NPIMap

Organization Active NPI

St. Catherine University School Based Health Clinic

  • Primary Care Nurse Practitioner
  • White Bear Lake, MN
National Provider Identifier
1467071084
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
ST. CATHERINE UNIVERSITY SCHOOL BASED HEALTH CLINIC
Practice address
5045 Division Ave,
White Bear Lake, MN 55110
Phone
(651) 653-2923
NPI assigned
Apr 14, 2020
Organization subpart
Yes
Parent organization
ST. CATHERINE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Authorized official

Name
Jessica M Miehe, MSN, RN
Title
Clinic Director
Phone
(651) 653-2923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

5045 Division Ave,
White Bear Lake, MN 55110

Mailing address

2004 Randolph Ave.
F-22
St. Paul, MN 55105
Phone (651) 690-6101

Other names 1

  • Bear Care Health and Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Catherine University2 organizations share this tax ID, including this one
Part of
St Catherine University

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2004 Randolph Ave
#F22
Saint Paul, MN 55105

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1467071084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 RANDOLPH AVE.",
            "address_2": "F-22",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55105",
            "telephone_number": "651-690-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 DIVISION AVE,",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "55110",
            "telephone_number": "651-653-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CATHERINE UNIVERSITY SCHOOL BASED HEALTH CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. CATHERINE UNIVERSITY",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "MIEHE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "651-653-2923",
        "authorized_official_credential": "MSN, RN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bear Care Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White Bear Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.