JACQUELYN LORRAINE CONLEY (NPI# 1447694013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447694013 |
| Entity Type | Individual |
| Full Name | JACQUELYN LORRAINE CONLEY |
| Other Name | JACQUELYN JENSEN |
| Credential | M.D. |
| Practice Address |
1200 Chaska Creek Way Ste 200 Chaska MN 55318-2749 |
| Mailing Address |
4200 Dahlberg Dr Ste 300 Golden Valley MN 55422-4841 |
| Practice Telephone | 9528561046 |
| Practice Fax Number | 9528561049 |
| Mailing Telephone | 9528474029 |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2019-04-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 58068 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
1200 CHASKA CREEK WAY STE 200 |
| City | CHASKA |
| State | MN |
| Zip Code | 55318-2749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426230 | Sean Deane Lejonvarn | Nurse Practitioner | 1200 Chaska Creek Way Ste 200, Chaska, MN 55318-2749 | 2020-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548742968 | Elizabeth Ann Root | Counselor | 111 Hundertmark Rd Suite 450, Chaska, MN 55318 | 2018-09-01 |
| 1972002244 | Ruth Ann Plante | Counselor | 510 Chestnut Street Suite 201, Chaska, MN 55318 | 2018-02-01 |
| 1265959795 | Bhatti Gi Surgery Center LLC | Clinic/Center | 1447 White Oak Dr, Chaska, MN 55318 | 2017-08-25 |
| 1194241166 | Five Stars Recovery Center | Clinical Medical Laboratory | 1045 Stoughton Ave., Chaska, MN 55318 | 2017-08-21 |
| 1306383419 | Laurie Ann Sisser | Registered Nurse | 123 W. 3rd Street, Suite #1, Forever Life Home Health Care, Chaska, MN 55318 | 2017-01-26 |
| 1942756671 | David Erlandson | Physical Therapist | 110105 Pioneer Trail, #201, Chaska, MN 55318 | 2016-09-01 |
| 1912319286 | Chaska Commons Dental Group PC | Dentist | 114 Pioneer Trail, Chaska, MN 55318 | 2014-05-21 |
| 1063546620 | Laura Lee Bergjord | Social Worker | 600 East 4th St, Chaska, MN 55318 | 2007-03-15 |
| 1184758740 | Jennifer Ann Mueller | Social Worker | 401 East Fourth Street, Chaska, MN 55318 | 2007-03-15 |
| 1487785234 | The Salvation Army Harbor Light Center Beacon Program | Substance Abuse Rehabilitation Facility | 11065 Village Road, Chaska, MN 55318 | 2007-03-07 |
| Find all providers in zip 55318 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528028263 | Patrick J Adams | Family Medicine | 3000 N Chestnut St, Chaska, MN 55318-3054 | 2006-03-25 |
| 1043207681 | David Allen Willey | Family Medicine | 1200 Chaska Creek Way, Suite 200, Chaska, MN 55318-2152 | 2005-09-29 |
| 1407461072 | Ridgeview Medical Center | Family Medicine | 111 Hundertmark Rd, Chaska, MN 55318-4551 | 2020-09-10 |
| 1316367063 | Victoria Zbikowski | Family Medicine | 110105 Pioneer Trl W, Chaska, MN 55318-2680 | 2014-04-21 |
| 1053754333 | Laurie Townsend | Family Medicine | 111 Hundertmark Rd, Chaska, MN 55318-4551 | 2013-04-16 |
| 1770841504 | Mackenzie Rae Lobitz | Family Medicine | 111 Hundertmark Rd, 212 Medical Center #220, Chaska, MN 55318-4551 | 2012-04-30 |
| 1588830756 | Comfort C. Onyiah | Family Medicine | 1580 White Oak Dr, Suite 100, Chaska, MN 55318-2919 | 2008-05-07 |
| 1861561417 | Bonita L Hill | Family Medicine | 3000 Hundertmark Rd, Chaska, MN 55318-1150 | 2006-11-07 |
| 1023195476 | Kurt A Brattain | Family Medicine | 3000 Hundertmark Rd, Chaska, MN 55318-1150 | 2006-11-01 |
| 1902907934 | William James Hammes | Family Medicine | 3000 N Chestnut St, Suite 120, Chaska, MN 55318-3054 | 2006-09-25 |
| Find all providers in CHASKA | ||||
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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.