SARA ELIZABETH JENNERJOHN (NPI# 1023670882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023670882 |
| Entity Type | Individual |
| Full Name | SARA ELIZABETH JENNERJOHN |
| Practice Address |
1825 Woodwinds Dr Woodbury MN 55125-2202 |
| Mailing Address |
169 Nina St Saint Paul MN 55102-2129 |
| Practice Telephone | 6512326700 |
| Mailing Telephone | 6128404264 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | 400 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2680 Snelling Ave N, Roseville, MN 551131876 | 6513261600 |
| Street Address |
1825 WOODWINDS DR |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831145705 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 1825 Woodwinds Dr, Woodbury, MN 55125 | 2006-05-25 |
| 1972101947 | Chloe Johnson Philion | Occupational Therapist | 1825 Woodwinds Dr, Woodbury, MN 55125-2202 | 2020-10-13 |
| 1609357151 | Jessica Marsh Schmitt | Registered Nurse | 1825 Woodwinds Dr, Woodbury, MN 55125-2202 | 2018-08-23 |
| 1386159614 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 1825 Woodwinds Dr, Woodbury, MN 55125-2202 | 2017-12-08 |
| 1992225866 | Kenneth Robert Leeson | Nurse Practitioner | 1825 Woodwinds Dr, Woodbury, MN 55125-2202 | 2017-06-22 |
| 1831633569 | Rebecca Anne Lee | Physician Assistant | 1825 Woodwinds Dr, Woodbury, MN 55125-2202 | 2016-12-15 |
| 1609328103 | Leah Almquist | Physical Therapist | 1825 Woodwinds Dr, Woodbury, MN 55125-2202 | 2016-10-31 |
| 1366827552 | Abby Wagstrom | Nurse Practitioner | 1825 Woodwinds Dr, Woodbury, MN 55125-2202 | 2015-07-29 |
| 1356738850 | Karl Eckberg | Pediatrics | 1825 Woodwinds Dr, Woodbury, MN 55125-2202 | 2015-04-22 |
| 1255730396 | Heidi Goeders | Nurse Practitioner | 1825 Woodwinds Dr, Woodbury, MN 55125 | 2014-08-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
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| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457447658 | Angela M Reid | Advanced Practice Midwife | 1875 Woodwinds Dr Ste 250, Woodbury, MN 55125-2532 | 2006-10-05 |
| 1053717348 | Brie Zillhardt | Advanced Practice Midwife | 1875 Woodwinds Dr Ste 250, Woodbury, MN 55125-2532 | 2014-11-13 |
| 1497042659 | Sarah Marie Holmgren | Advanced Practice Midwife | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2011-07-07 |
| 1699007633 | Amy Bandt | Advanced Practice Midwife | 1925 Woodwinds Dr, Suite 250, Woodbury, MN 55125-4445 | 2010-02-02 |
| 1487769071 | Cecilia Marie Wachdorf | Advanced Practice Midwife | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2006-08-21 |
| 1518922194 | Susan J Tighe | Advanced Practice Midwife | 8450 Seasons Pkwy - Mail Stop 32900a, Healthpartners Woodbury Clinic, Woodbury, MN 55125-4402 | 2006-04-18 |
| 1548235880 | Lorene K Gilliksen | Advanced Practice Midwife | 8450 Seasons Pkwy, Mail Stop 32300a, Woodbury, MN 55125-4402 | 2006-02-21 |
| 1932171014 | Sheila K Billstein | Advanced Practice Midwife | 8450 Seasons Pkwy, Mail Stop 32300a, Woodbury, MN 55125 | 2006-02-03 |
| 1003888025 | Maria T Pederson | Advanced Practice Midwife | 8450 Seasons Parkway, Mail Stop 32900a, Woodbury, MN 55125-4402 | 2006-02-03 |
| 1295710036 | Bridget Penfold Bahneman | Advanced Practice Midwife | 1875 Woodwinds Dr, Suite 110, Woodbury, MN 55125-2298 | 2005-12-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.