STACEY ANN NIPP (NPI# 1952363616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952363616 |
| Entity Type | Individual |
| Full Name | STACEY ANN NIPP |
| Other Name | STACEY ANN KINDIG |
| Credential | DPM |
| Practice Address |
324 W Superior St Ste 408 Duluth MN 55802 |
| Practice Telephone | 2187220615 |
| Practice Fax Number | 2187226712 |
| Mailing Telephone | 2187220615 |
| Mailing Fax Number | 2187226712 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2012-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 482 | MN | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
482 | MN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 5B969N0 | 01 | |
| MN | 014725700 | 05 |
| Street Address |
324 W SUPERIOR ST STE 408 |
| City | DULUTH |
| State | MN |
| Zip Code | 55802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073517447 | Eileen E. Patterson | Dentist | 324 W Superior St, Ste 1130, Duluth, MN 55802-1714 | 2005-06-13 |
| 1669087797 | Center for Family Wellness | Marriage & Family Therapist | 324 W Superior St, 828 Medical Arts Building, Duluth, MN 55802-1701 | 2020-09-15 |
| 1639789019 | Illume North, LLC | Psychologist | 324 W Superior St, 630 Medical Arts, Duluth, MN 55802-1701 | 2020-07-31 |
| 1861038176 | Erin Elizabeth Devaney Therrien | Social Worker | 324 W Superior St, Duluth, MN 55802-1701 | 2019-11-21 |
| 1316430002 | Paul Raymond Baecker | Counselor | 324 W Superior St, Duluth, MN 55802-1701 | 2018-06-07 |
| 1194275537 | Andrea Wells | Counselor | 324 W Superior St, Duluth, MN 55802-1701 | 2016-10-10 |
| 1215480660 | North Shore Mental Health Services LLC | Counselor | 324 W Superior St, Suite 911, Duluth, MN 55802-1701 | 2016-08-02 |
| 1518321710 | Nathan G Halstead Dds Ms PC | Dentist | 324 W Superior St, Suite 100, Duluth, MN 55802-1701 | 2016-04-13 |
| 1740669704 | Northwoods Counseling Center LLC | Psychologist | 324 W Superior St, Suite 911, Duluth, MN 55802-1701 | 2015-05-23 |
| 1134522527 | Adam Ries | Psychologist | 324 W Superior St, Suite 600, Duluth, MN 55802-1701 | 2014-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
| 1134664311 | Amp Group, LLC | Counselor | 331 West Superior Street, Duluth, MN 55802 | 2016-12-27 |
| 1982151361 | Tiffany Riester | Counselor | 332 W Superior Street, Suite 300, Duluth, MN 55802 | 2016-09-02 |
| 1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
| 1437559051 | Natalie R Zwak | Dietitian, Registered | 26 E Superior St Ste 315, Duluth, MN 55802 | 2014-09-02 |
| 1447679279 | Valerie Lou Shelton | Registered Nurse | 118 E Superior St., Duluth, MN 55802 | 2014-04-09 |
| 1285063115 | Brian Bergstedt | Counselor | 332 West Superior Street, Suite 300, Duluth, MN 55802 | 2013-11-01 |
| 1508135948 | Karen Dee Turner | Counselor | 202 W. Superior Street, Suite 700, Duluth, MN 55802 | 2011-12-14 |
| 1497023410 | Jean Barrie Mcbride | Pharmacist | 1131 East Superior Street, Duluth, MN 55802 | 2011-12-05 |
| 1194092304 | Diane Murphy Winship | Pharmacist | 1331 Superior St, Duluth, MN 55802 | 2011-11-17 |
| Find all providers in zip 55802 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972565828 | Curtis Allen Kristensen | Podiatrist | 324 West Superior St, Ste 408, Duluth, MN 55802 | 2006-04-05 |
| 1124093273 | Anthony M. Cutsuries | Podiatrist | 3655 Howell Ferry Rd, Suite 100, Duluth, GA 30096-3179 | 2006-02-22 |
| 1841690393 | A. Louis Jimenez Dpm PC | Podiatrist | 6610 Mcginnis Ferry Rd, Suite 200, Duluth, GA 30097-3524 | 2014-09-02 |
| 1619261989 | North Atlanta Pdoiatry Grp, PC | Podiatrist | 11459 Johns Creek Pkwy, Ste 260, Duluth, GA 30097-3515 | 2011-06-04 |
| 1710166541 | Mark D. Homstad, D.p.m., P.a. | Podiatrist | 3308 W Arrowhead Rd, Duluth, MN 55811-4000 | 2007-10-29 |
| 1891887311 | Village Podiatry Group, LLC. | Podiatrist | 3655 Howell Ferry Rd, Suite 100, Duluth, GA 30096-3186 | 2006-09-29 |
| 1699785956 | Kirsten Ann Moore | Podiatrist | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-08-09 |
| 1427072487 | James Deegan | Podiatrist | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-07-26 |
| 1215968979 | Brian Donald Neerings | Podiatrist | 3650 Steve Reynolds Blvd, Podiatry Dept, Duluth, GA 30096 | 2006-07-05 |
| 1609821495 | Boni-jo Silbernagel | Podiatrist | 400 East 3rd St, Duluth, MN 55805 | 2006-05-23 |
| Find all providers in DULUTH | ||||
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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.