Minnesota Minnesota

Provider Manual

Provider Manual



Provider type DescriptionLast nameFirst nameMiddle nameEffective date of exclusionAddress line1Address line2CityStateZip codeExclusion status
Direct Support Worker (Individual DSW)AAKERDEBHANNA 3/12/2024     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)AASENANDREAMARIE10/26/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)ABBOTTDENISEMARIE10/21/2010     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)ABDIABDULLAHIFARAH1/3/2016     Medicaid authority
Other Non-Traditional-IndividualABDIALIDUBOW5/6/20241501 E BURNSVILLE PKWY #219A BURNSVILLEMN55337Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)AbdilleDeeqWerar3/26/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)ABDISHAKURABDULM12/9/2019     Medicaid authority
Direct Support Worker (Individual DSW)ABSHIRABDINASIRMOHAMED2/27/2023     Medicaid authority
Direct Support Worker (Individual DSW)ABUKARAYANFARAH6/5/2024     Medicaid authority
Direct Support Worker (Individual DSW)ADAMSGWENDOLYNANN3/13/2016     Medicaid authority
Direct Support Worker (Individual DSW)ADANFOSIAAIDID5/21/2014     Medicaid authority
Direct Support Worker (Individual DSW)ADEMMOHAMEDYUSUF2/12/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)ADENAYDARUSJAMA4/27/2020     Medicaid authority
Direct Support Worker (Individual DSW)ADENHAMDIDAHIR8/23/2021     Medicare Medicaid exclusion
Other Non-Traditional-IndividualADENODIKEHINDECAROLYN12/12/20238256 QUEEN AVE N MINNEAPOLISMN55444Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)ADEWALEEUREAKAORNAE12/19/2022     Medicaid authority
Direct Support Worker (Individual DSW)ADEYEYETUNJI 10/4/2010     Medicaid authority
Direct Support Worker (Individual DSW)ADIGWEDONNAMICHELLE5/17/2024     Medicaid authority
Direct Support Worker (Individual DSW)AFFELDTKRISTINAKAYE1/21/2023     Medicaid authority
Direct Support Worker (Individual DSW)AhlbeckJoniIsabellDorothy7/20/2014     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)AHMEDABDIAZIZMOHAMED12/14/2016     Medicaid authority
Direct Support Worker (Individual DSW)AHMEDAHMEDNURELMI8/5/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)AHMEDAMINAASOD5/21/2021     Medicaid authority
Direct Support Worker (Individual DSW)AHMEDSADIAALI12/18/2023     Medicaid authority
Direct Support Worker (Individual DSW)AideedMohamudYusuf3/6/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)AJALAOLUWASEGUNADEYEMI12/7/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)AKINSANYAOMOBOLANLEOLAJUMOKE8/6/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)AKOREADONTENGDARKO11/29/2023     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)AKOREAMANISERWA11/29/2023     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)AKOREKWESIDARKO1/24/2023     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)ALEXANDERDOMINQUEDENISE11/3/2023     Medicaid authority
Direct Support Worker (Individual DSW)ALEXANDERJEREMYJEARL7/15/2015     Medicaid authority
Direct Support Worker (Individual DSW)ALHMAIDIZEINASALEM5/3/2021     Medicaid authority
Direct Support Worker (Individual DSW)ALIABDI 12/23/2015     Medicaid authority
Direct Support Worker (Individual DSW)ALIABDIFATAHSHEIKABDULAHI3/7/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)ALIAHMEDBILLOW2/10/2023     Medicaid authority
Direct Support Worker (Individual DSW)ALIFADUMAAHMED8/5/2022     Medicaid authority
Direct Support Worker (Individual DSW)ALIFADUMAADEN9/15/2014     Medicaid authority
Direct Support Worker (Individual DSW)ALIFATOUNABDI6/1/2011     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)ALIMUHAMEDMUBARAK7/6/2022     Medicaid authority
Direct Support Worker (Individual DSW)ALIMUSTAFEMOHAMED8/21/2024     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)ALINASRAAHMED9/4/2024     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)ALIYASMINA9/4/2018     Medicaid authority
Direct Support Worker (Individual DSW)ALIMISOWAILA 5/26/2020     Medicaid authority
Direct Support Worker (Individual DSW)ALISHIRELIBANYASIN2/27/2023     Medicaid authority
Direct Support Worker (Individual DSW)ALLENRICHARDG S4/26/2008     Medicaid authority
Direct Support Worker (Individual DSW)AllenZacharyMicah11/2/2017     Denied not eligible
Direct Support Worker (Individual DSW)AMESLAQULIAV3/24/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)ANDERSONCOLEVINCENT2/18/2019     Medicaid authority
Direct Support Worker (Individual DSW)ANDERSONJASONC2/25/2011     Medicaid authority
Direct Support Worker (Individual DSW)ANDREWSREGINADELORES6/7/2018     Medicaid authority
Direct Support Worker (Individual DSW)ArayeZamzamAbdullahi8/24/2023     Medicaid authority
Direct Support Worker (Individual DSW)ARMSTRONGTRESSIEELAINE4/24/2020     Medicaid authority
Direct Support Worker (Individual DSW)ArtisCherylChiria2/23/2023     Medicaid authority
Home Care Nurse (HCN) IndividualASEMPAAKPENEYAA8/31/202293 W LITTLE CANADA RD LITTLE CANADAMN55117Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)ASHBAUGHMARTHAPAULINE12/18/2015     Medicaid authority
Direct Support Worker (Individual DSW)ASHFORDCECILDESERGIO4/22/2017     Medicaid authority
Direct Support Worker (Individual DSW)AULOANCAM11/10/2013     Medicaid authority
Direct Support Worker (Individual DSW)AUGINASHRUTHELLEN4/7/2014     Medicaid authority
Direct Support Worker (Individual DSW)AUGINAUSHLEANNEROSE4/15/2010     Medicaid authority
Direct Support Worker (Individual DSW)AUSTINCHASE 2/14/2016     Medicaid authority
Direct Support Worker (Individual DSW)AUSTINHEIDIANN4/12/2019     Medicaid authority
Direct Support Worker (Individual DSW)AVEYMAKAYLALEIGH DELORES6/3/2022     Medicaid authority
Direct Support Worker (Individual DSW)AWADANABARTAN11/4/2022     Medicaid authority
Direct Support Worker (Individual DSW)AWALEABDULKADIR 8/9/2023     Medicaid authority
Direct Support Worker (Individual DSW)AwololadowuChristianah 4/4/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)AZIZABDINASIRMOHAMED10/15/2021     Medicaid authority
Direct Support Worker (Individual DSW)BAILEYCHARLSHEKYONE5/24/2019     Medicaid authority
Direct Support Worker (Individual DSW)BAIONJOSHUAHENRY3/28/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BAKARESANDRAROCHELL5/21/2014     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BAKARIFAISAABDOW6/17/2019     Medicaid authority
Direct Support Worker (Individual DSW)BAKERALICIAMARION5/10/2023     Medicaid authority
Licensed Professional Clinical Counselor (LPCC)BAKERDAKOTAMICHAEL ANTHONY5/12/20231405 SILVER LAKE RDSTE 17NEW BRIGHTONMN55112Medicaid authority
Direct Support Worker (Individual DSW)BAKERELAINAYVONNE5/28/2020     Medicaid authority
Direct Support Worker (Individual DSW)BANKSJOYCEMARIE2/10/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BANMORECONCHETTAGIDI9/26/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BANNAWELMASUNDAWAY9/9/2016     Medicaid authority
Direct Support Worker (Individual DSW)BANUELOSGUSTAVO 2/8/2017     Medicaid authority
Direct Support Worker (Individual DSW)BAPTISTEGERARDMORELL10/4/2021     Medicaid authority
Direct Support Worker (Individual DSW)BARBLYWINIFREDJUAH9/16/2022     Medicaid authority
Direct Support Worker (Individual DSW)BARNESFREDALBERT11/3/2013     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BARRETTRAYMONDLEE3/4/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BARSKYMAXIMSIMON12/9/2010     Medicaid authority
Direct Support Worker (Individual DSW)BASHAMBALANABINTU 7/15/2015     Medicaid authority
Direct Support Worker (Individual DSW)BASSWOODAMBERLEIGH12/26/2014     Medicaid authority
Other Non-Traditional-IndividualBEKELEZELALEM 11/28/2023ADDRESS UNKNOWN ST PAULMN55104Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BELFREYLANOREVANBUREN2/8/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BELLRODNEYANDRE3/16/2015     Medicare Medicaid exclusion
Physical Therapist (PT)BENACKAJEREMYJ1/20/20228179 JEWEL LANE N MAPLE GROVEMN55311Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BENNETTBETTYJEAN10/21/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BERNINGKIMTHUONGNGUYEN10/11/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BEUGENCANDICEMORIAH1/27/2021     Medicaid authority
Direct Support Worker (Individual DSW)BLACKBURNWOODSTRACEY 4/21/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BLACKSHEARTRINALANETT8/8/2022     Medicaid authority
Direct Support Worker (Individual DSW)BLAKERHONDADEE7/31/2024     Medicaid authority
Direct Support Worker (Individual DSW)BLANCHETTEALYSSAANNE7/8/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BLESITERRILEA7/27/2020     Medicaid authority
Direct Support Worker (Individual DSW)BLUEKASONDRALYNNE5/24/2017     Medicaid authority
Direct Support Worker (Individual DSW)BODLEYSHAWNESEMARIE12/8/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BONNERNORRISJAMES11/27/2023     Medicaid authority
Direct Support Worker (Individual DSW)BORSTMICHELEMARY7/7/2021     Medicaid authority
Direct Support Worker (Individual DSW)BOSTICKDENASHIALAREE12/4/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BOWENSTHERESAL9/14/2008     Medicaid authority
Direct Support Worker (Individual DSW)BOWIECHINALATRICE11/7/2016     Medicaid authority
Direct Support Worker (Individual DSW)BOWMANYVETTE 4/22/2024     Medicaid authority
Direct Support Worker (Individual DSW)BOYDBERTANTON3/7/2024     Medicaid authority
Direct Support Worker (Individual DSW)BOYLANDJOHNNYCHRISTOPHER1/7/2023     Medicaid authority
Direct Support Worker (Individual DSW)BOYLANDSHERONDARENEE4/30/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BRACKINSTONETTELATRICE6/6/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BRANDNERNOELLELYNZEY6/22/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BRASWELLJASMINENICOLE4/18/2018     Medicaid authority
Direct Support Worker (Individual DSW)BRAZIELLATINALASHA11/9/2013     Medicaid authority
Direct Support Worker (Individual DSW)BREWINGTONAWANAARKEESHIA7/15/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BROCKLYDIALASHAWN8/3/2014     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BRODTMANNKELLYLYNN7/22/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BROOKSRANDYLORENZO7/30/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BROWNCHARLOTTASUE3/30/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BrownDavidAllen3/6/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BROWNLAMONTRAY4/28/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BROWNLARHONDASHANKIA6/17/2013     Medicaid authority
Direct Support Worker (Individual DSW)BrownLatriceDnatrianne7/29/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BROWNRAMONAKAY10/10/2014     Medicaid authority
Direct Support Worker (Individual DSW)BROWNREMONALYSA6/24/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BROWNRENEEDENISE10/26/2010     Medicaid authority
Direct Support Worker (Individual DSW)BROWNTIFFANYSTARLET6/2/2022     Medicaid authority
Direct Support Worker (Individual DSW)BRUSTUENBRENDACHRISTINE1/26/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BryantLindaMarie12/24/2011     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BudulAmalMohamed10/16/2024     Medicaid authority
Direct Support Worker (Individual DSW)BUFORDKENNESHAKENNDRA MARIE1/7/2022     Medicaid authority
Direct Support Worker (Individual DSW)BULHANKHADIJAHUSSEIN6/26/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BURILKOVKIRILL 7/8/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BURRELLBRIDGETTANN6/25/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BURSAWWILLIAMDANIEL5/5/2015     Medicare Medicaid exclusion
Dentist (DDS) IndividualBUSSAMICHAELJ2/8/2015324 W SUPERIOR ST STE 628 DULUTHMN55802Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)BUTLERKATIE 5/30/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)CAHILLBONNIEDAWN8/17/2022     Medicaid authority
Direct Support Worker (Individual DSW)CAINLEONARDALONZO5/12/2022     Medicaid authority
Direct Support Worker (Individual DSW)CALDWELLCIERRADARNISHA3/1/2021     Medicaid authority
Direct Support Worker (Individual DSW)CALDWELLMARYLOUISE5/17/2015     Medicaid authority
Direct Support Worker (Individual DSW)CANNATAKILEYRENE12/6/2024     Medicaid authority
Direct Support Worker (Individual DSW)CANNONTADASHALASHON1/11/2024     Medicaid authority
Direct Support Worker (Individual DSW)CARAWAYMARILYNKIMBERLY7/7/2021     Medicaid authority
Direct Support Worker (Individual DSW)CARLSONREBECCALYNN1/2/2025     Medicaid authority
Direct Support Worker (Individual DSW)CARLSONSTACYLYNN11/22/2014     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)CARMANNINGLEQUILLALASHOWN1/8/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)CARPENTERJOSEPHALLEN7/28/2017     Medicaid authority
Direct Support Worker (Individual DSW)CARRCONSANDRALATRESE7/13/2015     Medicaid authority
Direct Support Worker (Individual DSW)CARRMANNINGCHARLESELLIOTT6/21/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)CARTHARNJEFFREY 9/6/2022     Medicaid authority
Direct Support Worker (Individual DSW)CASTELLANOYVONNERENEE8/26/2019     Medicaid authority
Direct Support Worker (Individual DSW)CAULEYLUVENIAKATREESE11/12/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)CEASERJERRODRAKEEM4/6/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)CELESTINEDAVINENDION8/27/2020     Medicaid authority
Direct Support Worker (Individual DSW)CHANGJENNIFERFAYE5/9/2011     Medicaid authority
Direct Support Worker (Individual DSW)CHAPMANDESTINYREGINA LOVE6/19/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)CHARLESTONARIOLELYNAE12/15/2023     Medicaid authority
Direct Support Worker (Individual DSW)CHASELAMARRAY7/17/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)CHILDSYOLANDA 10/19/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)ChoateEarlChristopher12/22/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)CHRISTIANBRITTANIEJEAN8/6/2020     Medicaid authority
Direct Support Worker (Individual DSW)CHRISTLEERINANNE4/18/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)CLAYCOLEMANLEE8/16/2015     Medicaid authority
Direct Support Worker (Individual DSW)COBBARLENANICOLE2/8/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)COFIELDDESTINYCHARDAE3/24/2017     Medicaid authority
Direct Support Worker (Individual DSW)COKERFOLYBABATUNDE3/9/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)COLEMANANGELOVALENTINO8/25/2012     Medicaid authority
Direct Support Worker (Individual DSW)COLEMANDORAMAE4/20/2010     Medicaid authority
Direct Support Worker (Individual DSW)COMBSJAMIEMICHELLELEE1/4/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)CONNERJOE 7/17/2009     Medicaid authority
Direct Support Worker (Individual DSW)ConnorBrandonMaurice6/29/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)CONTEHPIEREANGELA3/20/2015     Medicaid authority
Direct Support Worker (Individual DSW)COOKASHLEYELAINE10/19/2023     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)COOKJEFFREYRENIER8/1/2012     Medicaid authority
Direct Support Worker (Individual DSW)COOPERJANICEMARIE9/26/2010     Medicaid authority
Direct Support Worker (Individual DSW)COPEEDWARDCHARLES10/19/2022     Medicaid authority
Direct Support Worker (Individual DSW)CorkValerieLashawn11/1/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)CORONALEAHANN5/7/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)COSTONTIHEIMDARRIEN4/28/2008     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)COWDENDONOVANDANIEL2/17/2017     Medicaid authority
Direct Support Worker (Individual DSW)CowlesLauraMarie9/14/2013     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)COXERICDONZELSR5/3/2023     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)COXLAURENGAYE8/2/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)CREEROBERTMICHAEL6/17/2013     Medicaid authority
Direct Support Worker (Individual DSW)CrockettLatreseMarie9/21/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)CROSBYSAMANTHAJOE3/10/2021     Medicaid authority
Direct Support Worker (Individual DSW)CRYERGLENDAOPHELIA ANN3/16/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)CUMMINGSMIRIAMKAI4/11/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)CUNNINGHAMJEROMEANDRE1/3/2011     Medicaid authority
Direct Support Worker (Individual DSW)CURRENALEXANDRALOIS8/2/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)CurtisJaniceLee8/11/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)CURTISKENYETTALASHAWN9/7/2016     Medicaid authority
Direct Support Worker (Individual DSW)DABDEEJULIAEILEEN7/9/2012     Medicaid authority
Direct Support Worker (Individual DSW)DAHIRABDULKADIROMAR12/19/2014     Medicaid authority
Direct Support Worker (Individual DSW)DAHLBERGTRISTARUBY2/29/2016     Medicare Medicaid exclusion
Podiatrist (DPM) IndividualDAILEYJOHNMICHAEL5/2/20131121 EMERSON CT BURNSVILLEMN55337Medicare Medicaid exclusion
Other Non-Traditional-IndividualDaleWilliamNathaniel8/7/2019744 HAWTHORNE ST CLOQUETMN55720Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)DALLINMOHAMEDTAWAD2/24/2019     Medicaid authority
Licensed Marriage And Family Therapist (LMFT)DANESHPOURMANIJEH 9/6/20242719 W DIVISION ST STE 5 ST CLOUDMN56301Medicaid authority
Direct Support Worker (Individual DSW)DANIELCARRESHAGINEA10/2/2020     Medicaid authority
Direct Support Worker (Individual DSW)DANTZLERNORMANLAWAYNE3/16/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)DARVILLEMICHAELJAY8/13/2010     Medicaid authority
Direct Support Worker (Individual DSW)DAVAASUMBERELPUREVDULAM 11/7/2014     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)DAVIDCHRISTINEMARIE4/9/2021     Medicaid authority
Direct Support Worker (Individual DSW)DAVIESAAMFOULTHSUNNIES6/6/2014     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)DAVIESERINELIZABETH12/22/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)DAVISAMBERMARIE9/16/2021     Medicaid authority
Direct Support Worker (Individual DSW)DAVISDARZEL 4/23/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)DAVISKRISTINMARIE6/12/2023     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)DAVISMISTIRAE6/21/2024     Medicaid authority
Direct Support Worker (Individual DSW)DAVISREGINALD 10/26/2009     Medicaid authority
Direct Support Worker (Individual DSW)DAVISTRENEADESHAWN4/22/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)DAVISWILLISVALDEZ JR6/26/2020     Medicaid authority
Direct Support Worker (Individual DSW)DAWKINSSHANETTLUCHURIAN3/21/2024     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)DAWOAYNALEMGALASSA11/28/2023     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)DeadwylerTakeshaMonic4/3/2023     Medicaid authority
Direct Support Worker (Individual DSW)DEANKRISTYDARLENE8/31/2015     Medicaid authority
Direct Support Worker (Individual DSW)DEETSMATTHEWJOSEPH9/15/2010     Medicaid authority
Direct Support Worker (Individual DSW)DEINESAUDRIANNAMARIE11/12/2011     Medicaid authority
Direct Support Worker (Individual DSW)DEMYANOVANTONINA 5/27/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)DEMYANOVLEONA2/25/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)DEVINEZACHARYJOSEPHROY10/4/2022     Medicaid authority
Direct Support Worker (Individual DSW)DEWBERRYFELIPEBULLOCK6/21/2017     Medicaid authority
Direct Support Worker (Individual DSW)DIAZPABLOJAVIER8/14/2015     Medicaid authority
Direct Support Worker (Individual DSW)DIFFERDINGCHRISTINAMARIE12/2/2010     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)DIKCANDACEKAY2/24/2012     Medicaid authority
Direct Support Worker (Individual DSW)DINHLINHMAIHONG8/30/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)DiouryAmina 7/13/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)DITTELMARKALLAN5/25/2012     Medicaid authority
Direct Support Worker (Individual DSW)DIXONCLAUDEHINTON4/17/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)DIXONTATIANNANASHA3/10/2021     Medicaid authority
Direct Support Worker (Individual DSW)DOPPLERMELISSAJO8/13/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)DORJSURENBANDI 11/7/2014     Medicaid authority
Direct Support Worker (Individual DSW)DROSTJENNIFERGAYLE1/14/2010     Medicaid authority
Direct Support Worker (Individual DSW)DUBBESAHRAMOHAMUD5/30/2017     Medicaid authority
Direct Support Worker (Individual DSW)DuncombeSelenaMarie9/4/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)DUNGINSDARNESHA 12/20/2014     Medicaid authority
Direct Support Worker (Individual DSW)DURHAMLEAHRENEE5/11/2009     Medicaid authority
Direct Support Worker (Individual DSW)DURHAMLEEANN3/5/2010     Medicaid authority
Direct Support Worker (Individual DSW)DUTMAYEN 10/26/2011     Medicaid authority
Direct Support Worker (Individual DSW)EATHERTONJOHNSONKATRINAMARIE9/15/2010     Medicaid authority
Direct Support Worker (Individual DSW)ECHOLSJOHND6/26/2017     Medicaid authority
Direct Support Worker (Individual DSW)EDAFERIERHIGODFREYNERO8/29/2024     Medicaid authority
Direct Support Worker (Individual DSW)EDWARDSWILLIECLAUDE9/8/2022     Medicaid authority
Direct Support Worker (Individual DSW)EGGLESTONCHAUNCHEREE6/17/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)EIDEJUDITHANN4/14/2022     Medicaid authority
Direct Support Worker (Individual DSW)ELIASAMBER JOYCINDY ROSE6/22/2014     Medicaid authority
Direct Support Worker (Individual DSW)ELJALLISONBERNADETTE9/30/2013     Medicaid authority
Direct Support Worker (Individual DSW)ELLISEDWARDRAYNARDO1/11/2021     Medicaid authority
Direct Support Worker (Individual DSW)ELLISROBERTEARL5/2/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)ELLISTIAESHALASHAE5/10/2023     Medicaid authority
Direct Support Worker (Individual DSW)EREGSOFIAM11/18/2021     Medicaid authority
Direct Support Worker (Individual DSW)EricksonJoshuaD5/23/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)ERICKSONTRINADEANN10/13/2010     Medicaid authority
Direct Support Worker (Individual DSW)EROFARHAN 9/8/2020     Medicaid authority
Direct Support Worker (Individual DSW)ESPARZATESHNAMARIA12/31/2015     Medicare Medicaid exclusion
Physician (MD/DO) IndividualEVERETTSPAULDINGFRED6/29/20162904 JOHNSON ST NE MINNEAPOLISMN55418Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)FAHIYEKHADARMOWLID10/18/2013     Medicaid authority
Direct Support Worker (Individual DSW)FARAHILYASABDI3/10/2023     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)FARAHNIMOSAID4/14/2014     Medicaid authority
Direct Support Worker (Individual DSW)FARAHOSMANMOHAMED4/11/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)FARLEYDANIELLEMARIE11/10/2014     Medicaid authority
Direct Support Worker (Individual DSW)FEATHERSHEENAIONE11/18/2013     Medicaid authority
Direct Support Worker (Individual DSW)FELIXGABRIELANDREW6/5/2015     Medicaid authority
Direct Support Worker (Individual DSW)FerchoMitchellTimothy5/18/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)FERCHORAYMONDALFRED6/18/2015     Medicaid authority
Direct Support Worker (Individual DSW)FERGERSONCOURTNEYLARTEZ10/27/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)FERGUSONTRACYLYNN5/29/2008     Medicaid authority
Direct Support Worker (Individual DSW)FERNANDESJOEYMITCHELL3/17/2010     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)FIEDLERBROOKSTROY6/10/2008     Medicaid authority
Direct Support Worker (Individual DSW)FINKLEAFRANCESANN7/27/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)FINKLEAFRANCESANN7/27/2021     Medicaid authority
Direct Support Worker (Individual DSW)FISCHERDANIELLENICOLE4/1/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)FLEMINGANGELACHAUNTE1/5/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)FLEXTRACEYANDREA7/18/2015     Medicaid authority
Direct Support Worker (Individual DSW)FOLSOMCAROLLEEANNE1/5/2012     Medicaid authority
Direct Support Worker (Individual DSW)FONDERNLAMONTEUGENE11/13/2017     Medicaid authority
Direct Support Worker (Individual DSW)FORDADRIENNEANN4/18/2023     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)FORDANGIEPEGGY8/24/2009     Medicaid authority
Direct Support Worker (Individual DSW)FORDELLESEMARIE8/11/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)FORDPIERREBENJAMIN11/30/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)FORDVANISAKELLY4/9/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)FORMOGEYBRIAN 11/27/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)FOSSBRIANNARENAE1/12/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)FOSTERJAKIERASYMONE9/14/2010     Medicaid authority
Direct Support Worker (Individual DSW)FOSTERJAMESMARSHALL3/4/2019     Medicaid authority
Direct Support Worker (Individual DSW)FOSTERMICHELLELEE3/2/2019     Medicaid authority
Direct Support Worker (Individual DSW)FOSTERTIMOTHY 8/4/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)FRANKOLAURIECHRISTINE12/11/2011     Medicaid authority
Direct Support Worker (Individual DSW)FRAZELJESSEMICHAEL2/13/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)FRERICHSCONNIEJO8/2/2023     Medicaid authority
Chiropractor (DC) IndividualFRIDLEONB8/3/20234201 EXCELSIOR BLVD ST LOUIS PARKMN55416Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)FritscheWandaLee8/9/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)FROMMJOANNAMARIE5/19/2010     Medicaid authority
Direct Support Worker (Individual DSW)FUCHSBARBARAJ12/22/2009     Medicaid authority
Direct Support Worker (Individual DSW)FULLERLANCEBRANDON10/9/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)GADIDIFRAHAHMED8/23/2023     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)GAINESCARYLONANN3/6/2012     Medicaid authority
Direct Support Worker (Individual DSW)GALVINLESLIEJEAN12/9/2010     Medicaid authority
Direct Support Worker (Individual DSW)GAMAYUNOVSVETLANA 7/27/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)GARBEMARYSUEANN4/7/2014     Medicaid authority
Direct Support Worker (Individual DSW)GARLEYALEX 8/24/2010     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)GARLEYVERONICA 12/29/2014     Medicaid authority
Direct Support Worker (Individual DSW)GARNERSHANESEC2/17/2012     Medicaid authority
Direct Support Worker (Individual DSW)GARRETTWILLIAMLAMONT12/27/2018     Medicaid authority
Direct Support Worker (Individual DSW)GBADAMOSISUWEBATUMUYIBI11/6/2009     Medicaid authority
Direct Support Worker (Individual DSW)GBAHTUOKENNETHMEMBA8/23/2021     Medicaid authority
Direct Support Worker (Individual DSW)GBOEAHDANIEL 10/13/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)GeorgeCHARLESETTAFrancilla2/18/2023     Medicaid authority
Direct Support Worker (Individual DSW)GESAADEZAMZAMABDI7/8/2016     Medicaid authority
Direct Support Worker (Individual DSW)GHEDIAHMEDABDULLAHI4/18/2011     Medicaid authority
Direct Support Worker (Individual DSW)GIBSONCRYSTALLEE4/22/2010     Medicaid authority
Direct Support Worker (Individual DSW)GIBSONWILLIEJAMES9/7/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)GillespieLatangie 5/6/2010     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)GLOVERJAMETHEAJAZZENE5/30/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)GOINSDANECHARENEE2/9/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)GOMEZGLORIACAROLINA7/22/2024     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)GOMEZMARIODANIEL4/26/2024     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)GOODWINVERONICA 9/22/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)GORDONKENYARAZAI8/19/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)GORDONREANETTEAVANES8/27/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)GORDONSTEPHANIEMARIE1/19/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)GOUINORABELDAD12/12/2010     Medicaid authority
Direct Support Worker (Individual DSW)GOWJEREMYJOHN3/7/2019     Medicaid authority
Direct Support Worker (Individual DSW)GRANLUNDDARLENEKAY6/11/2020     Medicaid authority
Direct Support Worker (Individual DSW)GRANTCLARIEANN11/16/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)GRAYPAMELALYNN3/10/2011     Medicaid authority
Podiatrist (DPM) IndividualGRAYYEV 8/15/20171121 EMERSON COURT BURNSVILLEMN55337Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)GREENLILRONMACQUELYN11/4/2021     Medicaid authority
Direct Support Worker (Individual DSW)GREENWANDAHARDIN5/13/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)GREENLAWSHONNASANTANA8/17/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)GREENLEAFAPRILROSE3/1/2011     Medicaid authority
Direct Support Worker (Individual DSW)GREERSHEKITASHARAY5/20/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)GRICEERICMONTREAL6/25/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)GRIEPAARONMICHAEL7/9/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)GRIERTIFFANYMONIQUELATRICE7/30/2021     Medicaid authority
Direct Support Worker (Individual DSW)GRIFFINSHARONDENISE5/30/2009     Medicaid authority
Direct Support Worker (Individual DSW)GRIGSBYROBINJENNIFER8/18/2017     Medicaid authority
Direct Support Worker (Individual DSW)GRIGSBYROGERLEE4/19/2008     Medicaid authority
Direct Support Worker (Individual DSW)GRUBISHCARRIESUE7/30/2021     Medicaid authority
Direct Support Worker (Individual DSW)GULEDHUSSEINIBRAHIM3/6/2014     Medicaid authority
Direct Support Worker (Individual DSW)GUSTAFSONKENNETHALLEN10/14/2019     Medicaid authority
Direct Support Worker (Individual DSW)HAGGENMILLERANASTASIAJADE8/9/2017     Medicaid authority
Direct Support Worker (Individual DSW)HALEJOYCEMARIE7/7/2024     Medicaid authority
Direct Support Worker (Individual DSW)HAMILLSHERILA 10/13/2014     Medicaid authority
Direct Support Worker (Individual DSW)HANSENDARYLEJAY2/26/2018     Medicaid authority
Direct Support Worker (Individual DSW)HANSONMARJALIISA9/12/2022     Medicaid authority
Direct Support Worker (Individual DSW)HANSONNATALIEANN8/13/2010     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HARDWICKHOPESALLIECIA4/1/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HARGROVELORENZOSOLOMAN10/19/2022     Medicaid authority
Direct Support Worker (Individual DSW)HARMONPAMELASHERESE7/14/2016     Medicaid authority
Direct Support Worker (Individual DSW)HARPOLETAHASHACHANNELL10/4/2021     Medicaid authority
Direct Support Worker (Individual DSW)HARRISDARRYLDEMETRIS3/26/2021     Medicaid authority
Direct Support Worker (Individual DSW)HarrisDavidLee9/19/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HARRISLETITIAVIRGEL5/9/2016     Medicaid authority
Direct Support Worker (Individual DSW)HARROWAYKENNERTAMEAKEA2/26/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HARTSHANDAJEAN2/23/2015     Medicaid authority
Direct Support Worker (Individual DSW)HARTFIELDBRANDISAMONE5/15/2024     Medicaid authority
Direct Support Worker (Individual DSW)HARVEYCARRIELEE7/26/2021     Medicaid authority
Direct Support Worker (Individual DSW)HASHIHODANABDIRAHMAN3/8/2023     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HASHIIBADOABDI9/19/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HASLIPRACHELMARIE6/22/2014     Medicaid authority
Direct Support Worker (Individual DSW)HASSANJAMALAHMED5/13/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HASSANKHADRAAW1/9/2023     Medicaid authority
Direct Support Worker (Individual DSW)HASSANMAHAMOUDH1/13/2011     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HASSANMORAYOSURAT8/8/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HASSANMUSTAFABDIRAHMAN8/5/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HASSANNADIAAHMED10/3/2022     Medicaid authority
Direct Support Worker (Individual DSW)HASSANQAMARAHMED2/21/2023     Medicaid authority
Direct Support Worker (Individual DSW)HASSANRIHANABADRUM12/28/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HATTONLAQUIDA 5/11/2024     Medicaid authority
Direct Support Worker (Individual DSW)HAWLEYDONALDEUGENE2/18/2021     Medicaid authority
Direct Support Worker (Individual DSW)HAWLEYKRISTINAANN5/12/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HAWTHORNEDINASHAY10/4/2006     Medicaid authority
Direct Support Worker (Individual DSW)HAYESWILLIAMHOWARD7/15/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HAYMERRHONDAMARIE6/29/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HAYMONMAURICE 10/14/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HAZELETTBERNITA 6/8/2020     Medicaid authority
Direct Support Worker (Individual DSW)HEARDLORRELLANTANETTE11/16/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HeimerlShurriLynn2/9/2010     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HELMBRECHTKELLY 4/17/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HENRYCHARMAINEALBERTA10/24/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HENRYCHERISE 1/16/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HENRYEPIPHANYMERCEDES7/27/2012     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HENRYTANINAMAHLON12/18/2018     Medicaid authority
Direct Support Worker (Individual DSW)HERMINABAO4/17/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HERNANDEZMINERVAMOJICA7/29/2021     Medicaid authority
Direct Support Worker (Individual DSW)HERNANDEZSONYARENEE2/21/2014     Medicaid authority
Direct Support Worker (Individual DSW)HERRONDENISE 1/24/2011     Medicaid authority
Direct Support Worker (Individual DSW)HESTERMARKISHAMARIE8/23/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HIBBARDDANIELBENNETT12/6/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HIBBARDSTERLINGDOMINI8/27/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HICKSJONIQUAANTONIQUE8/6/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HIGGINSDONOVANDARRELL2/6/2015     Medicaid authority
Direct Support Worker (Individual DSW)HIGHMAURICEDONSHE6/11/2020     Medicaid authority
Direct Support Worker (Individual DSW)HILLKAITLINERIN3/14/2012     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HINESMEOSCHACAMILE9/26/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HINTONBETTYJEAN10/13/2019     Medicaid authority
Direct Support Worker (Individual DSW)HMADYBELALFADHILMUSLAH9/17/2018     Medicaid authority
Direct Support Worker (Individual DSW)HODGESBRITANIARLEAN8/22/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HOFFMANKELSEYMARIE11/30/2020     Medicaid authority
Direct Support Worker (Individual DSW)HOOVERMARQUINNALONZO7/30/2015     Medicaid authority
Direct Support Worker (Individual DSW)HORNSBYANTHONYGREGORYNATATION8/17/2022     Medicaid authority
Direct Support Worker (Individual DSW)HOSHALLORIEDITH1/20/2016     Medicaid authority
Direct Support Worker (Individual DSW)HOULESHERRILYNN6/20/2022     Medicaid authority
Direct Support Worker (Individual DSW)HRDLICKANATHANALLEN1/7/2016     Medicaid authority
Direct Support Worker (Individual DSW)HRONOSKIVALICIAANN10/11/2022     Medicaid authority
AcupuncturistHUXIAOYAN 9/18/20247550 FRANCE AVE S STE 240 EDINAMN55435Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HUCKLEBERRYLARRYCHARLES11/9/2020     Medicaid authority
Direct Support Worker (Individual DSW)HUDSONTAYANAMARSHAY3/6/2012     Medicaid authority
Direct Support Worker (Individual DSW)HuffmanLisaMarie4/22/2015     Medicare Medicaid exclusion
Clinical Nurse Specialist (CNS)HUGHESBRENDAKATHERINE3/18/20191221 3RD AVE SWSTE 210ROCHESTERMN55902Medicaid authority
Direct Support Worker (Individual DSW)HUGHESBRENDAKATHERINE4/25/2019     Medicaid authority
Direct Support Worker (Individual DSW)HUGHESIMANANDREA7/28/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HUGHESVICKYJOY1/2/2020     Medicaid authority
Direct Support Worker (Individual DSW)HUGOKIMFAITH12/6/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HUGOMARCUSJAMES12/6/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HUNTERTAMETRIALAANNETTA2/8/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)HURSTAPRILMAY11/17/2014     Medicaid authority
Direct Support Worker (Individual DSW)HUSSEINUBAHALI2/18/2019     Medicaid authority
Direct Support Worker (Individual DSW)HUTTONDANIELLEMONIQUEANNA11/16/2018     Medicaid authority
Direct Support Worker (Individual DSW)IABLONSCAIASVETLANAANADOLIE10/30/2006     Medicaid authority
Direct Support Worker (Individual DSW)IBRAHIMANABALI1/11/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)IDLEABDIKERMABDELAHI4/20/2023     Medicaid authority
Direct Support Worker (Individual DSW)INOYATOVAALENAS7/19/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)IRBYSANDRAANGELA2/6/2009     Medicaid authority
Direct Support Worker (Individual DSW)IRONSANNIEMAE2/1/2019     Medicaid authority
Licensed Psychologist (LP)ISCHLERDOROTHEE 1/29/2020303 1ST AVE NE FARIBAULTMN55021Medicaid authority
Direct Support Worker (Individual DSW)IsmailHebaIbrahim6/3/2021     Medicaid authority
Direct Support Worker (Individual DSW)ISREALJESSICADENISE11/15/2021     Medicaid authority
Early Intensive Developmental and Behavioral Interventions (EIDBI) - (Individual)IssaSharmarkeMohamed5/26/20234041 CENTRAL AVE NE COLUMBIA HEIGHTSMN55421Medicaid authority
Direct Support Worker (Individual DSW)JACKSONANTOINETTEANGELA3/14/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)JACKSONBETTYEJEAN1/3/2010     Medicaid authority
Direct Support Worker (Individual DSW)JACKSONDARRYLGLEN3/4/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)JACKSONJEROMEWONKERZIA2/4/2019     Medicaid authority
Direct Support Worker (Individual DSW)JACKSONJEROME 8/13/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)JACKSONMARYLOUISE2/28/2012     Medicaid authority
Direct Support Worker (Individual DSW)JACKSONPAULAALBERT9/20/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)JACOBSONSHAWNAMARIE5/1/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)JAMAAHMEDABDI7/3/2016     Medicaid authority
Direct Support Worker (Individual DSW)JAMAAYANABDULLAHI5/3/2023     Medicaid authority
Direct Support Worker (Individual DSW)JAMASAHRANUR2/2/2023     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)JAMASHARMAKEMOHAMED9/19/2022     Medicaid authority
Direct Support Worker (Individual DSW)JAMESKIMBERLY 2/17/2008     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)JamesKimberlyAnn10/28/2007     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)JAMIENAJLAAELSHAIKH5/4/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)JAMISONCARLETTAJANAY3/3/2022     Medicaid authority
Direct Support Worker (Individual DSW)JASPERDEANNALATOYA8/27/2020     Medicaid authority
Direct Support Worker (Individual DSW)JenkinsBrendaJean11/7/2007     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)JEPPESENLEAHMARIE11/15/2011     Medicaid authority
Direct Support Worker (Individual DSW)JEWELLBRIANNALYNN5/24/2012     Medicaid authority
Direct Support Worker (Individual DSW)JOHNSONALISHAROSE7/23/2008     Medicaid authority
Direct Support Worker (Individual DSW)JOHNSONALPHONSONVASCO3/16/2023     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)JOHNSONANITALOUISE9/30/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)JOHNSONBENITAKAY8/24/2016     Medicaid authority
Direct Support Worker (Individual DSW)JOHNSONCORDELLLAMAR10/2/2024     Medicaid authority
Direct Support Worker (Individual DSW)JOHNSONDANIELLEMARIE11/9/2013     Medicaid authority
Direct Support Worker (Individual DSW)JOHNSONDEBRAANN7/20/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)JOHNSONDIANNADELORES8/10/2022     Medicaid authority
Direct Support Worker (Individual DSW)JOHNSONJOSHAWAJOEGENE10/20/2015     Medicaid authority
Direct Support Worker (Individual DSW)JOHNSONKIMBERLYSUE6/11/2018     Medicaid authority
Direct Support Worker (Individual DSW)JOHNSONKIMBERLY 10/28/2009     Medicaid authority
Direct Support Worker (Individual DSW)JOHNSONKRISTINAKAY4/30/2018     Medicaid authority
Direct Support Worker (Individual DSW)JOHNSONOTTISDEWAYNE1/17/2013     Medicaid authority
Direct Support Worker (Individual DSW)JOHNSONPATTYSUSAN8/17/2012     Medicaid authority
Direct Support Worker (Individual DSW)JOHNSONPAXTONBRAINARD1/2/2025     Medicaid authority
Direct Support Worker (Individual DSW)JOHNSONPRIANNATRENICE PREIRA11/4/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)JOHNSONRANDY 4/19/2021     Medicaid authority
Direct Support Worker (Individual DSW)JOHNSONRANEEPHOENIX12/16/2016     Medicaid authority
Direct Support Worker (Individual DSW)JOHNSONSHANTEMONIQUE10/25/2022     Medicare Medicaid exclusion
Nurse Practitioner (NP)JOHNSONSHARONBETH11/12/20211200 SIXTH AVE N ST CLOUDMN56303Medicaid authority
Direct Support Worker (Individual DSW)JOHNSONTIFFANEYANN10/29/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)JOHNSONTOMMIELEE3/23/2023     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)JOHNSONJONESAZIANAMONICE8/24/2016     Medicaid authority
Direct Support Worker (Individual DSW)JONESBENNYMELVIN3/26/2021     Medicaid authority
Direct Support Worker (Individual DSW)JONESBIANCAKYISHALOUISE6/10/2024     Medicaid authority
Direct Support Worker (Individual DSW)JONESDEBRAIRENE3/28/2022     Medicaid authority
Direct Support Worker (Individual DSW)JONESJENNIFERTOIANTOINETTE4/30/2021     Medicaid authority
Direct Support Worker (Individual DSW)JONESJESSIEM12/10/2009     Medicaid authority
Direct Support Worker (Individual DSW)JONESJESSIEMAE12/10/2009     Medicaid authority
Direct Support Worker (Individual DSW)JONESKARENSUE6/8/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)JONESMONILMAUREIL1/29/2021     Medicaid authority
Direct Support Worker (Individual DSW)JONESNENAJEAN7/18/2019     Medicare Medicaid exclusion
Dentist (DDS) IndividualJONESROBERTW11/13/2014111 E KELLOGG BLVD #205 ST PAULMN55101Medicaid authority
Direct Support Worker (Individual DSW)JONESSHERRITAARLENE5/1/2023     Medicaid authority
Direct Support Worker (Individual DSW)JORDANTHERESAANN2/22/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)JOSEPHNAKIATESHELLE12/13/2021     Medicaid authority
Direct Support Worker (Individual DSW)JOVANOVSILVANA 11/2/2014     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)JUAHSHANIAHANASTAISA5/10/2024     Medicaid authority
Direct Support Worker (Individual DSW)JUNTUNENRICHARDWILLIAM3/23/2012     Medicaid authority
Direct Support Worker (Individual DSW)KADIYEABDIKADIRALI5/31/2023     Medicaid authority
Direct Support Worker (Individual DSW)KAMILAHMEDSANGAL9/21/2023     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)KarlsonStaceyMarie3/28/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)KARVISANGTENZINNAMDOL11/17/2016     Medicaid authority
Direct Support Worker (Individual DSW)KASHEVATSKYKATHERINEANN3/4/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)KatzmarekKristinaRenee4/6/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)KAUKOLABRENDAKAY4/17/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)KELLERDEBRAANN3/20/2017     Medicaid authority
Direct Support Worker (Individual DSW)KELLYMARETTAMAE6/29/2020     Medicaid authority
Direct Support Worker (Individual DSW)KENNEDYSHAMIKAFAYE7/1/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)KENNEDYWANDAL11/26/2011     Medicaid authority
Direct Support Worker (Individual DSW)KENNYJOSEPHJOHN6/20/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)KHALIFHASSANKALAJABAN7/20/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)KHAZONSTEVE 3/25/2014     Medicaid authority
Direct Support Worker (Individual DSW)KHOKHYCHSVITLANA 5/13/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)KHORPATHOTTUT12/1/2015     Medicaid authority
Direct Support Worker (Individual DSW)KHOTSOMBATHBOUNNACK 1/11/2016     Medicaid authority
Direct Support Worker (Individual DSW)KIDDCALVINDESHAWN4/26/2024     Medicaid authority
Direct Support Worker (Individual DSW)KINGBRETTJAMES3/13/2013     Medicaid authority
Direct Support Worker (Individual DSW)KINGKELLYTODD11/21/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)KINGLAURAANN8/18/2013     Medicaid authority
Direct Support Worker (Individual DSW)KINGRONDARAE3/29/2019     Medicaid authority
Direct Support Worker (Individual DSW)KoenigTammyJo7/5/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)KOLDENREBEKAHELISE2/8/2021     Medicaid authority
Direct Support Worker (Individual DSW)KOLEBERSAMANTHAJEAN12/23/2020     Medicaid authority
Direct Support Worker (Individual DSW)KOLLEHCHRISTIANKANMUE3/4/2024     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)KPOLAGAILH7/23/2020     Medicaid authority
Direct Support Worker (Individual DSW)KRAMERELENAA7/24/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)KrampSaraKay1/11/2010     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)KREGERPAUL 5/8/2017     Medicaid authority
Direct Support Worker (Individual DSW)KuhnAmandaChristine6/22/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)KURTZHALSLACYBREANNA3/4/2019     Medicaid authority
Early Intensive Developmental and Behavioral Interventions (EIDBI) - (Individual)KURTZHALSLACYB3/4/2019108 DOCTORS PARK ST CLOUDMN56303Medicaid authority
Licensed Marriage And Family Therapist (LMFT)KUSSTIMOTHYL2/28/20226831 7TH ST NE FRIDLEYMN55432Medicaid authority
Direct Support Worker (Individual DSW)KussatzJamieL1/12/2011     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)KUULEKHADRODIYAD10/14/2022     Medicaid authority
Other Non-Traditional-IndividualKWOTOKACHOKWAYOO3/7/2023NO AVAILABLE ADDRESS ST PAULMN55104Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)LACHAPELLEKIMBERLYJO6/26/2015     Medicaid authority
Direct Support Worker (Individual DSW)LAFRINIERECHERYLLYNN8/28/2014     Medicaid authority
Direct Support Worker (Individual DSW)LAJESSETIFFANYJ6/28/2010     Medicare Medicaid exclusion
Licensed Psychologist (LP)LAMMJOHANNALEE4/14/202111812 WAYZATA BLVDSTE 212MINNETONKAMN55305Medicaid authority
Direct Support Worker (Individual DSW)LANDRUMANGELINALINDA1/17/2023     Medicaid authority
Direct Support Worker (Individual DSW)LANERODNEYCORNELL10/6/2022     Medicaid authority
Direct Support Worker (Individual DSW)LANGECHARLESRYAN11/29/2018     Medicaid authority
Direct Support Worker (Individual DSW)LANGWAYLEONTENEKAMILLE5/2/2019     Medicaid authority
Direct Support Worker (Individual DSW)LARSONMARY 6/27/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)LAWSONSAMANTHADENICE10/30/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)LEAVELLKENNETHEUGENE10/27/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)LEEJENNY 3/17/2014     Medicaid authority
Direct Support Worker (Individual DSW)LEELOR 8/18/2017     Medicaid authority
Direct Support Worker (Individual DSW)LEEMYRONJONATHAN9/29/2010     Medicaid authority
Direct Support Worker (Individual DSW)LEETINARENEA11/28/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)LEGGETTMARISAPATRICE11/15/2013     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)LEONARDMARVIN 8/31/2013     Medicaid authority
Direct Support Worker (Individual DSW)LeonhardtTanyaLynn3/4/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)LesureChaemonteyaMontezz11/25/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)LEWISADRIANDEONTA7/30/2011     Medicaid authority
Direct Support Worker (Individual DSW)LEWISCARLOSLARONEHARNESS10/24/2020     Medicaid authority
Direct Support Worker (Individual DSW)LEWISKARENLOUISE4/15/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)LEWISTRACYROMAINE10/11/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)LIGHTFEATHERCHARLESWAYNE5/17/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)LIGONSTOMMIEEDWARD10/28/2010     Medicaid authority
Direct Support Worker (Individual DSW)LINDJOSIEMARIE10/19/2014     Medicaid authority
Direct Support Worker (Individual DSW)LINDSTACEYMARIE10/19/2014     Medicaid authority
Direct Support Worker (Individual DSW)LINKLORIANN3/11/2011     Medicaid authority
Direct Support Worker (Individual DSW)LIVINGSTONDIANALYNN4/26/2008     Medicaid authority
Direct Support Worker (Individual DSW)LIVINGSTONEAUGUSTINE 12/1/2021     Medicaid authority
Direct Support Worker (Individual DSW)LIVINGSTONEHELENA 12/6/2021     Medicaid authority
Direct Support Worker (Individual DSW)LoeffelbeinJenniferLe8/16/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)LOFSTROMSHANNONMARIE12/3/2014     Medicaid authority
Direct Support Worker (Individual DSW)LomKerriLee1/3/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)LOMBELTHERESAKPANA1/9/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)LONGLAURAMARIE5/20/2016     Medicaid authority
Direct Support Worker (Individual DSW)LOPEZHERMESISRAEL7/7/2013     Medicaid authority
Direct Support Worker (Individual DSW)LORCHIA 6/13/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)LoveKeimaniUnique6/5/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)LOVINGNADIADANELLE8/4/2022     Medicaid authority
Direct Support Worker (Individual DSW)LUATEJOYCESUNDAY8/28/2024     Medicaid authority
Direct Support Worker (Individual DSW)LukecartDerekDuane1/23/2010     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)LUNDECONNIEJEAN5/23/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MACKSANDRA 2/8/2021     Medicaid authority
Direct Support Worker (Individual DSW)MaganaMyra 10/13/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MAGDZIARZCHERIE-SARIYEAM4/19/2010     Medicaid authority
Direct Support Worker (Individual DSW)MAHHALIMAYUSUF7/30/2020     Medicaid authority
Direct Support Worker (Individual DSW)MAHASONGKHAMTHAVONE 1/3/2022     Medicaid authority
Direct Support Worker (Individual DSW)MahoneTiandriaJovonne8/28/2023     Medicaid authority
Direct Support Worker (Individual DSW)MAKINENSIERRAKEVONNA8/13/2018     Medicaid authority
Direct Support Worker (Individual DSW)MALANICHEVANTON 12/15/2013     Medicaid authority
Direct Support Worker (Individual DSW)MALONECORYBROSHAUN2/27/2023     Medicaid authority
Direct Support Worker (Individual DSW)MANYPENNYMARYELIZABETH2/10/2015     Medicaid authority
Direct Support Worker (Individual DSW)MAREKEGNHANNA 2/17/2023     Medicaid authority
Direct Support Worker (Individual DSW)MARKIETYLORJOSEPH6/6/2014     Medicaid authority
Direct Support Worker (Individual DSW)MARTINANORAMARIE10/19/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MARTINJANETMARIE12/7/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MARTINJOSHUALEE11/8/2016     Medicaid authority
Direct Support Worker (Individual DSW)MARTINMICHAELWILLIAM7/3/2017     Medicaid authority
Direct Support Worker (Individual DSW)MARTINTARAANN8/18/2015     Medicaid authority
Direct Support Worker (Individual DSW)MARTYNYUKNADEZHDASTEPAHOVNA3/7/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MASSIESERINAAPRIL1/10/2015     Medicaid authority
Direct Support Worker (Individual DSW)MATTHEWSANTONETTELEE8/29/2022     Medicaid authority
Direct Support Worker (Individual DSW)MAXSONMICHAELEUGENE1/19/2014     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MAYBERRYJAMIKASHARON12/28/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MAYWEATHERBOBBYLAMAR2/9/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MAZZEOSUZANNELOIS1/25/2022     Medicaid authority
Direct Support Worker (Individual DSW)MCBRIDGETAMIKADANETTE12/10/2020     Medicaid authority
Direct Support Worker (Individual DSW)MCCARTHYTASIAANN4/2/2021     Medicaid authority
Direct Support Worker (Individual DSW)MCCLENDONSHADINALATRICE1/13/2013     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MCCLINTONJENNIFERZANETA2/16/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MCCONNELLMACKENZIERENEE3/16/2013     Medicaid authority
Direct Support Worker (Individual DSW)MCELROYTANYAMARIE9/21/2012     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MCELVEENJAMESTERRY4/22/2010     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MCHIEQUINITAMARIE2/18/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MCKEECIERASHEIQUE6/25/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MCKINNEYLINDENGENE7/19/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MCNEALLENORAOCTAVIA10/28/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MEIDEJAMIELEAH10/21/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MELBOSHARONRAE1/18/2013     Medicaid authority
Direct Support Worker (Individual DSW)MenkTracyGeorgann4/18/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MERCADOCELIACRUZ8/28/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MERCADOSONIAJ8/28/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MEYERTODDM10/23/2008     Medicaid authority
Direct Support Worker (Individual DSW)MICHORIDOROTHYMBABAZI2/28/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MILBURNKAMILIAPAULETTE12/15/2023     Medicaid authority
Direct Support Worker (Individual DSW)MILLERKANIESHA 11/18/2013     Medicaid authority
Direct Support Worker (Individual DSW)MINNICKMEGANMARCEL7/30/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MIRANDAESTEBANDELFINE4/28/2008     Medicaid authority
Direct Support Worker (Individual DSW)MIREBARNEDAHIR9/4/2020     Medicaid authority
Direct Support Worker (Individual DSW)MIREBAYDANDAHIR6/13/2020     Medicaid authority
Direct Support Worker (Individual DSW)MIRESHUKRIYUSUF2/7/2023     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MISQUADACEBRYANLEE12/29/2009     Medicaid authority
Direct Support Worker (Individual DSW)MITCHELLKRISTINAMARIE11/18/2013     Medicaid authority
Direct Support Worker (Individual DSW)MITCHELLMELISSAANNE11/23/2019     Medicaid authority
Direct Support Worker (Individual DSW)MOALIMMAHADABDULLAHI9/23/2022     Medicaid authority
Direct Support Worker (Individual DSW)MOEURNSOKHENG 2/26/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MOHAMEDABDIKADIR 9/8/2020     Medicaid authority
Other Non-Traditional-IndividualMOHAMEDABDISAMADAHMED8/30/20194552 BLAYLOCK WAY INVER GROVE HGTSMN55076Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MOHAMEDABDULLAHIABDI11/1/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MOHAMEDADAMABDILAHI6/29/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MOHAMEDAMINAJ3/16/2023     Medicaid authority
Direct Support Worker (Individual DSW)MOHAMEDAWOAHMED9/3/2024     Medicare Medicaid exclusion
Other Non-Traditional-IndividualMohamedFardowsaAbdiasis7/20/20208400 GOLDEN VALLEY RDAPT 106MINNEAPOLISMN55427Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MOHAMEDFARDOWZYASSIN6/15/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MOHAMEDFARHIAABU7/29/2022     Medicaid authority
Direct Support Worker (Individual DSW)MOHAMEDISHAHASSAN3/9/2023     Medicaid authority
Direct Support Worker (Individual DSW)MohamedRayanaAbdullahi12/25/2015     Medicare Medicaid exclusion
Licensed Psychologist (LP)MOHAMMEDANISASOPHIA3/13/20237108 CHICAGO AVE SSTE 9RICHFIELDMN55423Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MOHAMOUDRASHIDMOHAMED11/12/2020     Medicare Medicaid exclusion
Other Non-Traditional-IndividualMOHAMUDABDIRAHIM 8/12/20191709 TIMBERDOODLE DR ST CLOUDMN56303Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MOHAMUDABDIRASHIDALI11/30/2020     Medicaid authority
Direct Support Worker (Individual DSW)MOHAMUDAMINAMOHAMED1/14/2022     Medicare Medicaid exclusion
Other Non-Traditional-IndividualMohamudIsnino 1/29/20202307 7TH AVE NE ROCHESTERMN55906Medicaid authority
Direct Support Worker (Individual DSW)MOMSOMALLY 2/23/2020     Medicaid authority
Direct Support Worker (Individual DSW)MONTGOMERYGARLICIADELOIS10/11/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MONTGOMERYROSALINDRENEE6/12/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MONTGOMERYMURRELLELIJAHJARON9/9/2019     Medicaid authority
Direct Support Worker (Individual DSW)MOOREARIEANALATORIUS4/3/2023     Medicaid authority
Direct Support Worker (Individual DSW)MOORECARLTONKEITH4/28/2021     Medicaid authority
Direct Support Worker (Individual DSW)MOORECAROLJEAN4/2/2008     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MOOREMEGGANFELICIA9/8/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MORAGEORGINA 4/27/2017     Medicaid authority
Direct Support Worker (Individual DSW)MORRISRAVENTESHOWN7/16/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MOSLEYIBNMANSOUR7/22/2015     Medicaid authority
Direct Support Worker (Individual DSW)MOTTENRENESHAIRMA PRINCELLA11/18/2012     Medicaid authority
Direct Support Worker (Individual DSW)MOUAKOU 10/1/2013     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MOUALINDACHA11/18/2013     Medicaid authority
Direct Support Worker (Individual DSW)MOUACHEUPAOMOUASOUA 9/1/2013     Medicaid authority
Direct Support Worker (Individual DSW)MUASKOS 2/20/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MUNOZCATALINA 10/2/2023     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)MURRAYDAVONTAKALON11/9/2021     Medicaid authority
Direct Support Worker (Individual DSW)MURRAYKIMBERLYKAOMI12/2/2020     Medicaid authority
Direct Support Worker (Individual DSW)MURRAYMEGANMARIE11/19/2018     Medicaid authority
Direct Support Worker (Individual DSW)MURRAYSHAUNALATOYA4/18/2022     Medicaid authority
Direct Support Worker (Individual DSW)MUSEANABFARAH4/8/2024     Medicaid authority
Direct Support Worker (Individual DSW)MUSOLFBRITTANYJEAN12/15/2010     Medicaid authority
Direct Support Worker (Individual DSW)MYERSHOWARDEUGENE8/27/2021     Medicaid authority
Direct Support Worker (Individual DSW)NEGRONCARMENLITA 6/3/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)NELSONJAMARBERNARD10/26/2016     Medicaid authority
Direct Support Worker (Individual DSW)NELSONJULIEMARIE7/17/2014     Medicaid authority
Direct Support Worker (Individual DSW)NELSONRYANLANIER12/9/2022     Medicaid authority
Direct Support Worker (Individual DSW)NESBITTELIZABETHASHLEY9/2/2022     Medicaid authority
Licensed Marriage And Family Therapist (LMFT)NEWCOMBJONATHANHOWARD2/2/20237954 UNIVERSITY AVE NE FRIDLEYMN55432Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)NEWSONMICHAELEARL6/12/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)NGUYENLIEMHOANG6/13/2020     Medicaid authority
Direct Support Worker (Individual DSW)NICKABOINEWILLCONRAD8/29/2011     Medicaid authority
Direct Support Worker (Individual DSW)NICKENSRICHARDWILLIAM11/3/2011     Medicaid authority
Direct Support Worker (Individual DSW)NOELEBONEYMONIQUE5/7/2010     Medicaid authority
Direct Support Worker (Individual DSW)NOELSAQUANEL9/21/2011     Medicaid authority
Direct Support Worker (Individual DSW)NOHNERJOEIJEAN12/7/2011     Medicaid authority
Direct Support Worker (Individual DSW)NORDSHANNONMAY7/28/2011     Medicaid authority
Direct Support Worker (Individual DSW)NORMANJAYKEDJ3/23/2010     Medicaid authority
Direct Support Worker (Individual DSW)NORMANKAESHALENAE3/22/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)NORQUAYFRANCESKAYE12/21/2011     Medicaid authority
Direct Support Worker (Individual DSW)NOSIKVLADISLAVV10/8/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)NovotnyAprilMarie2/27/2023     Medicaid authority
Other Non-Traditional-IndividualNurMowllid 9/10/2020NO AVAILABLE ADDRESS ST PAULMN55104Medicaid authority
Direct Support Worker (Individual DSW)NURSAFIYASULEBAN11/18/2013     Medicaid authority
Direct Support Worker (Individual DSW)NURSAHRAMOHAMED2/21/2023     Medicaid authority
Direct Support Worker (Individual DSW)NWAMEMEHELENE5/28/2010     Medicaid authority
Direct Support Worker (Individual DSW)ODALASANIAIISHIA SHAVON3/20/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)ODANIELSTAJHONKALEBANTONIEELLIS7/11/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)OdenoreCrecidaMarie12/29/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)OJANIEMITONYAMARIE10/18/2015     Medicaid authority
Direct Support Worker (Individual DSW)OLDSCHRISTOPHERADAM7/7/2010     Medicaid authority
Direct Support Worker (Individual DSW)OMARAJIBAHMED3/27/2017     Medicaid authority
Licensed Independent Clinical Social Worker (LICSW)ONYENEHOKATEUCHECHI5/11/20246000 BASS LAKE RD STE 206 CRYSTALMN55337Medicaid authority
Direct Support Worker (Individual DSW)ORTIZCHARITYANN2/7/2012     Medicaid authority
Direct Support Worker (Individual DSW)ORTLEYDANIELLE 1/7/2016     Medicaid authority
Direct Support Worker (Individual DSW)OSAGIEDEGOLDENUSUNOBU1/20/2012     Medicaid authority
Physical Therapist (PT)OseiPatrick 2/9/20116800 78TH AVE STE 110 BROOKLYN PARKMN55445Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)OSHINOLUBISIMARGARET5/13/2023     Medicaid authority
Direct Support Worker (Individual DSW)OSLERFREDAMAY3/2/2018     Medicaid authority
Direct Support Worker (Individual DSW)OSMANWAMIABDURHEMAN9/26/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)OSWSKEYDARLENEJO7/2/2013     Medicaid authority
Licensed Independent Clinical Social Worker (LICSW)OTTERSONTROYDAVID12/6/2021324 W SUPERIOR ST STE 300 DULUTHMN55802Medicaid authority
Direct Support Worker (Individual DSW)OWENSSHADAYRENE8/25/2011     Medicaid authority
Direct Support Worker (Individual DSW)PACHANKESHIAJUSTINE1/31/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)PACHANMARYJANEMAE3/2/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)PAJARIMARKA8/29/2008     Medicaid authority
Direct Support Worker (Individual DSW)PALMERANTHONYEUGENE5/10/2023     Medicaid authority
Direct Support Worker (Individual DSW)PALMOREQUINCYAMAFFEO12/14/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)PARKERVIRLEKADAYNAE8/12/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)PARKSRENEECASHWA7/30/2021     Medicaid authority
Direct Support Worker (Individual DSW)PARSONSSEDERICKDOUGLAS3/11/2024     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)PATRICKCYNTHIALOUISE4/3/2024     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)PatrickMelissaLynnette12/2/2015     Medicare Medicaid exclusion
Chiropractor (DC) IndividualPATTERSONCHRISTOPHER 8/16/2023312 W LAKE ST STE 2951 MINNEAPOLISMN55408Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)PAYNEDESIREENATALIA1/23/2023     Medicaid authority
Direct Support Worker (Individual DSW)PAYNETOMMIEJEAN7/23/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)PEARSONANGELOTAIWAN9/1/2012     Medicaid authority
Direct Support Worker (Individual DSW)PEARSONLATONYAMARIE7/24/2017     Medicaid authority
Direct Support Worker (Individual DSW)PEREZERICAANTRINETTE10/27/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)PerezNicoleMarie8/13/2010     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)PERKINSBBENNIE6/9/2010     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)PERKINSNAVIANRASHAD4/23/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)PERKOVICHJAMIELYNN10/11/2008     Medicaid authority
Direct Support Worker (Individual DSW)PERRYLAQUITAJANAE12/12/2022     Medicaid authority
Direct Support Worker (Individual DSW)PETERSELIZABETH 11/18/2022     Medicaid authority
Direct Support Worker (Individual DSW)PETERSONJAKKBERNARD3/2/2015     Medicaid authority
Direct Support Worker (Individual DSW)PETERSONSABRINAMARIE12/15/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)PETERSONSHELLEYMARIE11/6/2014     Medicaid authority
Direct Support Worker (Individual DSW)PETTERSONANNAJO3/18/2011     Medicaid authority
Direct Support Worker (Individual DSW)PHETDALENANOI12/3/2021     Medicaid authority
Direct Support Worker (Individual DSW)PHETDAXAI 10/4/2014     Medicaid authority
Direct Support Worker (Individual DSW)PHILLIPLEROYCAREAM5/4/2008     Medicaid authority
Direct Support Worker (Individual DSW)PHILLIPSTAQUIERADOMINIQUE11/1/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)PHUNGKIMMAI5/18/2020     Medicaid authority
Direct Support Worker (Individual DSW)PHUTSEEVONGKANTHALEE 9/18/2016     Medicaid authority
Direct Support Worker (Individual DSW)PHUTSEEVONGMANICHANHBOUTSIVONG9/12/2016     Medicaid authority
Direct Support Worker (Individual DSW)PIERZINAJASONDANIEL8/10/2015     Medicaid authority
Direct Support Worker (Individual DSW)PIFFMICHAELGORDON1/15/2021     Medicaid authority
Direct Support Worker (Individual DSW)PITCHFORDHERSHELLCOSHADELOVE6/17/2022     Medicaid authority
Direct Support Worker (Individual DSW)PITTMANYOLANDAYVETTE10/23/2019     Medicaid authority
Direct Support Worker (Individual DSW)PLACHECKIJEDROBERT8/25/2022     Medicaid authority
Physician (MD/DO) IndividualPOLUKHINELENAL12/28/20163006 FRANK ST MAPLEWOODMN55109Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)POPPAKRISTINMICHELLE9/3/2010     Medicaid authority
Direct Support Worker (Individual DSW)PORTECHRISTINELADY10/19/2022     Medicaid authority
Direct Support Worker (Individual DSW)PORTERGUIDRY 9/12/2019     Medicaid authority
Direct Support Worker (Individual DSW)PORTERJEVONBRANDON2/15/2011     Medicaid authority
Direct Support Worker (Individual DSW)PORTERRICHARDCARLOS4/30/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)POTTERSARANOELLE5/17/2023     Medicaid authority
Direct Support Worker (Individual DSW)POWELLAERYUANAMIKIAH5/13/2021     Medicaid authority
Direct Support Worker (Individual DSW)POWELLKATRINALOUISE10/13/2023     Medicaid authority
Direct Support Worker (Individual DSW)POWELLSERETHA 12/16/2016     Medicaid authority
Direct Support Worker (Individual DSW)PRATTGAYLEMARIE11/23/2010     Medicaid authority
Direct Support Worker (Individual DSW)PRICEBEVERLYM11/30/2008     Medicaid authority
Direct Support Worker (Individual DSW)PROPSTBRANDICHERICE2/13/2023     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)PUTHSOCHIEATHSAMBORA3/3/2021     Medicaid authority
Direct Support Worker (Individual DSW)QASIMISAMILFARAH5/22/2020     Medicaid authority
Direct Support Worker (Individual DSW)QUEEGLAYWONLESAYE DAVID6/30/2017     Medicaid authority
Direct Support Worker (Individual DSW)QUIRKBLAKEANDREW10/29/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)QUISTNATHANPHILLIP4/3/2008     Medicaid authority
Direct Support Worker (Individual DSW)RABIOSUKIADANIELLE7/8/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)RADCLIFFEGENESECIERRAILEANA5/17/2023     Medicaid authority
Licensed Professional Clinical Counselor (LPCC)RADLOFFKRISTINEANN10/12/2023902 E 2ND ST STE 224 WINONAMN55987Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)RAGLINSTEPHANIEELAINE3/26/2016     Medicaid authority
Direct Support Worker (Individual DSW)RAHMETOWERQIYASEID1/9/2014     Medicaid authority
Direct Support Worker (Individual DSW)RAINCLOUDCRYSTALBLUE10/15/2015     Medicaid authority
Direct Support Worker (Individual DSW)RAINWATERDARSOWBARBARAALLYN1/6/2020     Medicaid authority
Direct Support Worker (Individual DSW)RAMSEYKASENAJACKSON11/14/2018     Medicaid authority
Direct Support Worker (Individual DSW)RANDALLTAMMYLYNN9/22/2021     Medicaid authority
Direct Support Worker (Individual DSW)RASMUSSENKERRYLEON2/6/2014     Medicaid authority
Physical Therapist (PT)RATTRAYMARKTHOMAS9/14/20162700 E LAKE ST STE 2450 MINNEAPOLISMN55446Medicaid authority
Direct Support Worker (Individual DSW)RaymondDanPhillip9/15/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)REEDANTHONYPRENTICE7/5/2021     Medicaid authority
Direct Support Worker (Individual DSW)REEDJAMESWESLEY6/26/2017     Medicaid authority
Direct Support Worker (Individual DSW)REEDJANAEIJATUAN6/21/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)REELARNAD 11/14/2009     Medicaid authority
Physician (MD/DO) IndividualREIMERMARKBRENNAN1/13/20211527 BROADWAY ST ALEXANDREAMN56308Medicaid authority
Direct Support Worker (Individual DSW)REMBERTTASHEANATEARRA6/9/2021     Medicaid authority
Direct Support Worker (Individual DSW)REYESETHELVEL ANITA3/12/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)RHODESTALMADARLENE6/3/2010     Medicaid authority
Direct Support Worker (Individual DSW)RICECHRISTINEANN8/29/2022     Medicaid authority
Direct Support Worker (Individual DSW)RICHARDSONPAXTONP9/1/2012     Medicaid authority
Direct Support Worker (Individual DSW)RICHARDSONSHARONLOUISE2/10/2012     Medicaid authority
Direct Support Worker (Individual DSW)RILEYLERENEE 1/23/2017     Medicaid authority
Direct Support Worker (Individual DSW)ROBERSONANITAM11/7/2007     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)ROBERTSCODYJAMES7/2/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)RobertsonAntonioChevelle4/23/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)ROBINSONDARACHAALAKI4/17/2015     Medicaid authority
Direct Support Worker (Individual DSW)RobinsonJenniferJoy12/23/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)ROBINSONJOHNNEYJAMES7/6/2020     Medicaid authority
Direct Support Worker (Individual DSW)ROBINSONNICOLESUMMER2/16/2015     Medicaid authority
Direct Support Worker (Individual DSW)ROBINSONQUINTONDJUAN9/23/2021     Medicaid authority
Direct Support Worker (Individual DSW)ROBINSONRAMONECHARLES7/27/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)ROBINSONSIERRAMONIQUE5/28/2020     Medicaid authority
Direct Support Worker (Individual DSW)ROCKYMOREMELVINA 3/23/2016     Medicaid authority
Direct Support Worker (Individual DSW)RODRIQUEZSTACILOU5/4/2015     Medicaid authority
Direct Support Worker (Individual DSW)ROGERSGLENDAANNETTE12/4/2020     Medicaid authority
Direct Support Worker (Individual DSW)ROGERSLEERAYACLARISSA ANN12/21/2015     Medicaid authority
Direct Support Worker (Individual DSW)ROMEROLEANNAMARCHE5/17/2023     Medicaid authority
Direct Support Worker (Individual DSW)ROSSFARRAHFAWCETT4/7/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)ROSSSTEPHANIEGAYLE10/22/2011     Medicaid authority
Direct Support Worker (Individual DSW)ROZENEDUARD 10/18/2013     Medicaid authority
Direct Support Worker (Individual DSW)RUFFKIMBERLYANN10/26/2011     Medicaid authority
Direct Support Worker (Individual DSW)RUNNINGSHIELDJESSEBODEEN10/22/2012     Medicaid authority
Direct Support Worker (Individual DSW)RUSHINGBALAHHASSON7/24/2015     Medicaid authority
Direct Support Worker (Individual DSW)RYKHUSASHLEYLYN2/1/2016     Medicaid authority
Direct Support Worker (Individual DSW)SAARELADIANEMARIE11/5/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SAARELAMARISSAROSE6/6/2011     Medicaid authority
Direct Support Worker (Individual DSW)SAFFOLDKASHINAGWENICE3/28/2022     Medicaid authority
Direct Support Worker (Individual DSW)SAICESILVIAANN6/1/2015     Medicaid authority
Direct Support Worker (Individual DSW)SAIDALIAHMED7/31/2023     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SALEMAMEEN 9/23/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SALEMSURAAHMED7/1/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SALLISQUANTRELLANTHONY RAY10/19/2022     Medicaid authority
Direct Support Worker (Individual DSW)SAMATARFOSIYAH6/7/2013     Medicaid authority
Direct Support Worker (Individual DSW)SAMNANIALICIAFEROZ11/29/2023     Medicaid authority
Direct Support Worker (Individual DSW)SAMPSONMICHAELDONIELLE1/23/2012     Medicaid authority
Direct Support Worker (Individual DSW)SANNERUDCASANDRAKAY8/13/2010     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SANYAREOMERAHMED4/12/2024     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SANYARESAHROAHMED5/21/2024     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SCATESDAIJAHMONIQUE9/23/2019     Medicaid authority
Direct Support Worker (Individual DSW)SCHMIDTLISAMARIE10/3/2022     Medicaid authority
Direct Support Worker (Individual DSW)SCHOENROCKTAMMYJO6/10/2015     Medicaid authority
Direct Support Worker (Individual DSW)SCHRADEMARCDUANE12/19/2024     Medicaid authority
Direct Support Worker (Individual DSW)SCHREURSMISTYJOANN8/3/2020     Medicaid authority
Direct Support Worker (Individual DSW)SCHULTZJAMESDARREN9/30/2024     Medicaid authority
Direct Support Worker (Individual DSW)SCHULTZNICHOLEMARIE2/15/2017     Medicaid authority
Direct Support Worker (Individual DSW)SCHWABnicoledanielle2/11/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SCOTTKODYRILEY9/7/2023     Medicaid authority
Direct Support Worker (Individual DSW)SCOTTSHEKITASHONTAE1/30/2019     Medicaid authority
Direct Support Worker (Individual DSW)ScottSophiaA6/22/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)ScottTiffanyNicolette3/2/2008     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SCROGGINSTEAIRRAROBERTA6/3/2021     Medicaid authority
Direct Support Worker (Individual DSW)SCULLYSUSANHELEN4/1/2019     Medicaid authority
Direct Support Worker (Individual DSW)SEALSSHEILAANN2/27/2020     Medicaid authority
Direct Support Worker (Individual DSW)SeaversonWarrenLee6/29/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SEEWALKERSTEPHANIE 2/12/2016     Medicaid authority
Direct Support Worker (Individual DSW)SEHICBRANKICA 4/16/2020     Medicaid authority
Direct Support Worker (Individual DSW)SEITZELIZABETHANN4/21/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SejdicEmina 5/13/2022     Medicaid authority
Direct Support Worker (Individual DSW)SEYMOURLINDALUE7/13/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SEYMOURTERRANCEDESHUN8/10/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SHARIFMUHIDIINKARAMA6/28/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SHARPPETER 7/22/2015     Medicaid authority
Direct Support Worker (Individual DSW)SHARPVICKYDENISE11/29/2018     Medicaid authority
Direct Support Worker (Individual DSW)SHEIKHDONLIBANMOHAMED9/20/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SHELTONLATASHATANNIA8/18/2014     Medicaid authority
Direct Support Worker (Individual DSW)SHERIFFMASSA 8/8/2014     Medicaid authority
Direct Support Worker (Individual DSW)SHERWOODDANIELLEMARIE1/26/2023     Medicaid authority
Direct Support Worker (Individual DSW)SHIMAKAESTHERVAKHOYA7/9/2024     Medicaid authority
Other Non-Traditional-IndividualSHIREHALIMA 7/8/2019550 SNELLING AVEAPT 301ST PAULMN55104Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SHIVERSJACKIELYNN3/11/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SHOODEHZAMZAMIBRAHIM1/14/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SHUMAKERTIARARENAE8/19/2008     Medicaid authority
Direct Support Worker (Individual DSW)SIGARAHMEDALI8/23/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SIMSANTHONYHAROLD8/20/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SINKFIELDSHONTEL 8/16/2012     Medicaid authority
Direct Support Worker (Individual DSW)SIRLEAFANNIENOUNOU11/21/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SIRLEAFGEORGEKOFI5/2/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SISOUVANHNOI 4/7/2023     Medicaid authority
Direct Support Worker (Individual DSW)SKINNEREARLINEGENEIVENE8/3/2020     Medicaid authority
Direct Support Worker (Individual DSW)SLEDGELORENZOLAMARR9/20/2010     Medicaid authority
Direct Support Worker (Individual DSW)SlettenJenniferErin7/12/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SLOANNORLANEKARBEH11/2/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SLOANQUEENAKORTO11/30/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SMITHDENISEMARIE11/12/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SMITHJAZLYNKALEEN11/28/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SMITHKENNY 2/14/2022     Medicaid authority
Direct Support Worker (Individual DSW)SMITHLESLIEMAE11/7/2014     Medicaid authority
Direct Support Worker (Individual DSW)SMITHMARCIMELINDA9/6/2016     Medicaid authority
Direct Support Worker (Individual DSW)SMITHPIERRECASSANOVA7/24/2015     Medicaid authority
Direct Support Worker (Individual DSW)SMITHRAYVONSHAVONNE8/10/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SMITHRONALDAMYRA2/4/2013     Medicaid authority
Direct Support Worker (Individual DSW)SmithSamuel 4/9/2016     Denied not eligible
Direct Support Worker (Individual DSW)SMITHSUSIMARY11/14/2008     Medicaid authority
Direct Support Worker (Individual DSW)SMITHTANISHAJAMIE9/20/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SMITHTHURMANLEONARD5/26/2022     Medicaid authority
Direct Support Worker (Individual DSW)SMITHZELDAL5/25/2023     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SNYDERRAVENGABRIEL4/21/2019     Medicaid authority
Direct Support Worker (Individual DSW)SOGARDBENJAMINJAMES12/22/2010     Medicaid authority
Direct Support Worker (Individual DSW)SoledoluAnitaGayle12/7/2008     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SOLEDOLUSTEPHENADEWOLA8/13/2012     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SOUDJIHANSHON7/31/2024     Medicaid authority
Direct Support Worker (Individual DSW)SPEARMANDANNYLAROY1/10/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SPEARMANPAULAANDREA8/28/2023     Medicaid authority
Direct Support Worker (Individual DSW)SPEARSJENNIFERRAE5/4/2009     Medicaid authority
Direct Support Worker (Individual DSW)SPICERDONNAI9/10/2010     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SPRAGGINSTAMMYT8/9/2011     Medicaid authority
Direct Support Worker (Individual DSW)STANBACKKENYADANIELLE7/6/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)StandingSoldierAdamJohn6/17/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)STANDINGSOLDIERTINALEE6/22/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)STANDINGSOLDIERVERNJOSEPH SR7/6/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)STANEKNORMANAnneM3/23/2010     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)STANTONCARRIELOUISE7/19/2021     Medicaid authority
Direct Support Worker (Individual DSW)STAPLESELLIOTTIII9/7/2016     Medicaid authority
Direct Support Worker (Individual DSW)STAPLESOLARILEAHMARIE12/18/2010     Medicaid authority
Direct Support Worker (Individual DSW)STARRJOSEPHR10/16/2008     Medicaid authority
Licensed Professional Clinical Counselor (LPCC)STAVEMELISSALEE3/29/2024314 JEFFERSON ST S WADENAMN56482Medicaid authority
Direct Support Worker (Individual DSW)STEVENSLIZAJEAN12/10/2016     Medicaid authority
Direct Support Worker (Individual DSW)STEWARTRICKYM10/29/2014     Medicaid authority
Direct Support Worker (Individual DSW)STEWARTSHALONDALATREASE9/2/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)STIFTERKORRINEMARGUERITE10/19/2022     Medicaid authority
Direct Support Worker (Individual DSW)STJACQUEANITAMARIE7/24/2014     Medicaid authority
Direct Support Worker (Individual DSW)STJAMESJAY 6/3/2016     Medicare Medicaid exclusion
Licensed Independent Clinical Social Worker (LICSW)STOCKLEYHERBERTD3/17/20171020 E 146 ST #111A BURNSVILLEMN55337Medicaid authority
Direct Support Worker (Individual DSW)STOVERAKOREANGELAMARIE11/29/2023     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)STOWERSLURAMAE7/24/2016     Medicaid authority
Direct Support Worker (Individual DSW)STRAWGREGORYSHAWN8/29/2008     Medicaid authority
Direct Support Worker (Individual DSW)SUKHDEOMEHENDRA 10/17/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SUMMERVILLETISHAKLEORIA2/9/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SWAINJUANITAY3/13/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SWANSONREBECCAJ6/5/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)SWEENEYMARCYANNE10/16/2015     Medicaid authority
Direct Support Worker (Individual DSW)SWOOPEMARQUITAJEANINE5/25/2017     Medicaid authority
Direct Support Worker (Individual DSW)TALLEYSHANICKEYADETTE9/21/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)TANNAIRENACHRISTINE4/29/2024     Medicaid authority
Direct Support Worker (Individual DSW)TAYLORAPRILNICOLE8/27/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)TAYLORARIELNICOLE11/26/2018     Medicaid authority
Direct Support Worker (Individual DSW)TAYLORCINDYANN1/19/2014     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)TAYLORMARTHAANN7/20/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)THAMMAVONGSAVIENGSONE 10/11/2017     Medicaid authority
Direct Support Worker (Individual DSW)THAOBEE 8/19/2014     Medicaid authority
Direct Support Worker (Individual DSW)THAOCHAFIE 4/17/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)THAOGER 8/10/2014     Medicaid authority
Direct Support Worker (Individual DSW)THELLPATRICKMICHAEL6/21/2015     Medicaid authority
Direct Support Worker (Individual DSW)THOMASDARRELLDAWAYNE6/27/2022     Medicaid authority
Direct Support Worker (Individual DSW)THOMASJERRYLEVALL5/9/2022     Medicaid authority
Direct Support Worker (Individual DSW)THOMASJONIEROCHELLE4/7/2014     Medicaid authority
Direct Support Worker (Individual DSW)THOMASJOSALYNANN1/24/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)THOMASTHERESA 8/31/2020     Medicaid authority
Direct Support Worker (Individual DSW)THOMASTIFFANIMICHELLE10/25/2010     Medicaid authority
Direct Support Worker (Individual DSW)THOMPSONRONALDLEONARD4/2/2008     Medicaid authority
Direct Support Worker (Individual DSW)THOMSENSHARONK7/28/2011     Medicaid authority
Direct Support Worker (Individual DSW)TOEAARONSAYLEE11/14/2022     Medicaid authority
Direct Support Worker (Individual DSW)TOKINDANKO 5/18/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)TOMLINSONDARLENEK10/10/2011     Medicaid authority
Direct Support Worker (Individual DSW)TOPHIAWAKITAMIKEEL3/22/2024     Medicaid authority
Direct Support Worker (Individual DSW)TRAORECHARLESMOHAMED1/29/2018     Medicaid authority
Direct Support Worker (Individual DSW)TRAXLERKIRKLEWIS11/27/2017     Medicaid authority
Direct Support Worker (Individual DSW)TRIBBLEJAMESHENRY7/13/2020     Medicaid authority
Direct Support Worker (Individual DSW)TROBAUGHSHAFFERDESIREELYNN4/19/2023     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)TUCKERKALESHAJAYNE JASMINE3/28/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)TURNERKHALILDAQUAN2/5/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)TUTTLEKENNETHJOSEPH4/1/2011     Medicaid authority
Direct Support Worker (Individual DSW)TYUSDEKESHIAMICHELLE12/9/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)TYUSELDRICKCORNELIUS1/16/2023     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)TYUSEUGENE 6/9/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)UGASAHMEDR12/14/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)UGIAGBEPATRICKIMHANYIANBHO6/18/2012     Medicaid authority
Direct Support Worker (Individual DSW)UWERABRENDAPATRICIA1/6/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)VAHLAVIENJOE 6/28/2010     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)VALENTODANIELJOHN4/7/2014     Medicaid authority
Direct Support Worker (Individual DSW)VANGDANG 11/18/2013     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)VANGDANIEL 3/4/2011     Medicaid authority
Direct Support Worker (Individual DSW)VangKongMeng11/18/2013     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)VANGPANHIAP4/8/2016     Medicaid authority
Direct Support Worker (Individual DSW)VANGTHAI 7/30/2016     Medicaid authority
Direct Support Worker (Individual DSW)VangTomNeng10/20/2014     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)VANGUILDERJORDYNMARIE11/12/2021     Medicaid authority
Licensed Independent Clinical Social Worker (LICSW)VANMEETERENLEIGH 3/8/2010407 4TH ST INTL FALLSMN56649Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)VANNNICKYSAVAY9/25/2023     Medicaid authority
Direct Support Worker (Individual DSW)VARGOSCOTTYLYNN11/2/2008     Medicaid authority
Direct Support Worker (Individual DSW)VETSOUVANHMONY 5/28/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)VILLCHECKVAUGHNSCOTT5/10/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)VUEMAINENG4/25/2019     Medicaid authority
Direct Support Worker (Individual DSW)VUEMALIVONG 12/18/2020     Medicaid authority
Direct Support Worker (Individual DSW)VUEXIONGTHAO3/8/2023     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)VUEYINGNONG9/1/2013     Medicaid authority
Direct Support Worker (Individual DSW)WadeLindell 4/22/2010     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WALKERANTHONYLAWRANCE11/28/2014     Medicaid authority
Direct Support Worker (Individual DSW)WalkerCorrineE1/10/2010     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WALKERBURKERECKEYACHRISTINE9/15/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WALSHAMYLYNN3/21/2024     Medicaid authority
Direct Support Worker (Individual DSW)WaltonClarendaJaquay11/29/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WAREALESIAMECHELLE4/13/2024     Medicaid authority
Direct Support Worker (Individual DSW)WARNERCARLEENALIND6/18/2016     Medicaid authority
Direct Support Worker (Individual DSW)WARRENANTONIO 10/3/2012     Medicaid authority
Direct Support Worker (Individual DSW)WARRENMELISSAKRISTINE8/18/2014     Medicaid authority
Direct Support Worker (Individual DSW)WARRENWILLIAMJACKSON5/11/2012     Medicaid authority
Direct Support Worker (Individual DSW)WARSAMESUEDIAHMED7/24/2015     Medicaid authority
Direct Support Worker (Individual DSW)WARSAMEWARISABSHIR11/23/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WASHINGTONGWENDOLYNMARIE5/15/2024     Medicaid authority
Direct Support Worker (Individual DSW)WASHINGTONLATISHARENEE7/31/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WASHINGTONMICHELEMARIE11/20/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WASHINGTONTEAJANIQUESHERRIE3/28/2019     Medicaid authority
Direct Support Worker (Individual DSW)WassatherThomasLee7/5/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WATSONHELENCHARLENE9/7/2016     Medicaid authority
Direct Support Worker (Individual DSW)WEINERTSANDRAANN8/2/2010     Medicaid authority
Direct Support Worker (Individual DSW)WEISRACHAELLORRAINE4/15/2019     Medicaid authority
Direct Support Worker (Individual DSW)WELCHDAMIENJEROD11/27/2017     Medicaid authority
Direct Support Worker (Individual DSW)WELLSLULERMAE9/5/2008     Medicaid authority
Direct Support Worker (Individual DSW)WELUKIRSCHBAUMNADINENOEL5/24/2012     Medicaid authority
Direct Support Worker (Individual DSW)WengerSuzetteMarie3/18/2015     Medicare Medicaid exclusion
Physician (MD/DO) IndividualWERTHGERALDRICHARD11/9/2016490 OAK ST EXCELSIORMN55331Medicaid authority
Direct Support Worker (Individual DSW)WESLEYTOMMYK4/16/2009     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WESTKIMBERLYKAY8/30/2019     Medicaid authority
Direct Support Worker (Individual DSW)WEYAUSMICHAELSCOTT11/16/2015     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WHIPPLEELDORARUTH1/18/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WHITEDREWJUANDESHAWN1/12/2024     Medicaid authority
Direct Support Worker (Individual DSW)WHITELADONNAALEACE4/25/2023     Medicaid authority
Direct Support Worker (Individual DSW)WHITEMARGARNETTE 4/22/2010     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WHITEHEADCHRISTOPHERMICHAEL9/26/2018     Medicaid authority
Direct Support Worker (Individual DSW)WHITEMANKATRINARAE7/20/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WHITFIELDKORESSENCEEDLEXIS10/14/2019     Medicaid authority
Direct Support Worker (Individual DSW)WILEYDARONLEE2/26/2018     Medicaid authority
Direct Support Worker (Individual DSW)WILLIAMSANDREWWILLIE1/31/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WILLIAMSARETINATIAIRA5/28/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WILLIAMSARIELJUSTINE2/17/2017     Medicaid authority
Direct Support Worker (Individual DSW)WILLIAMSCONNIELOUISE12/1/2017     Medicaid authority
Direct Support Worker (Individual DSW)WILLIAMSDEANNAMARIE1/16/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WILLIAMSHERLONDALASHAWN9/26/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WILLIAMSJAMARGREGORY7/24/2015     Medicaid authority
Direct Support Worker (Individual DSW)WILLIAMSJAMEKALASHAE7/2/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WILLIAMSJULIUSDELANEY2/5/2024     Medicaid authority
Direct Support Worker (Individual DSW)WILLIAMSLETOURIUSLORENZO3/16/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WILLIAMSLORETTASHAMECA6/12/2017     Medicaid authority
Direct Support Worker (Individual DSW)WILLIAMSMARLENA 8/1/2022     Medicaid authority
Direct Support Worker (Individual DSW)WILLIAMSRONNIE 10/4/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WILLIAMSTELISHAANTANETTA10/20/2022     Medicaid authority
Direct Support Worker (Individual DSW)WILLIAMSWANDARENEE10/27/2016     Medicaid authority
Direct Support Worker (Individual DSW)WILLIAMSJONESTALEAALEE5/10/2024     Medicaid authority
Direct Support Worker (Individual DSW)WILLINGKATHRYNMARIE6/5/2015     Medicaid authority
Direct Support Worker (Individual DSW)WILSONANDRE 8/14/2007     Medicaid authority
Direct Support Worker (Individual DSW)WILSONBLENDAKAY9/20/2017     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WILSONDEBORAHLYNN7/26/2017     Medicaid authority
Direct Support Worker (Individual DSW)WILSONDEDRAFAYATTE11/23/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WILSONJANAEMICHELLE8/26/2019     Medicaid authority
Direct Support Worker (Individual DSW)WINDORSKIWANDAJEAN9/21/2022     Medicaid authority
Direct Support Worker (Individual DSW)WISEHARTALEXISANNE7/19/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WITTEJOHNKARL5/7/2014     Medicaid authority
Direct Support Worker (Individual DSW)WOJAVIANKAMILTON ABBE MOGGA9/23/2022     Medicaid authority
Direct Support Worker (Individual DSW)WOLLOHWINIFREDYONNONWAY9/8/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WOMOCHILGAROLDD7/11/2008     Medicaid authority
Direct Support Worker (Individual DSW)WOODALLMARKEESHALYNNA12/18/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WOODARDSAVANNAHROSE6/1/2022     Medicaid authority
Direct Support Worker (Individual DSW)WOODLEYDEVONTEJOSEPH3/21/2024     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WOODSWINFRED 4/23/2010     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)WRIGHTDANIELMARK5/29/2008     Medicaid authority
Direct Support Worker (Individual DSW)WRIGHTMATTHEWSCOTT5/16/2022     Medicaid authority
Direct Support Worker (Individual DSW)XIEFENLAN 4/8/2019     Medicaid authority
Direct Support Worker (Individual DSW)XIONGBRENDANTONGPAO5/18/2024     Medicaid authority
Direct Support Worker (Individual DSW)XIONGMAILOR5/24/2019     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)XIONGMAISHOUA5/28/2009     Medicaid authority
Direct Support Worker (Individual DSW)XIONGNAORANG10/28/2020     Medicaid authority
Direct Support Worker (Individual DSW)XIONGPHOUA 9/12/2024     Medicaid authority
Direct Support Worker (Individual DSW)YAINESTIGERSTRAWBERRYPHEOBE6/3/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)YANGANGELICASOUA3/23/2018     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)YANGJOHNADAMS7/8/2016     Medicaid authority
Direct Support Worker (Individual DSW)YANGYER 10/25/2022     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)YANYUKVALERIY 12/16/2012     Medicaid authority
Direct Support Worker (Individual DSW)YEAGERCHAVIONLENISE9/21/2017     Medicaid authority
Direct Support Worker (Individual DSW)YEBOAHANDREWS 8/19/2008     Medicaid authority
Direct Support Worker (Individual DSW)YELLOWDELORESTOBBI6/7/2014     Medicaid authority
Direct Support Worker (Individual DSW)YOUSIFSAMIRAABDULQADER7/14/2024     Medicaid authority
Direct Support Worker (Individual DSW)YOUSUFESKENDERMOHAMED10/6/2023     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)YUSUFABDIFATAHABDULKADIR9/7/2016     Medicaid authority
Direct Support Worker (Individual DSW)YUSUFHASSAN 11/19/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)YUSUFKALDEQDAHIR9/17/2020     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)YUSUFKHATRASAEED11/19/2013     Medicaid authority
Direct Support Worker (Individual DSW)YUSUFXAWA SSHEIKH10/18/2015     Medicaid authority
Direct Support Worker (Individual DSW)ZENOCEDRICJOSEPHSr12/15/2021     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)ZENOMARCANTHONY6/17/2022     Medicaid authority
Other Non-Traditional-IndividualZEREALEMGEBREAB8/20/20218015 FAIRVIELD CIRCLE BROOKLYN PARKMN55444Medicaid authority
Direct Support Worker (Individual DSW)ZGHAIRAHMEDSADEQ1/6/2016     Medicare Medicaid exclusion
Direct Support Worker (Individual DSW)ZIGOMALASTHEODORESAMUEL11/2/2010     Medicaid authority

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