JENNIFER REDDY


Address: 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109
Phone: 6512419700

JENNIFER REDDY (NPI# 1447641899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447641899
Entity Type Individual
Full Name JENNIFER REDDY
Practice Address 1021 Bandana Blvd E Ste 100
Saint Paul
MN 55108-5109
Mailing Address 1441 Broadway N Apt 204
Fargo
ND 58102-2671
Practice Telephone 6512419700
Practice Fax Number 6512419678
Mailing Telephone 7013712756
Enumeration Date 2015-02-06
Last Update Date 2020-08-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
2788 MN Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers JENNIFER REDDY

NPI Name Taxonomy Address Enumeration
1194075671 Jennifer Lynn Reddy Pharmacist 2200 River Plaza Drive, Sacramento, CA 95833 2012-09-12
1407303332 Jennifer Reddy Speech-Language Pathologist 424 Creekstone Rdg, Woodstock, GA 30188-3740 2016-09-08

Office Location

Street Address 1021 BANDANA BLVD E STE 100
City SAINT PAUL
State MN
Zip Code 55108-5109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992764419 Stella U Ekong Family Medicine 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 2006-03-22
1710593637 Allina Health System Clinic/Center 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 2020-09-16
1619509866 Jessica Hamel Dusold Nurse Practitioner 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 2020-02-06
1487293627 Kirsten Norby Nurse Practitioner 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 2020-01-06
1598267148 Sarah Imdieke Nurse Practitioner 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 2018-02-28
1205334828 Tess Abrahamson Physician Assistant 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 2018-01-29
1881110310 Hannah Mareen Stafford Audiologist 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108 2017-08-16
1912436007 Alicia Schroepfer Nurse Practitioner 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 2017-06-12
1487181285 Westley Shigeo Mori Dermatology 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 2017-05-11
1194250605 Gowri Kabbur Dermatology 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 2017-04-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306490677 Kyle Leonard Bernier Student in an Organized Health Care Education/Training Program 1295 Bandana Blvd W, Suite 210, St. Paul, MN 55108 2019-07-25
1356870778 Kathleen Louise Kocon Marriage & Family Therapist 2230 Como Ave., Saint Paul, MN 55108 2017-06-08
1871965830 Jill Hansen Specialist 1449 Clevland Ave N, The Emily Program, Saint Paul, MN 55108 2015-10-29
1871821140 Angela Joyce Anderson Speech-Language Pathologist 2266 Hillside Avenue, Saint Paul, MN 55108 2009-11-25
1265769418 Dakota Baker Counselor 1360 Energy Park Drive Suite 340, St. Paul, MN 55108 2009-11-09
1255583449 Suzanne Elizabeth Trunnell Nurse Practitioner 1020 Bandana Blvd. W, Aspen Medical Group--bandana Square, St. Paul, MN 55108 2008-10-21
1982851358 Kimberly Joy Bahma Pharmacist 1295 Bandana Blvd, Suite 335, Saint Paul, MN 55108 2008-08-27
1952566093 Caring Professionals Homecare, LLC Home Health 1543 Como Ave Ste 101, Saint Paul, MN 55108 2008-07-28
1700077344 Archana Mani Dentist 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108 2007-08-08
1457554735 Catherine Lawrence Scharlau Psychologist 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 2007-06-06
Find all providers in zip 55108

Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598399206 Titania Thao Specialist/Technologist 1160 Ross Ave, Saint Paul, MN 55106-3941 2020-03-03
1972168896 Brett Michael Adelsman Specialist/Technologist 2118 Nebraska Ave E, Saint Paul, MN 55119-3052 2019-05-06
1740779057 Jacob Christian Harle Specialist/Technologist 3900 Bethel Dr # Dr991, Saint Paul, MN 55112-6902 2018-05-02
1972004885 Mackenzie Skipper Specialist/Technologist 13984 Ember Way, Saint Paul, MN 55124-9247 2018-02-26
1851768048 Donelle Mcmahon Specialist/Technologist 2145 Ford Pkwy, Saint Paul, MN 55116-1900 2015-08-24
1033501887 Erin Katharina Betts Specialist/Technologist 1130 Englewood Ave, Saint Paul, MN 55104-1410 2015-03-03
1942691969 Natalie Erickson Specialist/Technologist 2344 Energy Park Dr, Saint Paul, MN 55108-1511 2015-02-12
1235576018 Emily Jean Kidd Specialist/Technologist 2300 Doswell Ave, Saint Paul, MN 55108-1636 2013-06-03
1336425545 Timothy Greve Specialist/Technologist 275 Syndicate St N, Saint Paul, MN 55104-5436 2011-11-01
1447373691 Kristyn Joy Hubel Specialist/Technologist 360 Sherman St Ste 299, Saint Paul, MN 55102-2567 2007-04-10
Find all providers in SAINT PAUL

Competitor

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City SAINT PAUL
Zip Code 55108

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Dataset Information

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.

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