TIFFANY RIESTER (NPI# 1982151361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982151361 |
| Entity Type | Individual |
| Full Name | TIFFANY RIESTER |
| Credential | LADC |
| Practice Address |
332 W Superior Street Suite 300 Duluth MN 55802 |
| Mailing Address |
1900 Silver Lake Road Nw Suite 110 New Brighton MN 55112 |
| Practice Telephone | 2187224379 |
| Practice Fax Number | 2187224333 |
| Mailing Telephone | 6513791718 |
| Mailing Fax Number | 6513791738 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
304399 | MN | Behavioral Health & Social Service Providers |
| Street Address |
332 W SUPERIOR STREET SUITE 300 |
| City | DULUTH |
| State | MN |
| Zip Code | 55802 |
| 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 |
| 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 |
| 1942511340 | Terrence Francis Zielinski | Social Worker | 324 W. Superior St., Ste. 509 Heartland PCa, LLC, Dba Heartland Kids, Duluth, MN 55802 | 2010-06-30 |
| Find all providers in zip 55802 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879339 | Jordan Lowe | Counselor | 4615 Grand Ave Ste 300, Duluth, MN 55807-2749 | 2020-10-22 |
| 1750998423 | Recovery Alliance Duluth | Counselor | 206 W 4th St Ste 203, Duluth, MN 55806-2659 | 2020-09-28 |
| 1780239442 | Katelyn Huberty | Counselor | 324 W Superior St Bldg Suite620, Duluth, MN 55802-1701 | 2019-08-08 |
| 1831663343 | Jennifer T Rennquist | Counselor | 5223 Glendale St, Duluth, MN 55804-1110 | 2019-01-17 |
| 1376069294 | Dave Moorthy | Counselor | 6290 Abbotts Bridge Rd Ste 502, Duluth, GA 30097-5714 | 2017-08-22 |
| 1285063115 | Brian Bergstedt | Counselor | 332 West Superior Street, Suite 300, Duluth, MN 55802 | 2013-11-01 |
| 1558660357 | Melissa June Huray | Counselor | 326 North Central Avenue, Duluth, MN 55807 | 2011-03-18 |
| 1184760738 | Diana Benjamin Rodriguez | Counselor | 6340 Sugarloaf Parkway, Suite 200, Duluth, GA 30097 | 2007-01-30 |
| 1194790733 | Human Development Center | Counselor | 1401 E 1st St, Duluth, MN 55805-2407 | 2006-02-17 |
| 1093347031 | Cody Lindquist | Counselor | 1401 East 1st Street, Duluth, MN 55805-2407 | 2020-02-07 |
| 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.