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GATHERWELL, PLLC
NPI 1649855479
Clinic/Center in Ham Lake, MN

Active since March 12, 2021
17565 CENTRAL AVE NE STE 220, HAM LAKE, MN 55304(612) 636-1553 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2025, Mar 12, 2021 (2 updates tracked since 2021).

About Gatherwell, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GATHERWELL, PLLC (NPI 1649855479) is a healthcare organization registered as a clinic/center in Ham Lake, Minnesota and active in the NPI registry since March 2021. The organization lists Sarah Marie Brown, Owner, as its authorized official.

NPPES Registry Identity

NPI1649855479
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGATHERWELL, PLLC
Location Address17565 CENTRAL AVE NE STE 220Ham Lake, MN 55304-2230
Mailing Address17565 Central Ave Ne Ste 200Ham Lake, MN 55304-2230 · (612) 806-1546 · Fax (607) 260-0160
Phone(612) 636-1553
Organization SubpartNo
Authorized OfficialSarah Marie BrownOwner · (612) 806-1546
Enumeration DateMarch 12, 2021
Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1649855479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
17565 CENTRAL AVE NE STE 220, Ham Lake, MN 55304
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Other Identifiers 1

Other24D2188982MN · Clia Id

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2188982

Gatherwell · Ham Lake, MN
Expired · Jul 23, 2026
CLIA Number24D2188982
Laboratory TypeMobile Laboratory
Certificate Effective DateJuly 24, 2024
Certificate Expiration DateJuly 23, 2026
Laboratory DirectorSarah M. Brown
Laboratory Phone(612) 806-1546
Laboratory LocationGatherwell17565 Central Ave NE, Ham Lake, MN 55304
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gatherwell, PLLC's NPI number?

The NPI number for Gatherwell, PLLC is 1649855479. It was assigned to this organization in the NPPES registry on March 12, 2021.

Where is Gatherwell, PLLC located?

Gatherwell, PLLC is located at 17565 Central Ave NE Ste 220, Ham Lake, MN 55304. The listed phone number is (612) 636-1553.

What is Gatherwell, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Gatherwell, PLLC was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.