INTEGRATIVE GERIATRICS, PLLC (NPI# 1932620796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932620796 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE GERIATRICS, PLLC |
| Practice Address |
20600 S Diamond Lake Rd Rogers MN 55374-4515 |
| Mailing Address |
21897 S Diamond Lake Rd Ste 400-403 Rogers MN 55374-4642 |
| Practice Telephone | 7634281981 |
| Mailing Telephone | 7633171122 |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2017-07-03 |
| Authorized Official Name | REBECCA AHLSTROM (NURSE PRACITIONER/OWNER) |
| Authorized Official Telephone | 6123082162 |
| Authorized Official Credential | APRN, CNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
20600 S DIAMOND LAKE RD |
| City | ROGERS |
| State | MN |
| Zip Code | 55374-4515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033305115 | Rebecca Ann Ahlstrom | Nurse Practitioner | 20600 S Diamond Lake Rd, Rogers, MN 55374-4515 | 2007-09-21 |
| 1740837749 | Snh Viking Tenant LLC | Assisted Living Facility | 20600 S Diamond Lake Rd, Rogers, MN 55374-4515 | 2019-08-23 |
| 1588128011 | Thomas Awine Akurugo | Clinic/Center | 20600 S Diamond Lake Rd, Rogers, MN 55374-4515 | 2019-01-29 |
| 1326289422 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 20600 S Diamond Lake Rd, Rogers, MN 55374-4515 | 2009-03-19 |
| 1396918918 | Five Star Quality Care - Mn, LLC | Alzheimer Center (Dementia Center) | 20600 S Diamond Lake Rd, Rogers, MN 55374-4515 | 2008-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609335835 | Rebecca Loehrer | Nurse Practitioner | 21370 Ste 210 John Milless Dr., Rogers, MN 55374 | 2019-03-18 |
| 1255722328 | Samantha Colai | Marriage & Family Therapist | 21307 John Milless Drive, Suite 106, Rogers, MN 55374 | 2015-02-11 |
| 1437559648 | Jamie Mosley | Counselor | 2100 Rogers Drive, Suite 200, Rogers, MN 55374 | 2014-08-26 |
| 1295145886 | Marisa Kolasa | Massage Therapist | 22290 Oakdale Drive, Rogers, MN 55374 | 2014-05-05 |
| 1871878165 | Derek P Doty Dc Inc | Chiropractor | 21410 136th Ave N, Suite 105a, Rogers, MN 55374 | 2011-10-18 |
| 1912205865 | Michelle Cheryl Finnegan-larson | Registered Nurse | 21308 John Milless Drive, Rogers, MN 55374 | 2011-03-02 |
| 1639402571 | Ascend Family Institute | Community/Behavioral Health | 20980 Rogers Drive, #400, Rogers, MN 55374 | 2009-09-10 |
| 1275738403 | Nicole M Clements | Physician Assistant | 1355 Rogers Drive, Rogers, MN 55374 | 2007-06-18 |
| 1558566166 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 21455 John Milless Drive, Rogers, MN 55374 | 2007-06-15 |
| 1811062854 | Randall Alvin Hohbein | Pharmacist | 21351 John Milless Drive, Rogers Drug, Rogers, MN 55374 | 2006-11-22 |
| Find all providers in zip 55374 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033305115 | Rebecca Ann Ahlstrom | Nurse Practitioner | 20600 S Diamond Lake Rd, Rogers, MN 55374-4515 | 2007-09-21 |
| 1659890606 | Alyson Nicole Sweitzer | Nurse Practitioner | 2708 S Rife Medical Ln Ste 200, Rogers, AR 72758-1456 | 2017-09-11 |
| 1649700063 | Leigh Ann Ellis | Nurse Practitioner | 2001 S Hampton Pl, Rogers, AR 72758-1352 | 2017-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619587193 | Sadiya Abdirahman Esse | Nurse Practitioner | 1690 Silver Lake Rd Nw, New Brighton, MN 55112-1788 | 2020-08-09 |
| 1881226512 | Abby Marie Zenner | Nurse Practitioner | 1771 Countryside Dr, Shakopee, MN 55379-4451 | 2020-02-11 |
| 1174019038 | Adedayo Temitope Dosumu | Nurse Practitioner | 816 50th Ave Nw, Rochester, MN 55901-6554 | 2018-07-03 |
| 1407223159 | Carla Sue Christenson | Nurse Practitioner | 3400 W. 66th St, Edina, MN 55435 | 2015-08-28 |
| 1538573449 | Rebecca Anne Lenz | Nurse Practitioner | 1172 Randolph Ave Apt 8, Saint Paul, MN 55105-2987 | 2014-06-18 |
| 1083027536 | Mueni C Mualuko | Nurse Practitioner | 2220 Riverside Ave # Ms 26602g, Geriatrics Department Ms 26602g/ 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2014-06-03 |
| 1659623999 | Joy Laansma | Nurse Practitioner | 3366 Oakdale Avenue North, Suite 551, Robbinsdale, MN 55422-2948 | 2012-10-10 |
| 1720337694 | Zhonghua Xie | Nurse Practitioner | 1202 5th Grant Blvd W, Wabasha, MN 55981-1115 | 2012-09-06 |
| 1487937892 | Jonathan Deforest Olson | Nurse Practitioner | 30 W 22nd St, #204, Minneapolis, MN 55404-2428 | 2011-09-21 |
| 1548577224 | Lorene Ann Gray | Nurse Practitioner | 6465 W Shadow Lake Dr, Lino Lakes, MN 55014-1982 | 2010-09-02 |
| Find all providers with the same taxonomy | ||||
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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.