KERI JO SIMON (NPI# 1205911880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205911880 |
| Entity Type | Individual |
| Full Name | KERI JO SIMON |
| Practice Address |
328 Heritage Pl Ste. A Faribault MN 55021-5251 |
| Practice Telephone | 5073320202 |
| Practice Fax Number | 5073322206 |
| Mailing Telephone | 5073320202 |
| Mailing Fax Number | 5073322206 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | CITY OF FARIBAULT LICENSE | 2545 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558644138 | Keri Simon | Social Worker | 8131 Cornell Ct, Saint Louis, MO 63130-3639 | 2011-09-21 |
| Street Address |
328 HERITAGE PL STE. A |
| City | FARIBAULT |
| State | MN |
| Zip Code | 55021-5251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003881236 | Beth Stember | Specialist | 328 Heritage Pl, Suite B, Faribault, MN 55021-5251 | 2006-02-21 |
| 1720449317 | Taylinn Eller | Massage Therapist | 328 Heritage Pl, Faribault, MN 55021-5251 | 2016-03-10 |
| 1306263348 | Stephanie Nicole Greenwood | Massage Therapist | 328 Heritage Pl, Faribault, MN 55021-5251 | 2014-03-27 |
| 1770900573 | Stephanie Conroy | Massage Therapist | 328 Heritage Pl, Suite A, Faribault, MN 55021-5251 | 2014-03-19 |
| 1710309976 | Krystine Michelle Kaiser | Chiropractor | 328 Heritage Pl, Suite A, Faribault, MN 55021-5251 | 2014-01-07 |
| 1124262779 | Kelly Liana Jones | Massage Therapist | 328 Heritage Pl, Faribault, MN 55021-5251 | 2009-04-27 |
| 1245372879 | Laura Kay Steenhard | Chiropractor | 328 Heritage Pl, Faribault, MN 55021-5251 | 2007-02-12 |
| 1992880579 | Jodi Ann Matson | Massage Therapist | 328 Heritage Pl, Ste A, Faribault, MN 55021-5251 | 2006-10-25 |
| 1538243050 | Mary Selly-navarro | Chiropractor | 328 Heritage Pl, Ste A, Faribault, MN 55021-5251 | 2006-10-24 |
| 1942303912 | Minnesota Health and Wellness Clinics Inc. | Chiropractor | 328 Heritage Pl, Suite A, Faribault, MN 55021-5251 | 2006-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872831 | Kent William Lundstrom | Pharmacist | 612 4th Street Nw, Faribault, MN 55021 | 2020-08-19 |
| 1053957357 | M&t Sisters of Serendipity Pllc | Counselor | 212a Centralave, Faribault, MN 55021 | 2019-11-21 |
| 1639720485 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 200 8th Avenue Nw, Faribault, MN 55021 | 2019-09-24 |
| 1235663428 | Tanya Borchert | Social Worker | 100 State Avenue, Faribault, MN 55021 | 2017-04-14 |
| 1235589854 | Bashir Omar I | Interpreter | 2426 Park Ave # 309, Faribault, MN 55021 | 2016-06-14 |
| 1790150381 | Rainbow United Care Transportation LLC | Non-emergency Medical Transport (VAN) | 1738 Patrick Bay, Faribault, MN 55021 | 2015-12-08 |
| 1740625938 | Steven James Klapmeier | Family Medicine | 1101 Linden Lane, Mcfffrb Health Service, Faribault, MN 55021 | 2013-05-02 |
| 1528306040 | Discovery Public School of Faribault | Local Education Agency (LEA) | 126 8th St. Nw, Faribault, MN 55021 | 2013-01-17 |
| 1164790374 | Emmanuel Douah | Pharmacist | 612 4th Avenue Nw, Faribault, MN 55021 | 2011-12-02 |
| 1770873937 | Faribault Senior Living LLC | Assisted Living Facility | 843 Faribault Road, Faribault, MN 55021 | 2011-04-08 |
| Find all providers in zip 55021 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194057679 | Heather Marie Shepherd | Massage Therapist | 328 Heritage Pl Ste A, Faribault, MN 55021-5251 | 2010-02-08 |
| 1720449317 | Taylinn Eller | Massage Therapist | 328 Heritage Pl, Faribault, MN 55021-5251 | 2016-03-10 |
| 1306263348 | Stephanie Nicole Greenwood | Massage Therapist | 328 Heritage Pl, Faribault, MN 55021-5251 | 2014-03-27 |
| 1770900573 | Stephanie Conroy | Massage Therapist | 328 Heritage Pl, Suite A, Faribault, MN 55021-5251 | 2014-03-19 |
| 1679864706 | Janell Lindblom | Massage Therapist | 119 Central Ave N, Faribault, MN 55021-5210 | 2011-04-23 |
| 1376848911 | Krista A Dickinson-anderson | Massage Therapist | 328 Heritage Pl Ste A, Faribault, MN 55021-5251 | 2011-01-12 |
| 1124262779 | Kelly Liana Jones | Massage Therapist | 328 Heritage Pl, Faribault, MN 55021-5251 | 2009-04-27 |
| 1528236395 | Barbara Anderson | Massage Therapist | 119 Central Ave N, Faribault, MN 55021-5210 | 2008-02-14 |
| 1992880579 | Jodi Ann Matson | Massage Therapist | 328 Heritage Pl, Ste A, Faribault, MN 55021-5251 | 2006-10-25 |
| 1366483018 | Crystal Lynn Hollingsworth | Massage Therapist | 200 8th Ave Nw, Faribault, MN 55021-5068 | 2006-06-10 |
| Find all providers in FARIBAULT | ||||
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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.