DR. ANDREW NICKELS (NPI# 1922230101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922230101 |
Entity Type | Individual |
Full Name | DR. ANDREW NICKELS |
Credential | M.D. |
Practice Address |
14000 Fairview Dr Burnsville MN 55337-5713 |
Mailing Address |
Po Box 1309 Mail Stop 21110q Minneapolis MN 55440-1309 |
Practice Telephone | 9529938700 |
Mailing Telephone | (952) 993-8700 |
Enumeration Date | 2009-08-20 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207K00000X | Allergy & Immunology | 56208 | MN | Allopathic & Osteopathic Physicians |
N | 207K00000X | Allergy & Immunology | MD53016 | TN | Allopathic & Osteopathic Physicians |
N | 207R00000X | Internal Medicine | MD53016 | TN | Allopathic & Osteopathic Physicians |
N | 207R00000X | Internal Medicine | 125055926 | IL | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 53016 | TN | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 56208 | MN | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 125055926 | IL | Allopathic & Osteopathic Physicians |
N | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
53016 | TN | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
3601 The Vanderbilt Clinic, Nashville, TN 372320001 | 6153223000 |
Street Address |
14000 FAIRVIEW DR |
City | BURNSVILLE |
State | MN |
Zip Code | 55337-5713 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477536944 | Jeanne M Hesse | Family Medicine | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2005-11-29 |
1134777550 | Madison Beverly Peitz | Physical Therapist | 14000 Fairview Dr, Burnsville, MN 55337-4571 | 2019-08-28 |
1932688728 | Kelsie Marie Gunnufson | Physical Therapist | 14000 Fairview Dr, Burnsville, MN 55337 | 2018-08-13 |
1477031813 | Rachel Anne Bartelt Gilbertson | Speech-Language Pathologist | 14000 Fairview Dr, Burnsville, MN 55337-4571 | 2018-07-28 |
1497265698 | Alanna Jade Jirschele | Audiologist | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2017-10-03 |
1164979381 | Taylor Brutlag | Occupational Therapist | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2016-09-06 |
1770039281 | Kayla Hollstadt | Physical Therapist | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2016-08-26 |
1467804252 | Kristen Ann Akervik | Physical Therapist | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2016-07-06 |
1922452325 | Elizabeth Marie Sproat Mcniven | Family Medicine | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2016-04-21 |
1225492739 | Brielle Joy Haggerty | Pediatrics | 14000 Fairview Dr, Burnsville, MN 55337 | 2016-04-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
Find all providers in zip 55337 |
Taxonomy Code | 207K00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417027822 | James D Lakin | Allergy & Immunology | 350 W Burnsville Pkwy, Suite 200, Burnsville, MN 55337-2585 | 2006-11-09 |
1881962884 | Minnesota Allergy & Asthma Clinic, Pa | Allergy & Immunology | 350 W Burnsville Pkwy, Suite 200, Burnsville, MN 55337-2585 | 2011-12-05 |
1710033725 | Minnesota Allergy and Asthma Consultants, Pllc | Allergy & Immunology | 675 E Nicollet Blvd, Suite #250, Burnsville, MN 55337-6700 | 2007-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346683687 | Joshua M Dorn | Allergy & Immunology | 3460 Promenade Ave, Eagan, MN 55123 | 2013-04-16 |
1346495397 | Harry Arvid Swedlund | Allergy & Immunology | 730 11th St Sw, Rochester, MN 55902-6339 | 2008-11-18 |
1417032160 | Amy Rillo Ellingson | Allergy & Immunology | 1037 19th Ave Sw, Willmar, MN 56201-5005 | 2006-10-25 |
1952401804 | St Paul Allergy & Asthma Clinic P.a. | Allergy & Immunology | 565 S Snellng Ave, Saint Paul, MN 55116-1525 | 2006-09-22 |
1073619680 | Family Allergy & Asthma Specialists Pa | Allergy & Immunology | 2906 Upper 55th St, Inver Grove Heights, MN 55076-1673 | 2006-09-15 |
1366558843 | Barry I Alper | Allergy & Immunology | North Clinic 3366 Oakdale Ave No, Suite 315, Robbinsdale, MN 55422-2948 | 2006-08-21 |
1487601316 | Jack Leon-max Mutnick | Allergy & Immunology | 1 W Lake St, Minneapolis, MN 55408-3154 | 2006-05-27 |
1578514212 | Jennifer Oldham | Allergy & Immunology | 401 Phalen Blvd - Ms 41102a, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2006-05-15 |
1881657872 | Jay Jiekuen Lou | Allergy & Immunology | 4625 Churchill St, Suite 211, Shoreview, MN 55126-5868 | 2006-04-10 |
1376536920 | Brian A Brennan | Allergy & Immunology | 400 E 1st St, Morris, MN 56267-1408 | 2005-08-30 |
Find all providers with the same taxonomy |
City | BURNSVILLE |
Zip Code | 55337 |
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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.