MRS. JENNIFER SUNDSTROM (NPI# 1528420650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528420650 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER SUNDSTROM |
| Credential | NP-C |
| Practice Address |
245 Tuxworth Rd Centerville OH 45458-2453 |
| Practice Telephone | 9376725209 |
| Mailing Telephone | 9376725209 |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2017-04-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN.273729 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN.273729 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
245 TUXWORTH RD |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45458-2453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948170 | John M Duchak Md Cardiology LLC | Specialist | 1036 Wild Hickory Lane, Centerville, OH 45458 | 2020-09-24 |
| 1942833389 | Colleen Stevens | Counselor | 955 Sweeney Drive, Dayton, OH 45458 | 2020-02-13 |
| 1740770197 | Social Row Transitional Care, Inc. | Skilled Nursing Facility | 250 West Social Row Road, Centerville, OH 45458 | 2018-05-11 |
| 1326568833 | Mary Ann Horton | Registered Nurse | 1362 Hickoryview Ct, Dayton, OH 45458 | 2017-06-26 |
| 1487101911 | Brianna Burkman | Specialist/Technologist | 1400 Stone Ash Ct, Centerville, OH 45458 | 2016-09-01 |
| 1720434707 | Ascent Health, LLC | Community/Behavioral Health | 1162 Peachcreek Rd., Dayton, OH 45458 | 2016-05-10 |
| 1821450206 | Chi Living Communties | Skilled Nursing Facility | 1050 St. Leonard Way, Centerville, OH 45458 | 2016-03-24 |
| 1265842835 | Amanda Powell | Physical Therapist | 9582 Tahoe Drive, Centerville, OH 45458 | 2014-05-05 |
| 1255774337 | Rita Charlene Penley | Counselor | 99 South Main St, Centerville, OH 45458 | 2013-04-09 |
| 1447503933 | Martha Ann Sheldrick | Nurse Practitioner | 212 Walnut Grove Dr, Centerville, OH 45458 | 2012-10-21 |
| Find all providers in zip 45458 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756956 | Selena Bruck | Nurse Practitioner | 6230 Hidden Creek Dr, Lorain, OH 44053-4304 | 2020-09-28 |
| 1699382580 | Pamela Dawn Raines | Nurse Practitioner | 4311 Autumn Creek Dr, Springfield, OH 45504-5112 | 2020-09-25 |
| 1275149908 | Allied Onsite Healthcare, LLC | Nurse Practitioner | 5846 Marble Creek St, Dublin, OH 43016-6367 | 2020-09-18 |
| 1780298562 | Bridget Thomas | Nurse Practitioner | 6051 Alexa Ln, Sylvania, OH 43560-3607 | 2020-08-31 |
| 1043823164 | Holly Carol Ostendorf | Nurse Practitioner | 13461 Pearl Rd, Strongsville, OH 44136-3405 | 2020-08-28 |
| 1336759869 | Retha N Strickland | Nurse Practitioner | 10270 Snowflake Ln, Cincinnati, OH 45251-1248 | 2020-08-10 |
| 1841818242 | Your Priorit Heatlh Care | Nurse Practitioner | 1100 Eaton Ave, Hamilton, OH 45013-1403 | 2020-07-12 |
| 1972122513 | Angelina Wong | Nurse Practitioner | 2610 Talmadge Rd, Ottawa Hills, OH 43606-2334 | 2020-04-14 |
| 1316577372 | Jeremy Ford | Nurse Practitioner | 15609 Shirley Ave, Maple Heights, OH 44137-4608 | 2020-01-17 |
| 1134766520 | Anthony Williams | Nurse Practitioner | 4633 Stratford Ln, Columbus, OH 43232-6179 | 2019-12-04 |
| Find all providers with the same taxonomy | ||||
| City | CENTERVILLE |
| Zip Code | 45458 |
Please comment or provide details below to improve the information on MRS. JENNIFER SUNDSTROM.
| 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.