JILL PRINSEN (NPI# 1043538531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043538531 |
| Entity Type | Individual |
| Full Name | JILL PRINSEN |
| Credential | CP |
| Practice Address |
360 Sherman St Suite 299 Saint Paul MN 55102-2564 |
| Practice Telephone | 6512919000 |
| Practice Fax Number | 6512918894 |
| Mailing Telephone | 6512919000 |
| Mailing Fax Number | 6512918894 |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2010-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ABC CERTIFICATION NUMBER | CP003671 | 01 |
| Street Address |
360 SHERMAN ST SUITE 299 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-2564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205823440 | Walter Paul Gleich | Urology | 360 Sherman St, Suite 450, Saint Paul, MN 55102-2564 | 2005-10-03 |
| 1730614538 | Sara Welch | Specialist/Technologist | 360 Sherman St, Suite 300, Saint Paul, MN 55102-2564 | 2017-04-29 |
| 1679016497 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 360 Sherman St, Suite 100, Saint Paul, MN 55102-2564 | 2016-11-28 |
| 1346693934 | Jenna Schoenrock | Occupational Therapist | 360 Sherman St, Saint Paul, MN 55102-2564 | 2016-07-19 |
| 1205200383 | Child Neurology Solutions Pllc | Psychiatry & Neurology | 360 Sherman St, Suite 399, Fort Road Medical Center, Saint Paul, MN 55102-2564 | 2015-11-30 |
| 1619354305 | Bobbi Jo Mugaas | Orthotist | 360 Sherman St, Suite 160, Saint Paul, MN 55102-2564 | 2015-05-01 |
| 1295172914 | Stacey Marie Desouza | Occupational Therapist | 360 Sherman St, 470, Saint Paul, MN 55102-2564 | 2013-06-04 |
| 1104163187 | Westlake Orthotics and Prosthetics Inc | Prosthetic/Orthotic Supplier | 360 Sherman St, Suite 160, Saint Paul, MN 55102-2564 | 2013-01-10 |
| 1841552296 | Terese Marie Amble | Psychologist | 360 Sherman St, Suite 200, Saint Paul, MN 55102-2564 | 2012-06-12 |
| 1124309372 | Jennifer K Nelson | Physician Assistant | 360 Sherman St, Suite 250, Saint Paul, MN 55102-2564 | 2011-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063629368 | Peter Stasica | Prosthetist | 2200 University Ave W, #114, Saint Paul, MN 55114-1839 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720318876 | Richard Clark Niessen Sr. | Prosthetist | 2025 East River Park Way, Shriners Hospitals for Children Twin Cities, Mpls, MN 55414-3604 | 2010-01-12 |
| 1386900272 | Kyle Robert Hamre | Prosthetist | 6600 France Ave S, Suite 162, Edina, MN 55435-1805 | 2012-04-05 |
| 1558691600 | Rebecca Lynn Born | Prosthetist | 2025 East River Parkway, Minneapolis, MN 55414-3604 | 2010-01-12 |
| 1699908483 | Steven Jahn | Prosthetist | 6600 France Ave S, Suite 162, Edina, MN 55435-1805 | 2009-08-27 |
| 1760637052 | Sarah Mahowald | Prosthetist | 1 Veterans Dr, Prosthetic Dept. (121), Minneapolis, MN 55417-2309 | 2008-12-01 |
| 1902013402 | Joseph Andrew Medvec | Prosthetist | 1 Veterans Dr, Prosthetics 121, Minneapolis, MN 55417-2309 | 2007-05-16 |
| 1013017813 | Chris Peter Boosalis | Prosthetist | 6600 France Ave S, Suite 162, Edina, MN 55435-1805 | 2006-09-22 |
| City | SAINT PAUL |
| Zip Code | 55102 |
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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.