ANN VICTORIA JORSTAD (NPI# 1477614733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477614733 |
| Entity Type | Individual |
| Full Name | ANN VICTORIA JORSTAD |
| Credential | PT |
| Practice Address |
Edis Clinic Psc 482 Box 1600 Fpo AP 96367 JP |
| Mailing Address |
2213 Hidden Valley Rd Northfield MN 55057-3109 |
| Practice Telephone | 3156342747 |
| Mailing Telephone | 5076638885 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | 1096 | MN | Other Service Providers |
| Street Address |
EDIS CLINIC PSC 482 BOX 1600 |
| City | FPO |
| State | AP |
| Zip Code | 96367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260311 | Doria Living | Registered Nurse | Ushno, Fpo, AP 96367 | 2020-09-16 |
| 1417467705 | Lindsay Grainger | Behavioral Analyst | 9815 Arnold Terrace, Kadena Air Base, Apo, AP 96367 | 2017-10-02 |
| 1942678289 | Zachary Cabana | Physical Therapist | 18th Medical Group/sgoy Kadena Ab, Apo, AP 96367 | 2015-09-03 |
| 1992039325 | Angela K Phillips | Nurse Practitioner | 626 Vincent Ave, 18th Medical Group, Apo, AP 96367 | 2009-10-02 |
| 1427224740 | Alberto Victor Cordova | Social Worker | Psc 80 Box 20251, Fpo, AP 96367 | 2008-05-06 |
| 1134397011 | Lesley M. Birdwell | Pharmacist | Psc 80 Box 10237, Apo, US 96367 | 2008-02-13 |
| 1891997474 | Risa A Bastien | Dentist | 18th Dental Squadron, Kadena Air Base, Apo, AP 96367 | 2007-06-05 |
| 1144369125 | Douglas Peter Olson | Dentist | Kadena Ab, Unit 5270, Apo, AP 96367 | 2007-02-06 |
| 1376611236 | Jessica S Beal | Dietitian, Registered | Psc 80 Box 20398, Apo, AP 96367 | 2006-11-30 |
| 1821193319 | Jane Houghtaling Walker | Psychologist | 18 Mdos/sgow, Mental Health Clinic, Unit 5269, Apo, AP 96367 | 2006-09-13 |
| Find all providers in zip 96367 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215306675 | Bryan Lopez | Military Health Care Provider | Psc 455 Box 182, Medical Department, Navspecwaunit One, Fpo, AP 96540-1182 | 2015-09-16 |
| 1013385533 | Yomaira Maritza Gonzalez | Military Health Care Provider | Psc 475 Box 1345, Fpo, AP 96350-9998 | 2015-09-15 |
| 1750763637 | Kathleen R Montanez | Military Health Care Provider | Naval Hospital Guam Psc 455, Fpo, AP 96540 | 2015-06-26 |
| 1164827135 | Mark Steven Little | Military Health Care Provider | 3d Marine Division, Unit 35801, Fpo, AP 96382-5801 | 2014-11-03 |
| 1598164592 | Jami Erickson | Military Health Care Provider | Uss Dewey, Ddg 105, Fpo, AP 96663-1303 | 2014-08-15 |
| 1922359702 | Spencer Corey Southerland | Military Health Care Provider | Seal Team 2, Unit 60003, Fpo, AE 09501-4633 | 2012-09-20 |
| 1609164946 | Adam Alma Reel | Military Health Care Provider | 3d Recon Bn, Unit 36180, Fpo, AP 96602-6180 | 2011-07-20 |
| 1972742773 | 8carla T Yballe | Military Health Care Provider | Bldg. 9497 Kab Psc 4821, Fpo, AP 96362 | 2009-02-18 |
| 1528210374 | John Wesley Huckleberry II | Military Health Care Provider | Unit 100236 Drawer 2703, Uss Dwight D Eisenhower Cvn 69, Fpo, AE 09532-3627 | 2008-10-10 |
| 1851561518 | Christopher Michael Brown | Military Health Care Provider | Uss Tripoli (lha-7), Medical Department, Fpo, AP 99765 | 2008-03-09 |
| Find all providers in FPO | ||||
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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.