KRISTIE HEINEN ELGHAZI (NPI# 1922239367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922239367 |
| Entity Type | Individual |
| Full Name | KRISTIE HEINEN ELGHAZI |
| Credential | CNP |
| Practice Address |
1575 Beam Ave Cancer Center Maplewood MN 55109-1126 |
| Practice Telephone | 6512327000 |
| Mailing Telephone | 6512327000 |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2010-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R157346-8 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1575 BEAM AVE CANCER CENTER |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447468 | Darcy Ross Mcbride | Radiology | 1575 Beam Ave, Health East Cancer Care, Maplewood, MN 55109-1126 | 2005-06-15 |
| 1851857627 | Ashley Marie Vold | Physician Assistant | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2019-02-15 |
| 1972075406 | Baylee Nahan | Physician Assistant | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-12-21 |
| 1770087058 | Anna Rae Shelley | Genetic Counselor, MS | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-03-21 |
| 1922508605 | Jason Krier | Nurse Anesthetist, Certified Registered | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-02-19 |
| 1568970051 | Rachel Holen | Emergency Medicine | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-01-18 |
| 1366959652 | Gabrielle Mae Blia Lee | Interpreter | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-01-08 |
| 1962925479 | Yeng Lor | Interpreter | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-07-18 |
| 1396268801 | De Mo Soe | Interpreter | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-07-18 |
| 1437672946 | Way Ber | Interpreter | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528500360 | Judy Pauletich | Nurse Practitioner | 1255 Mayhill Rd N, Maplewood, MN 55119-7158 | 2016-11-10 |
| 1124348354 | Irina Efraimovich | Nurse Practitioner | 749b Irvington Avenue, Maplewood, NJ 07040 | 2010-06-10 |
| 1245359553 | Patricia Stephens | Nurse Practitioner | 81 Jacoby St, Maplewood, NJ 07040-3057 | 2007-03-28 |
| 1235211665 | Anne Schwemm | Nurse Practitioner | 1675 Village Trl E Unit 6, Maplewood, MN 55109 | 2006-10-19 |
| 1487661633 | Barbara Louise Shaw | Nurse Practitioner | 2196 White Bear Ave N, Maplewood, MN 55109-2708 | 2006-08-01 |
| 1053951186 | Shirley Sabado Santos | Nurse Practitioner | 2010 Springfield Ave, Maplewood, NJ 07040-3437 | 2020-01-07 |
| 1023557352 | Jennifer Novak | Nurse Practitioner | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2017-02-20 |
| 1316495401 | Thomas Grove Wilson | Nurse Practitioner | 3100 Kennard St, Suite 100, Maplewood, MN 55109-5465 | 2016-09-16 |
| 1629420070 | Lindsey Ann Dahm | Nurse Practitioner | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2016-07-11 |
| 1578969044 | Ilana Lynn Farb | Nurse Practitioner | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2014-11-11 |
| Find all providers in MAPLEWOOD | ||||
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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.