JENNIFER KATHRYN NELSON (NPI# 1174581755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174581755 |
| Entity Type | Individual |
| Full Name | JENNIFER KATHRYN NELSON |
| Credential | PT |
| Practice Address |
2620 Eagan Woods Dr Ste 200 Eagan MN 55121-1138 |
| Mailing Address |
710 Commerce Dr Ste 200 Woodbury MN 55125-4925 |
| Practice Telephone | 6519685201 |
| Mailing Telephone | (651) 968-5042 |
| Mailing Fax Number | 6519685904 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2017-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
8072 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907653 | Jennifer Marie Nelson | Massage Therapist | 4295 10th St, Riverside, CA 92501-3111 | 2020-09-17 |
| 1265045645 | Jennifer Crystal Nelson | Social Worker | 2269 Cheshire Dr, Birmingham, AL 35235-3313 | 2020-08-26 |
| 1518505064 | Jennifer Nelson | Nurse Practitioner | 7725 W Burleigh St, Milwaukee, WI 53222-5003 | 2019-12-16 |
| 1952946402 | Jennifer Marie Nelson | Doula | 15555 Old Stagecoach Rd, Walton, OR 97490-9713 | 2019-11-07 |
| 1659926897 | Jennifer L Nelson | Technician | 514 Driftwood Point Rd, Santa Rosa Beach, FL 32459-3020 | 2019-08-05 |
| 1871031591 | Jennifer Nelson | Counselor | 1200 S York St Ste 3250, Elmhurst, IL 60126-5629 | 2017-02-01 |
| 1396196796 | Jennifer Nelson | Chiropractor | 925a 41st Ave, Santa Cruz, CA 95062-4456 | 2016-06-27 |
| 1346604691 | Jennifer Nelson | Respite Care | 515 Fox Run Cir, Colorado Springs, CO 80921-3032 | 2016-04-12 |
| 1417325531 | Jennifer Ashley Nelson | Physical Therapist | 1186 Fischer Blvd, Toms River, NJ 08753-3063 | 2015-09-05 |
| 1245615194 | Jennifer Nelson | Nurse Practitioner | 480 Osborne Rd Ne Ste 220, Fridley, MN 55432-2866 | 2015-07-21 |
| Street Address |
2620 EAGAN WOODS DR STE 200 |
| City | EAGAN |
| State | MN |
| Zip Code | 55121-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265401269 | Amanda Tuttle Thielen | Physical Therapist | 2620 Eagan Woods Dr Ste 200, Eagan, MN 55121-1138 | 2006-03-14 |
| 1881051829 | Cory Absey | Physical Therapist | 2620 Eagan Woods Dr Ste 200, Eagan, MN 55121-1138 | 2016-01-21 |
| 1316117401 | Kristine Pini | Physical Therapist | 2620 Eagan Woods Dr Ste 200, Eagan, MN 55121-1138 | 2008-03-05 |
| 1548467228 | Kelly Suzanne Stadelman | Physical Therapist | 2620 Eagan Woods Dr Ste 200, Eagan, MN 55121-1138 | 2007-06-27 |
| 1063563518 | Summit Orthopedics, Ltd | Orthopaedic Surgery | 2620 Eagan Woods Dr Ste 200, Eagan, MN 55121-1138 | 2007-01-12 |
| 1831118637 | Leslee Kay Harper | Physical Therapist | 2620 Eagan Woods Dr Ste 200, Eagan, MN 55121-1138 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
| 1154986479 | Elp Right Living Health LLC | Assisted Living Facility | 3035 Eagandale Pl #101, Eagan, MN 55121 | 2019-05-02 |
| 1467908699 | Hy Vee Inc | Pharmacy | 1500 Central Park Commons Drive, Eagan, MN 55121 | 2016-08-28 |
| 1962861005 | Lakeline Transportation LLC | Non-emergency Medical Transport (VAN) | 1416 Shoreline Dr, Eagan, MN 55121 | 2016-02-17 |
| 1467838615 | John Berchem | Physical Therapist | 1284 Coporate Center Drive, #500, Eagan, MN 55121 | 2015-08-10 |
| 1730426099 | Carole P Cohen | Occupational Therapist | 880 Blue Gentian Road, Ste # 190, Eagan, MN 55121 | 2013-01-07 |
| 1407102882 | Emergency Physicians Professional Association | Clinic/Center | 3010 Denmark Avenue, Eagan, MN 55121 | 2012-08-03 |
| 1851692289 | Eagan Family Chiropractic & Massage | Chiropractor | 1260 Yankee Doodle Road, Suite 100, Eagan, MN 55121 | 2010-11-17 |
| 1780805218 | Bridget Marie Mcconnell | Social Worker | 680 O'neill Drive, Eagan, MN 55121 | 2007-05-01 |
| Find all providers in zip 55121 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073650917 | Lori A Froehling | Physical Therapist | 1284 Corporate Center Dr, Suite 500, Eagan, MN 55121-1253 | 2007-01-31 |
| 1265401269 | Amanda Tuttle Thielen | Physical Therapist | 2620 Eagan Woods Dr Ste 200, Eagan, MN 55121-1138 | 2006-03-14 |
| 1629558408 | Joshua Speckman | Physical Therapist | 2119 Cliff Rd, Eagan, MN 55122-2345 | 2018-08-21 |
| 1174990469 | Jamie Briski | Physical Therapist | 1565 Thomas Center Dr, Eagan, MN 55122-2642 | 2015-08-21 |
| 1881822203 | Samuel R Olson | Physical Therapist | 1185 Town Centre Dr Ste 100, Eagan, MN 55123-1188 | 2009-06-24 |
| 1336394634 | Chanda D Jothen | Physical Therapist | 2640 Eagan Woods Dr Ste 120, Eagan, MN 55121-1466 | 2008-12-01 |
| 1417111451 | Cassandra Donielle Erickson | Physical Therapist | 2640 Eagan Woods Dr Ste 120, Eagan, MN 55121-1466 | 2008-07-17 |
| 1649487604 | Nathan Richard Ryan | Physical Therapist | 1284 Corporate Center Dr, Eagan, MN 55121-1253 | 2007-05-17 |
| 1023146636 | Maria Barton | Physical Therapist | 1284 Corporate Center Dr, Suite 500, Eagan, MN 55121-1253 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063930493 | Thomas Broback | Physical Therapist | 14382 60th St N, Stillwater, MN 55082-6311 | 2017-09-06 |
| 1134667686 | Tiffany Moriarity | Physical Therapist | 13690 Rogers Dr Ste 180, Rogers, MN 55374-9309 | 2017-02-04 |
| 1437603016 | Mark Deschepper | Physical Therapist | 1600 University Ave W # 10, Saint Paul, MN 55104-3898 | 2016-08-11 |
| 1750757522 | Caleb Vizina | Physical Therapist | 1116 County Road 6 Sw, Howard Lake, MN 55349 | 2015-08-17 |
| 1467867010 | Andrea Price | Physical Therapist | 5775 Wayzata Blvd Ste 900, Saint Louis Park, MN 55416-2674 | 2014-06-23 |
| 1124431481 | John E Amundson | Physical Therapist | 410 30th Ave E Ste 102, Alexandria, MN 56308-4770 | 2014-06-04 |
| 1285975078 | Jacob Allen Wendland | Physical Therapist | 1304 W Lincoln Ave Ste C, Fergus Falls, MN 56537-4818 | 2013-03-05 |
| 1740524867 | Lisa Zeman | Physical Therapist | 8900 109th Ave N Ste 700, Champlin, MN 55316-3150 | 2012-11-15 |
| 1326309709 | Jacob Kretschmar | Physical Therapist | 13274 53rd St Ne, Spicer, MN 56288-9437 | 2012-06-02 |
| 1225279516 | Patricia F Knecht | Physical Therapist | 1560 Beam Ave Ste D, Maplewood, MN 55109-1171 | 2009-03-16 |
| Find all providers with the same taxonomy | ||||
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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.