THERESA M HAVALAD (NPI# 1942649181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942649181 |
Entity Type | Individual |
Full Name | THERESA M HAVALAD |
Credential | NP |
Practice Address |
870 Grand Ave Saint Paul MN 55105-3291 |
Mailing Address |
1690 University Ave W Ste 370 Saint Paul MN 55104-3723 |
Practice Telephone | 6513265650 |
Practice Fax Number | 6513265671 |
Mailing Telephone | 6512325321 |
Enumeration Date | 2013-06-20 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 5534 | MN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363L00000X | Nurse Practitioner | 041-374413 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
610 S Maple Ave, Suite 4600, Oak Park, IL 603041091 | 7086602240 | 7086602243 |
Street Address |
870 GRAND AVE |
City | SAINT PAUL |
State | MN |
Zip Code | 55105-3291 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295711265 | Rolf Peter Ulland | Obstetrics & Gynecology | 870 Grand Ave, Saint Paul, MN 55105-3291 | 2005-12-21 |
1114432440 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 870 Grand Ave, Saint Paul, MN 55105-3291 | 2017-12-08 |
1336671205 | Christina Rose Werman | Family Medicine | 870 Grand Ave, Saint Paul, MN 55105-3291 | 2017-03-30 |
1275918658 | Jenna Lynn Larson Viland | Nurse Practitioner | 870 Grand Ave, Saint Paul, MN 55105-3291 | 2015-07-27 |
1518005230 | Laurie Radovsky | Family Medicine | 870 Grand Ave, Saint Paul, MN 55105-3291 | 2007-02-02 |
1487733408 | Prairiestone Pharmacy LLC | Pharmacist | 870 Grand Ave, Saint Paul, MN 55105-3291 | 2006-11-02 |
1912084674 | Shabbir S Dawoodbhai | Pharmacist | 870 Grand Ave, Saint Paul, MN 55105-3291 | 2006-11-01 |
1790872331 | Daniel J Sullivan | Family Medicine | 870 Grand Ave, Saint Paul, MN 55105-3291 | 2006-10-06 |
1558473702 | Bernadette Lee Clevenger | Family Medicine | 870 Grand Ave, Saint Paul, MN 55105-3291 | 2006-08-31 |
1356458723 | Gervais Patrick Chokote Moche | Family Medicine | 870 Grand Ave, Saint Paul, MN 55105-3291 | 2006-08-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437704020 | Grand Avenue Smiles | Dentist | 1845 Grand Avenue, St. Paul, MN 55105 | 2019-08-09 |
1205304839 | Michelle Marie Loken Price | Acupuncturist | 877 Lincoln Ave, Saint Paul, MN 55105 | 2018-11-13 |
1326566936 | Becky Lynn Lawyer | Counselor | 1704 Palace Ave, St Paul, MN 55105 | 2017-09-04 |
1679020226 | Internal Revolution Counseling and Consulting, L.L.C. | Psychologist | 1123 Grand Avenue, Suite 201, Saint Paul, MN 55105 | 2016-09-01 |
1487059689 | Jennifer Mason | Lactation Consultant, Non-RN | 1382 Summit Ave, Saint Paul, MN 55105 | 2014-10-30 |
1679818850 | Marc Lane Wolfson | Registered Nurse | 1148 Grand Avenue, St. Paul, MN 55105 | 2012-11-29 |
1457602781 | Charting Your Success | Social Worker | 2050 St Clair Avenue, Suite 1e, St Paul, MN 55105 | 2012-09-26 |
1871867549 | Stacia Hanson Ma Lp LLC | Psychologist | 889 Grand Avenue, Suite 203, St Paul, MN 55105 | 2012-02-28 |
1265718142 | Caitlin Marie Young | Midwife | 968 Grand Ave., St. Paul, MN 55105 | 2011-10-24 |
1659512622 | Wellness Cooperative LLC | Chiropractor | 976 Grand Ave., St. Paul, MN 55105 | 2009-03-20 |
Find all providers in zip 55105 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063039378 | Samantha Dion Richardson | Nurse Practitioner | 3225 Dogwood Dr, Saint Paul, VA 24283-2543 | 2020-07-02 |
1033547708 | Jane Monita | Nurse Practitioner | 225 Smith Ave N Ste 200, Saint Paul, MN 55102-2697 | 2013-10-16 |
1851541239 | Emily A. Wolfe | Nurse Practitioner | 640 Jackson St - Mc 11108b, Healthpartners Regions Specialty Clinics, Saint Paul, MN 55101-2502 | 2008-09-23 |
1629264668 | Chris-ann Lauria | Nurse Practitioner | 1145 Homer St, Saint Paul, MN 55116-3231 | 2007-09-24 |
1871790956 | Susan M Knier | Nurse Practitioner | 178 9th St E, Saint Paul, MN 55101 | 2007-07-02 |
1275625485 | Michele Johnson | Nurse Practitioner | 916 Rice St, Saint Paul, MN 55117-5425 | 2006-09-28 |
1063517100 | Samuel Yaw Boadu | Nurse Practitioner | 409 North Dunlap Street, Open Cities Health Center, Saint Paul, MN 55104-4201 | 2006-09-13 |
1205843307 | Jean Marie Kummer Iv | Nurse Practitioner | 4831 Richard Ln, Saint Paul, MN 55122-2784 | 2006-08-02 |
1568489037 | Anna Mergit Novak | Nurse Practitioner | 1055 Westgate Dr Ste 100, Saint Paul, MN 55114-1451 | 2006-07-17 |
1144287251 | Diane M Budnick | Nurse Practitioner | 1700 University Ave W, Medical Advanced Pain Specialists, Saint Paul, MN 55104-3727 | 2006-05-01 |
Find all providers in SAINT PAUL |
City | SAINT PAUL |
Zip Code | 55105 |
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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.