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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SD | RN LICENSE | R035692 | 01 |
SD | CNP LICENSE | CP000487 | 01 |
Street Address |
210 9TH ST SE |
City | ROCHESTER |
State | MN |
Zip Code | 55904-6756 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 55904 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
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 |
Find all providers in ROCHESTER |
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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.