DR. JANE MUGAMBI (NPI# 1285150813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285150813 |
| Entity Type | Individual |
| Full Name | DR. JANE MUGAMBI |
| Credential | DNP |
| Practice Address |
309 Holly Ln Mankato MN 56001-5422 |
| Mailing Address |
156 Swan Ln Mankato MN 56001-6244 |
| Practice Telephone | 5073882120 |
| Practice Fax Number | 5073882120 |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
5334 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | CERTIFIED NURSE PRACTITIONER | 5334 | 01 |
| Street Address |
309 HOLLY LN |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-5422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528063955 | Dawn Marie Stavish | Dentist | 309 Holly Ln, Mankato, MN 56001-5422 | 2005-06-13 |
| 1336753227 | Abigail Malmanger | Dentist | 309 Holly Ln, Mankato, MN 56001-5422 | 2020-09-08 |
| 1831701515 | Sarah Rose Petersen | Social Worker | 309 Holly Ln, Mankato, MN 56001-5422 | 2020-08-23 |
| 1295344018 | Cori Lynn Wasz | Nurse Practitioner | 309 Holly Ln, Mankato, MN 56001-5422 | 2020-07-28 |
| 1295359313 | Coleman A Straiton | Nurse Practitioner | 309 Holly Ln, Mankato, MN 56001-5422 | 2020-06-04 |
| 1881228823 | Lindsey Louise Konchar | Social Worker | 309 Holly Ln, Mankato, MN 56001-5422 | 2020-02-28 |
| 1316500275 | Deanna Leigh Collins | Nurse Practitioner | 309 Holly Ln, Mankato, MN 56001-5422 | 2019-04-17 |
| 1194289678 | Jessica Hadler | Dental Hygienist | 309 Holly Ln, Mankato, MN 56001 | 2019-01-29 |
| 1033684451 | Caylin Colleen Cedergren | Social Worker | 309 Holly Ln, Mankato, MN 56001-5422 | 2018-10-11 |
| 1346730033 | Stephanie Marie Swam | Dentist | 309 Holly Ln, Mankato, MN 56001-5422 | 2018-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104388222 | Amanda Melin | Nurse Practitioner | 1025 Marsh St, Mankato, MN 56001-4752 | 2019-04-06 |
| 1700320967 | Mackenzie Renneke | Nurse Practitioner | 101 Martin Luther King Dr, Mankato, MN 56001-6460 | 2016-12-07 |
| 1174938880 | Amy Hagen | Nurse Practitioner | 1025 Marsh St, Mankato, MN 56001-4752 | 2014-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467071084 | St. Catherine University School Based Health Clinic | Nurse Practitioner | 5045 Division Ave, White Bear Lake, MN 55110 | 2020-04-14 |
| 1669005948 | Kevin Charles Carlson | Nurse Practitioner | 19303 Sorrel Ct, Corcoran, MN 55340-4447 | 2020-02-14 |
| 1144862996 | Alade Lateef Hamza | Nurse Practitioner | 4808 85th Ave N Ste 300, Brooklyn Park, MN 55443-1816 | 2019-10-14 |
| 1114584869 | Tenzin Lhamo | Nurse Practitioner | 195 Windsor Ln, New Brighton, MN 55112-3366 | 2019-05-28 |
| 1255834859 | Ashley M Morehouse | Nurse Practitioner | 625 S 4th St Ste A, Le Sueur, MN 56058-2203 | 2018-03-10 |
| 1013457381 | Lydia Nyakonu Sherman | Nurse Practitioner | 606 24th Ave S #620, Minneapolis, MN 55454 | 2017-03-06 |
| 1912447780 | Zillah Mulubisha | Nurse Practitioner | Brooklyn Park Clinic, 7650 Zane Ave N, Minneapolis, MN 55443 | 2017-02-27 |
| 1245615194 | Jennifer Nelson | Nurse Practitioner | 480 Osborne Rd Ne Ste 220, Fridley, MN 55432-2866 | 2015-07-21 |
| 1912397142 | Solomon Africanus Wesseh Jr. | Nurse Practitioner | 10135 43rd Ct Ne, Saint Michael, MN 55376-3015 | 2015-01-26 |
| 1780084004 | Angela Rae Fox | Nurse Practitioner | 7383 Upper 157th St W, Apple Valley, MN 55124-5108 | 2014-08-25 |
| 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.