Annex Teen Clinic

Primary specialty

Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X

Legal business name

ANNEX TEEN CLINIC

Practice address

5810 42ND Avenue North
Robbinsdale, MN 55422

Phone

(763) 533-1316

Fax

(763) 531-0315

NPI assigned

Mar 8, 2007

Last updated

Feb 13, 2012By 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

Diane Thompson Murray

Title

Clinical Director

Phone

(763) 235-1980

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North Suburban Youth Health Clinic, Inc Former legal business name

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.

• Jenny Rebecca Kluznik, PA-C, MPH

  • Medical Physician Assistant
  • Robbinsdale, MN
  • NPI 1003258690
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1255462487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 42ND AVENUE NORTH",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "55422",
            "telephone_number": "763-533-1316",
            "fax_number": "763-531-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 42ND AVENUE NORTH",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "55422",
            "telephone_number": "763-533-1316",
            "fax_number": "763-531-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNEX TEEN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "THOMPSON",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "763-235-1980"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178182100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Suburban Youth Health Clinic, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kristi Anderson, APRN, CNP
• Anesthesiology, P.a.
• Matthew Ang
• Preston Scott Angen-Determan, PHARMD
• Anishinaabe Endaad LLC
• Rebecca K. S. Ansari, MD
• Salah Anwar, MD
• Cecelia D. Aponte, PT
• Marie Y Armstrong, PT, DPT
• Jacqueline C. Arnett, CRNA

• Non-Surgical Family Planning Clinic/Center in Robbinsdale, MN
• Providers in Robbinsdale, MN by specialty
• Non-Surgical Family Planning Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.