Lifesprk Health | |
5320 W 23rd St Ste 130 St Louis Park MN 55416-1670 | |
(952) 345-8770 | |
(952) 345-8871 |
Full Name | Lifesprk Health |
---|---|
Speciality | Family Medicine |
Location | 5320 W 23rd St Ste 130, St Louis Park, Minnesota |
Authorized Official Name and Position | Catherine Ann Lauring (CEO) |
Authorized Official Contact | 9523453213 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lifesprk Health 5320 W 23rd St Ste 130 St Louis Park MN 55416-1670 Ph: (952) 345-3213 | Lifesprk Health 5320 W 23rd St Ste 130 St Louis Park MN 55416-1670 Ph: (952) 345-8770 |
NPI Number | 1427551746 |
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Provider Enumeration Date | 03/13/2018 |
Last Update Date | 05/02/2022 |
Medicare PECOS PAC ID | 4385908201 |
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Medicare Enrollment ID | O20180501001022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427551746 | NPI | - | NPPES |
Provider Name | John Palmer Miller |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1902850860 PECOS PAC ID: 2264344415 Enrollment ID: I20031217000477 |
Provider Name | Catherine A Lauring |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982692232 PECOS PAC ID: 3779482930 Enrollment ID: I20040107000263 |
Provider Name | Kristin Marie Kirsch |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891770459 PECOS PAC ID: 7214925619 Enrollment ID: I20040504001219 |
Provider Name | Wendy C Laine |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1033178199 PECOS PAC ID: 7719968585 Enrollment ID: I20040527000211 |
Provider Name | Nicholas J Schneeman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245269612 PECOS PAC ID: 5597738492 Enrollment ID: I20040818000810 |
Provider Name | Jennifer J Dart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376567404 PECOS PAC ID: 3375508757 Enrollment ID: I20041124000561 |
Provider Name | Holley Ingman Gullickson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023025517 PECOS PAC ID: 0345255535 Enrollment ID: I20060208000845 |
Provider Name | Sarah M Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063645224 PECOS PAC ID: 9638211196 Enrollment ID: I20100121000638 |
Provider Name | Lisa M Renard Paule |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366401143 PECOS PAC ID: 6709075260 Enrollment ID: I20110113001168 |
Provider Name | Tria Lor |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215255955 PECOS PAC ID: 9436317617 Enrollment ID: I20120220000167 |
Provider Name | Chelsie Sueann Seth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407273956 PECOS PAC ID: 5294954509 Enrollment ID: I20140918002664 |
Provider Name | Maren Elizabeth Loftness |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780979039 PECOS PAC ID: 1052530169 Enrollment ID: I20140922001467 |
Provider Name | Kristen Ellen Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891195459 PECOS PAC ID: 4284856865 Enrollment ID: I20141114001693 |
Provider Name | Teresa K Mccartney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730579335 PECOS PAC ID: 8527386549 Enrollment ID: I20150422002150 |
Provider Name | Jill L Titze |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487969820 PECOS PAC ID: 0446420616 Enrollment ID: I20150630000395 |
Provider Name | Jaclyn Rose Guetzko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275914020 PECOS PAC ID: 6507179132 Enrollment ID: I20150724011528 |
Provider Name | Kristin M Stevens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962882696 PECOS PAC ID: 0648584243 Enrollment ID: I20150727001483 |
Provider Name | Vanessa Marie Kruse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770950263 PECOS PAC ID: 2163739533 Enrollment ID: I20150917000106 |
Provider Name | Kathleen Susan Becker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578979233 PECOS PAC ID: 2769792159 Enrollment ID: I20151116001200 |
Provider Name | Lori L Ongeri |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164797098 PECOS PAC ID: 8527360007 Enrollment ID: I20151230002108 |
Provider Name | Pamela Marie Rhiel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811361603 PECOS PAC ID: 9638472095 Enrollment ID: I20160120000388 |
Provider Name | Lindsay Marie Kuphal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003351156 PECOS PAC ID: 7214213628 Enrollment ID: I20170420000606 |
Provider Name | Shannon Marie Mooney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508397290 PECOS PAC ID: 3173891454 Enrollment ID: I20170608001939 |
Provider Name | Bethany Joy Best |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295257202 PECOS PAC ID: 0446522528 Enrollment ID: I20170824001265 |
Provider Name | Zillah Kemunto Mulubisha |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912447780 PECOS PAC ID: 1658644752 Enrollment ID: I20170912003268 |
Provider Name | Katelin D Super |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386168631 PECOS PAC ID: 5395019335 Enrollment ID: I20170914002515 |
Provider Name | Brooke Elizabeth Habisch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871914887 PECOS PAC ID: 6204189368 Enrollment ID: I20181019001406 |
Provider Name | Matthew Lliam Mcgraw |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265797930 PECOS PAC ID: 5496907289 Enrollment ID: I20181129001563 |
Provider Name | Hannah Marie Graffunder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538722566 PECOS PAC ID: 1355683921 Enrollment ID: I20190430003136 |
Provider Name | Mary Beth Major |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821550591 PECOS PAC ID: 1951634310 Enrollment ID: I20190618000498 |
Provider Name | Shannon Leah Ogara |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093362659 PECOS PAC ID: 1456783547 Enrollment ID: I20191111001972 |
Provider Name | Darrian Michelle Fisher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245876622 PECOS PAC ID: 5193158863 Enrollment ID: I20191211000262 |
Provider Name | Christin Mary Ament |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174177885 PECOS PAC ID: 3173950953 Enrollment ID: I20200218001592 |
Provider Name | Abby Marie Evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881226512 PECOS PAC ID: 6103243472 Enrollment ID: I20210818002107 |
Provider Name | Faisal Abdi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265000772 PECOS PAC ID: 6800286238 Enrollment ID: I20211129002124 |
Provider Name | Nargiza S. Akyol |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396324331 PECOS PAC ID: 9638560030 Enrollment ID: I20211220000104 |
Provider Name | Megan Elizabeth Jeurissen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992466585 PECOS PAC ID: 6507258340 Enrollment ID: I20220127002895 |
Provider Name | Pao Doua Vang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659032795 PECOS PAC ID: 0840684296 Enrollment ID: I20220228002599 |
Provider Name | Jenna Lanae Breidinger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194478503 PECOS PAC ID: 7012302946 Enrollment ID: I20220311000781 |
Provider Name | Jonathan Zvi Weiner |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881006104 PECOS PAC ID: 7012135551 Enrollment ID: I20220713000975 |
Provider Name | Emolebi Deborah Akpojotor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477288918 PECOS PAC ID: 4284019225 Enrollment ID: I20220912003421 |
Provider Name | Stephanie Ann Vanostrand |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730808668 PECOS PAC ID: 1557746005 Enrollment ID: I20220919003202 |
Provider Name | Alissa Marie Abraham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396417572 PECOS PAC ID: 5193110450 Enrollment ID: I20221111001468 |
Provider Name | Loretta Jane Minor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750007985 PECOS PAC ID: 7012385800 Enrollment ID: I20221129002001 |
Provider Name | Holly Noel Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659081487 PECOS PAC ID: 1658740519 Enrollment ID: I20221215001345 |
Provider Name | Kymberly Heather Carrier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881321594 PECOS PAC ID: 5799156170 Enrollment ID: I20230123000748 |
Provider Name | Amber Michelle Rosendahl |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386357788 PECOS PAC ID: 9032580428 Enrollment ID: I20230123001352 |
Provider Name | Mara Chandra Lila Mendonza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972299782 PECOS PAC ID: 2264897222 Enrollment ID: I20230426000331 |
Provider Name | Oksana Fedorovna Karpenko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699541540 PECOS PAC ID: 9032561402 Enrollment ID: I20240122002029 |
Provider Name | Ashley Luanne Kay Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962278713 PECOS PAC ID: 1850734443 Enrollment ID: I20240212000366 |
Provider Name | Mahilet Zerihun Sisay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609205707 PECOS PAC ID: 1355785809 Enrollment ID: I20240223000051 |
Provider Name | Akhsa Simonovich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003599614 PECOS PAC ID: 0244675072 Enrollment ID: I20240301003056 |
Provider Name | Kathryn Elizabeth Crawford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750854410 PECOS PAC ID: 3375882277 Enrollment ID: I20240328001366 |
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