GRETCHEN E WEATHERLY (NPI# 1982621926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982621926 |
| Entity Type | Individual |
| Full Name | GRETCHEN E WEATHERLY |
| Credential | PHD |
| Practice Address |
200 University Ave E Child and Family Services Department Saint Paul MN 55101-2507 |
| Mailing Address |
200 University Ave E Gillette Childrens Specialty Healthcare Saint Paul MN 55101 |
| Practice Telephone | 6512293855 |
| Practice Fax Number | 6516026891 |
| Mailing Telephone | 6512293855 |
| Mailing Fax Number | 6516026891 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2008-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | LP4427 | MN | Behavioral Health & Social Service Providers |
| Street Address |
200 UNIVERSITY AVE E CHILD AND FAMILY SERVICES DEPARTMENT |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55101-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336138882 | Tara Vonne Brodersen | Dentist | 200 University Ave E, Saint Paul, MN 55101-2507 | 2005-10-18 |
| 1184236739 | Anna Rauch | Nurse Practitioner | 200 University Ave E, Saint Paul, MN 55101-2507 | 2020-08-17 |
| 1891319943 | Gillette Children's Specialty Healthcare | Non-Pharmacy Dispensing Site | 200 University Ave E, Saint Paul, MN 55101-2507 | 2020-06-04 |
| 1144843343 | Smitha Elizabeth Mathew | Orthopaedic Surgery | 200 University Ave E, Saint Paul, MN 55101-2507 | 2020-05-21 |
| 1750927554 | Carol Skerbitz | Dietitian, Registered | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-11-27 |
| 1780220798 | Karri Larson | Dietitian, Registered | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-11-25 |
| 1316583560 | Julia Lang | Dietitian, Registered | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-11-22 |
| 1033755285 | Stephanie K Campbell | Dietitian, Registered | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-11-22 |
| 1629614912 | Ashley Ann Clintsman | Dietitian, Registered | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-11-21 |
| 1770057135 | Katherine Marie Nelson | Nurse Practitioner | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
| 1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
| 1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
| 1699284919 | Eric Mcgillis | Emergency Medicine | Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 | 2017-09-29 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1992182323 | Theresa Annette Cashdollar-powell | Social Worker | 640 Jackson, St Paul, MN 55101 | 2015-05-06 |
| 1770986101 | Margaret Augusta Cutter | Physician Assistant | 200 Univeristy Ave E, Saint Paul, MN 55101 | 2014-09-30 |
| 1851641419 | Lisa Rae Caturia | Occupational Therapy Assistant | 640 Jackson St, 8th Floor, St Paul, MN 55101 | 2012-09-11 |
| 1558619478 | Rph On The Go | Community/Behavioral Health | 172 E 6th Street, 704, Saint Paul, MN 55101 | 2012-08-27 |
| 1184994212 | Duyen Truong | Pharmacist | 604 Jackson Street, St. Paul, MN 55101 | 2012-01-05 |
| Find all providers in zip 55101 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557057 | Erik De Water | Clinical Neuropsychologist | 1876 Minnehaha Ave W, Saint Paul, MN 55104-1029 | 2020-01-07 |
| 1609333038 | Minnesota Neuropsychology, LLC | Clinical Neuropsychologist | 370 Selby Ave Ste 312, Saint Paul, MN 55102-1884 | 2019-02-21 |
| 1629150479 | Nan C Truitt | Clinical Neuropsychologist | 265 Phalen Blvd, Saint Paul, MN 55130-2400 | 2006-10-20 |
| 1619066446 | Kristen Ann Ryan | Clinical Neuropsychologist | 190 5th St E, Ste. 100, Saint Paul, MN 55101-2666 | 2006-10-12 |
| 1770689705 | Gale Valtinson & Associates Pa | Clinical Neuropsychologist | 423 Warwick St, Saint Paul, MN 55105-2548 | 2006-09-16 |
| 1568473569 | Jack B. Schaffer | Clinical Neuropsychologist | 1790 Goodrich Ave, Saint Paul, MN 55105-1907 | 2006-08-11 |
| 1053936922 | Suzanne Moseley | Clinical Neuropsychologist | 225 Smith Ave N, Saint Paul, MN 55102-2533 | 2020-06-16 |
| 1720540974 | Tou Khang | Clinical Neuropsychologist | 393 Dunlap St N Ste 105, Saint Paul, MN 55104-4211 | 2019-04-04 |
| 1811434038 | Sarah Marie Olson | Clinical Neuropsychologist | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-01-25 |
| 1437576840 | Jordan Robinson | Clinical Neuropsychologist | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2014-03-24 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55101 |
Please comment or provide details below to improve the information on GRETCHEN E WEATHERLY.
| 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.