JERENE S SMITH (NPI# 1295712750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295712750 |
| Entity Type | Individual |
| Full Name | JERENE S SMITH |
| Practice Address |
6490 Excelsior Blvd Ste E 400 Park Nicollet Clinic - Meadowbrook St Louis Park MN 55426 |
| Mailing Address |
6465 Wayzata Blvd Ste 315 St Louis Park MN 55426-1728 |
| Practice Telephone | 9529933123 |
| Mailing Telephone | 9529937169 |
| Mailing Fax Number | 9529930300 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
6490 EXCELSIOR BLVD STE E 400 PARK NICOLLET CLINIC - MEADOWBROOK |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609476324 | Ferdus Aden | Technician, Other | 7026 W 133rd Ct, Savage, MN 55378-4436 | 2020-10-30 |
| 1710584610 | Crystal Yang | Technician, Other | 1540 Etna St, Saint Paul, MN 55106-1420 | 2020-10-04 |
| 1457967895 | Lisa Eisenbacher | Technician, Other | 731 Bielenberg Dr Ste 102-103, Woodbury, MN 55125-1700 | 2020-09-21 |
| 1265045157 | Abigail Johnson | Technician, Other | 6300 W Old Shakopee Rd, Bloomington, MN 55438-2654 | 2020-08-28 |
| 1003438037 | Shannon Marie Hacka | Technician, Other | 1011 Meadowlands Dr Ste 1&2, Saint Paul, MN 55127-2339 | 2020-05-13 |
| 1457972598 | Brittin Kemp | Technician, Other | 10450 185th St W Ste 100, Lakeville, MN 55044-6696 | 2020-04-29 |
| 1184243826 | Desira Wright | Technician, Other | 320 Old Territorial Rd Ne Apt 4, Chatfield, MN 55923-1610 | 2020-04-13 |
| 1982234571 | Kennedy Rosella Tonn | Technician, Other | 1011 Meadowlands Dr, Saint Paul, MN 55127-2339 | 2020-01-22 |
| 1043850399 | Tiffany Wilschek | Technician, Other | 1470 Industrial Drive Nw, Rochester, MN 55901-0614 | 2020-01-14 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
| City | ST LOUIS PARK |
| Zip Code | 55426 |
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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.