PELAGIE TARA SUFFRINS


Address: 210 9th St Se, Rochester, MN 55904-6756
Phone: 5072883443

PELAGIE TARA SUFFRINS (NPI# 1952469017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952469017
Entity Type Individual
Full Name PELAGIE TARA SUFFRINS
Other Name PELAGIE TARA SNESRUD
Credential CNP
Practice Address 210 9th St Se
Rochester
MN 55904-6756
Practice Telephone 5072883443
Mailing Telephone 5072883443
Enumeration Date 2006-12-04
Last Update Date 2019-02-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
3035 MN Physician Assistants & Advanced Practice Nursing Providers
N 363LW0102X Nurse Practitioner
Specialization: Women's Health
R1382989 MN Physician Assistants & Advanced Practice Nursing Providers
N 363LW0102X Nurse Practitioner
Specialization: Women's Health
CP000487 SD Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SD RN LICENSE R035692 01
SD CNP LICENSE CP000487 01

Office Location

Street Address 210 9TH ST SE
City ROCHESTER
State MN
Zip Code 55904-6756

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023013539 Graham Douglas Ritts Orthopaedic Surgery 210 9th St Se, Rochester, MN 55904-6756 2005-06-21
1134774730 Beau Bachman Specialist/Technologist 210 9th St Se, Rochester, MN 55904-6756 2019-08-09
1285192641 Erica Dawn Runkle Nurse Practitioner 210 9th St Se, Rochester, MN 55904-6756 2019-03-05
1629553102 Tarra J Lewis Nurse Practitioner 210 9th St Se, Rochester, MN 55904-6756 2018-10-01
1295220994 Erica Behrens Psychologist 210 9th St Se, Rochester, MN 55904-6756 2018-06-25
1740785849 Hamed Esfandiari Ophthalmology 210 9th St Se, Rochester, MN 55904-6756 2018-03-29
1962906982 Tanelle Nicole Franko Nurse Practitioner 210 9th St Se, Rochester, MN 55904 2018-03-23
1740782549 Susan E Orlowski Nurse Practitioner 210 9th St Se, Rochester, MN 55904-6756 2018-03-07
1104327022 Jacquelyn M Proper Nurse Anesthetist, Certified Registered 210 9th St Se, Rochester, MN 55904-6756 2018-02-26
1700399292 Kelsey L Miller Physician Assistant 210 9th St Se, Rochester, MN 55904-6756 2017-11-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558912303 Reliable Medical Supply LLC Durable Medical Equipment & Medical Supplies 1200 Eastgate Drive S.e., Rochester, MN 55904 2019-09-24
1952954992 Jane Yaakni Hopaki Midwife 1224 Eastgate Dr Se, Rochester, MN 55904 2019-07-18
1851896187 Hamdi A Ali Pediatrics 26 Mayo Park Dr Se, Rochester, MN 55904 2018-03-28
1255847059 Brooke Maleszewski Nurse Practitioner 821 3rd Ave Se Ste 15, Rochester, MN 55904 2017-12-17
1699215988 Maximus Language Resources Interpreter 1775 3rd Ave Se, Rochester, MN 55904 2017-03-06
1215484803 Kylene Starr Allen Social Worker 343 Woodlake Dr. Se, Zumbro Valley Health Center, Rochester, MN 55904 2016-09-01
1013384627 Breathe Easy Medical Supplies Inc. Durable Medical Equipment & Medical Supplies 40 16th St. Sw Suite G, Rochester, MN 55904 2015-08-31
1932473105 Michelle Lee Sather Counselor 343 Woodlake Drive Se, Rochester, MN 55904 2012-03-05
1538453022 Amy M Carey Social Worker 40 16th Street Sw, Suite D, Rochester, MN 55904 2011-06-02
1396059895 Lisa Marie Bingham Optometrist 111 S. Broadway, Rochester, MN 55904 2010-07-27
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942725791 Emily Catone Nurse Practitioner 252 Cobb Terrace, Rochester, NY 14620 2017-08-12
1740450428 Cheryl L Messing Nurse Practitioner 125 Lattimore Road Suite 280, Freedom of Choice Ob Gyn Services of Western New York, Rochester, NY 14620 2008-03-10
1932112844 Carol Giffi Nurse Practitioner 619-12 Strong Memorial Hospital, 601 Elmwood Avenue, Rochester, NY 14642-0001 2006-08-14
1629638515 Chloe Hayes Ingalls Nurse Practitioner 990 South Ave Ste 103, Rochester, NY 14620-2740 2019-06-13
1518372473 Kimberly Gemayel Nurse Practitioner 1415 Portland Ave Ste 400, Rochester, NY 14621 2014-06-30
1275887945 Julia Theodora Huff Nurse Practitioner 114 University Ave, Rochester, NY 14605-2929 2012-11-02
1649528076 Kathryn Elizabeth Lewis Nurse Practitioner 1101 W University Dr, Rochester, MI 48307-1863 2012-08-15
1336400191 Shirley Margaret Warren Nurse Practitioner 500 Red Creek Dr Ste 210, Rochester, NY 14623-4285 2012-06-07
1205134509 Oakland University Ghc Nurse Practitioner 2200 N Squirrel Rd, Rochester, MI 48309-4402 2011-03-10
1952601536 Julie S Albert Nurse Practitioner 819 W Main St, Rochester, NY 14611-2334 2010-10-28
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Competitor

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City ROCHESTER
Zip Code 55904

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Dataset Information

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.

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