulson | Massage Therapist | 1629 West Main Street, Touchworks Massage Skyline Plaza, Albert Lea, MN 56007 | 2017-09-21 |
1366984536 | Allied Health Care Professional Service Corporation | Health Maintenance Organization | 140 W Clark St, Albert Lea, MN 56007 | 2016-11-05 |
1174875165 | Michael Gene White | Pharmacist | 1615 West Main St, Albert Lea, MN 56007 | 2012-10-15 |
1841596384 | Elizabeth Jordan Berg | Chiropractor | 72599 220th St, Albert Lea, MN 56007 | 2011-02-01 |
1235453606 | Michael Aaron Starner | Physician Assistant | 404 W Fountain St Unit 516, Albert Lea, MN 56007 | 2010-03-15 |
1215149364 | John M Enger, Professional Association | Podiatrist | 904 E Plaza Street, Albert Lea, MN 56007 | 2007-05-03 |
1760532485 | Lowell Wherry Barr | Pediatrics | 203 W Clark, Albert Lea, MN 56007 | 2007-01-12 |
1073688917 | Wendy Elizabeth Walker | Psychologist | 117 South Newton Avenue, Albert Lea, MN 56007 | 2006-11-22 |
1487739090 | Rem Woodvale Inc | Intermediate Care Facility, Mentally Retarded | 1204 Plainview Lane, Albert Lea, MN 56007 | 2006-10-25 |
1275621294 | Eleanor Wanden | Technician | 1815 Minnesota Ave, Albert Lea, MN 56007 | 2006-10-11 |
Find all providers in zip 56007 |
Taxonomy Code | 163WP0809X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073095063 | Taylor Ohotto | Registered Nurse | 644 Willoughby Way W, Hopkins, MN 55305-5352 | 2018-09-05 |
1043650534 | William Clare Cebulla | Registered Nurse | 29538 Olinda Trl, Lindstrom, MN 55045-9440 | 2013-06-27 |
1851638159 | Mary Kay Borgstrom | Registered Nurse | 905 Forest Ave E Ste 150, Mora, MN 55051-1632 | 2013-01-08 |
1780951103 | Helen Margaret Knox | Registered Nurse | Hennepin County Government Center A14, 300 So 6th St, Minneapolis, MN 55487-0001 | 2011-11-30 |
1023229085 | Patricia K. Cretilli | Registered Nurse | 5430 Edgewater Blvd, Minneapolis, MN 55417-2604 | 2007-05-24 |
1093862732 | April Leta Wolfson | Registered Nurse | 327 Marschall Rd # 350, Shakopee, MN 55379-1687 | 2007-01-04 |
1992716245 | Cheryl A. Covert | Registered Nurse | 1044 Saint Johns Bay, Woodbury, MN 55129-8537 | 2006-08-11 |
1730164567 | Kathleen J Lietzau | Registered Nurse | 6950 146th St W, Suite 100, Apple Valley, MN 55124-4513 | 2005-12-14 |
1760956668 | Kathleen Elizabeth Pengelly | Registered Nurse | 762 Transfer Rd Ste 21, Saint Paul, MN 55114-1489 | 2019-01-15 |
1255777322 | Sandra Jean Shadley | Registered Nurse | 225 Sherburne St N, Stillwater, MN 55082-4726 | 2013-05-16 |
Find all providers with the same taxonomy |
City | ALBERT LEA |
Zip Code | 56007 |
Please comment or provide details below to improve the information on ELI SEDO.
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.