River Bluffs Health and Wellness PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RIVER BLUFFS HEALTH AND WELLNESS PLLC

Doing business as

River Bluffs Health and Wellness

Practice address

205 N Chestnut St Ste 108
La Crescent, MN 55947-1282

Phone

(507) 323-1200

Fax

(507) 323-1203

NPI assigned

May 2, 2022

Last updated

Apr 30, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Derek J Dulek, MLS(ASCP)CM

Title

Managing Member

Phone

(507) 323-1200

Specialties & licenses 4

Addresses

Other names 1

• River Bluffs Health and Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Miranda Dulek, APRN, CNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Paul, MN
  • NPI 1356896765
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682812800000",
    "number": "1174268478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N CHESTNUT ST STE 108",
            "city": "LA CRESCENT",
            "state": "MN",
            "postal_code": "559471282",
            "telephone_number": "507-323-1200",
            "fax_number": "507-323-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N CHESTNUT ST STE 108",
            "city": "LA CRESCENT",
            "state": "MN",
            "postal_code": "559471282",
            "telephone_number": "507-323-1200",
            "fax_number": "507-323-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER BLUFFS HEALTH AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2023-04-30",
        "certification_date": "2023-04-30",
        "status": "A",
        "authorized_official_last_name": "DULEK",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "507-323-1200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MLS(ASCP)CM"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Bluffs Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "River Bluffs Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NSH la Crescent LLC (La Crescent Health Services)
• Lisa J Nutter, APNP
• Kasey Marie Payne, D.C.
• Theodore J. Pierzina, MN-LADC
• Shelby Devon Reynolds, PTA
• Rocky Mountain Spine and Sport PLLC
• Rushford Drug Co (Witt's Pharmacy - LaCrescent)
• Jared Steven Sanness, PTA
• Steven K Schams, D.C. D.A.B.C.O.
• Carter William Schmitz

• Mental Health Clinic/Center (Including Community Mental Health Center) in La Crescent, MN
• Providers in La Crescent, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.