MRS. JENNIFER E BRUYERE (NPI# 1033453303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033453303 |
Entity Type | Individual |
Full Name | MRS. JENNIFER E BRUYERE |
Other Name | MS. JENNIFER ANN EDWARDS |
Credential | BA, AAS, RT(R)(M) |
Practice Address |
4235 32nd Ave S Minneapolis MN 55406-3315 |
Practice Telephone | 6127292205 |
Mailing Telephone | 6127292205 |
Enumeration Date | 2012-11-26 |
Last Update Date | 2012-11-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 247100000X | Radiologic Technologist | 373912 | MN | Technologists, Technicians & Other Technical Service Providers |
N | 2471M2300X |
Radiologic Technologist Specialization: Mammography |
373912 | MN | Technologists, Technicians & Other Technical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS | 373912 | 01 |
IL | IEMA DIVISION OF NUCLEAR SAFETY | 500506806 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407461692 | Jennifer A Bruyere | Home Health Aide | 1540 Cinnamon Dr S, West Salem, OH 44287-9420 | 2020-09-14 |
Street Address |
4235 32ND AVE S |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55406-3315 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689286221 | Hoa Bui | Pharmacist | 4547 Hiawatha, Minneapolis, MN 55406 | 2020-08-17 |
1184263253 | Carrie Shannon Nightshade | Acupuncturist | 3706 E 42nd Street, Minneapolis, MN 55406 | 2020-01-06 |
1164060059 | Deborah Owen | Acupuncturist | 3706 E 42nd St, Minneapolis, MN 55406 | 2019-12-11 |
1194290593 | Noelle Therese Wolf | Counselor | 2637 27th Ave S # 229, Minneapolis, MN 55406 | 2018-10-11 |
1255819819 | Ayan Osman Ali | Behavior Technician | 3355 Haiwatha Ave Suite 100, Minneapolis, MN 55406 | 2018-08-04 |
1881188597 | Lydia Joy Allison | Massage Therapist | 2933 29th Ave. S., Minneapolis, MN 55406 | 2018-06-15 |
1497261770 | Carroll Lee Beaty | Massage Therapist | 2801 42nd Ave. So., Minneapolis, MN 55406 | 2017-12-21 |
1578082798 | Capitol Cafe LLC | Home Delivered Meals | 2417 E Franklin Ave, Capitol Cafe, Minneapolis, MN 55406 | 2017-09-19 |
1851823942 | Safia Abdulkadir Mohamud | Contractor | 2740 Minnehaha Ave Suit 100, Minneapolis, MN 55406 | 2017-03-29 |
1881051944 | Sos Transportation LLC | Non-emergency Medical Transport (VAN) | 3355 Haiwatha Ave Suit 100, Minneapolis, MN 55406 | 2016-01-20 |
Find all providers in zip 55406 |
Taxonomy Code | 247100000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316277346 | Lee Ann Veiman | Radiologic Technologist | 2025 East River Road, Shriners Hospitals for Children Twin Cities, Minneapolis, MN 55414 | 2010-01-14 |
1609490424 | Ryan Couch | Radiologic Technologist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-06-08 |
1831561786 | Abel Yosief | Radiologic Technologist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2015-10-29 |
1497085542 | Carol Elizabeth Schuelke | Radiologic Technologist | 2025 East River Parkway, Shriner's Hospital for Children, Minneapolis, MN 55414 | 2010-01-12 |
1124358270 | Katherine Marie Hill | Radiologic Technologist | 2025 East River Parkway, Shriners Hospital for Children Twin Cities, Minneapolis, MN 55414 | 2010-01-12 |
1952631004 | Larry James Norgren | Radiologic Technologist | 2025 East River Parkway, Shriners Hospital for Children, Minneapolis, MN 55414 | 2010-01-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316471253 | Scott Haglund | Radiologic Technologist | 7633 Bennett Ct, Inver Grove Heights, MN 55077-3221 | 2017-04-18 |
1174062749 | John Walseman | Radiologic Technologist | 2505 Minnesota Ave Nw Apt 3, Bemidji, MN 56601-2474 | 2017-02-15 |
1548686546 | Denise Sanders | Radiologic Technologist | 3012 Yukon Ave N, Crystal, MN 55427-2524 | 2014-03-14 |
1184114225 | Lesley Ann Warnsholz | Radiologic Technologist | 40520 Cty. Hwy. 34, Ogema, MN 56569-9612 | 2018-05-15 |
1568952752 | Jordyn Kathleen Steffes | Radiologic Technologist | 40520 Cty. Hwy. 34, Ogema, MN 56569 | 2018-05-14 |
1942790118 | Mary Beth Simon | Radiologic Technologist | 40520 Cty Hwy 34, Ogema, MN 56569 | 2018-05-14 |
1780174979 | Jacqueline Lois Zortman | Radiologic Technologist | 40520 Cty. Hwy. 34, Ogema, MN 56569 | 2018-05-14 |
1386025005 | Darci Lee Eigenberg | Radiologic Technologist | 1212 Heckman Ct, Saint James, MN 56081-8702 | 2015-06-18 |
1932479508 | Erica Suski | Radiologic Technologist | 200 University Ave E, Saint Paul, MN 55101-2507 | 2012-01-12 |
1790840395 | Sara Marie Nardinger | Radiologic Technologist | 225 Smith Ave N, #500, St Paul, MN 55102 | 2006-12-26 |
Find all providers with the same taxonomy |
City | MINNEAPOLIS |
Zip Code | 55406 |
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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.