JEANANN TJADER (NPI# 1558395889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558395889 |
| Entity Type | Individual |
| Full Name | JEANANN TJADER |
| Practice Address |
300 W Conan St Ely MN 55731-1145 |
| Practice Telephone | 2183657900 |
| Practice Fax Number | 2183657975 |
| Mailing Telephone | 2183657900 |
| Mailing Fax Number | 2183657975 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2011-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R40917-020 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 480658100 | 05 |
| Street Address |
300 W CONAN ST |
| City | ELY |
| State | MN |
| Zip Code | 55731-1145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962440362 | Essentia Health Virginia, LLC | Clinic/Center | 300 W Conan St, Ely, MN 55731-1145 | 2006-06-04 |
| 1972131381 | Mataya Barrett | Community Health Worker | 300 W Conan St, Ely, MN 55731-1145 | 2020-03-31 |
| 1326598418 | Essentia Health Virginia, LLC | Clinic/Center | 300 W Conan St, Ely, MN 55731-1145 | 2016-10-12 |
| 1235585134 | Danyelle R Fenner | Family Medicine | 300 W Conan St, Ely, MN 55731-1145 | 2016-05-10 |
| 1801270798 | Nicholas Alexander Cooley | Family Medicine | 300 W Conan St, Ely, MN 55731 | 2015-07-10 |
| 1447325709 | Mary Catherine Ulmaniec Bianco | Family Medicine | 300 W Conan St, Ely, MN 55731-1145 | 2006-11-22 |
| 1720151004 | Jeffrey Allen Wilt | Family Medicine | 300 W Conan St, Ely, MN 55731-1145 | 2006-11-16 |
| 1457458531 | Joseph Michael Schwinghamer | Family Medicine | 300 W Conan St, Ely, MN 55731-1145 | 2006-09-20 |
| 1104837863 | Joseph Anthony Bianco | Family Medicine | 300 W Conan St, Ely, MN 55731-1145 | 2006-08-10 |
| 1164457727 | Margaret Eileen York-jesme | Nurse Practitioner | 300 W Conan St, Ely, MN 55731-1145 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720646110 | Bria Schurke | Physician Assistant | 1101 Ring Rock Rd, Ely, MN 55731 | 2019-05-31 |
| 1851738694 | Sonya Bland | Registered Nurse | 1701 Hwy 1, Ely, MN 55731 | 2013-06-03 |
| 1063513448 | Debra K Warner | Psychologist | 224 E Chapman, Rmhc Duluth Clinic, Ely, MN 55731 | 2006-09-26 |
| 1821107541 | Lars Lyle Roth | Chiropractor | 39 E Sheridan, Ely, MN 55731 | 2006-08-29 |
| 1992943336 | Ely Family Dentistry | Dentist | 40 N 1st Ave E, Ely, MN 55731 | 2009-01-22 |
| 1417162207 | William J Scott Dds Pa | Dentist | 40 N 1st Ave E, Ely, MN 55731 | 2007-05-14 |
| 1902303670 | Scott Allen Hofstadter | Physical Therapy Assistant | 2160 Deer Ridge Rd, Ely, MN 55731-0593 | 2018-04-10 |
| 1477660777 | Boundary Waters Care Center | Skilled Nursing Facility | 200 W Conan St, Ely, MN 55731-1143 | 2006-08-23 |
| 1538503800 | Amanda Nierengarten | Occupational Therapist | 200 W Conan St, Ely, MN 55731-1143 | 2013-04-17 |
| 1710260237 | Jacob Meyer Osell | Pharmacist | 328 W. Conan St., Ely Bloomeson Community Hospital, Ely, MN 55731-1145 | 2011-09-21 |
| Find all providers in zip 55731 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535679 | Suzette Axelgard | Nurse Practitioner | 1500 Avenue H, Ely, NV 89301-2615 | 2019-02-26 |
| 1225430861 | Amy Sue Barney | Nurse Practitioner | 6 Steptoe Circle, Ely, NV 89301 | 2014-09-25 |
| 1164457727 | Margaret Eileen York-jesme | Nurse Practitioner | 300 W Conan St, Ely, MN 55731-1145 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466368 | Amalia Jo Folland Harvey | Nurse Practitioner | 19883 Evensong Ct, Farmington, MN 55024-8688 | 2020-10-29 |
| 1710586235 | Jackelyn Laura Peterson | Nurse Practitioner | 10101 Bren Rd E Unit 345, Minnetonka, MN 55343-0060 | 2020-10-26 |
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1861091704 | Morgan Rohl | Nurse Practitioner | 117 12th Ave Nw Apt 2, Rochester, MN 55901-2787 | 2020-10-21 |
| 1063010304 | Kalie R Mccauley | Nurse Practitioner | 11452 Brook Rd Nw, Elk River, MN 55330-8739 | 2020-10-09 |
| 1659978930 | Sarah Jean Mudge | Nurse Practitioner | 350 Harbor Dr, Duluth, MN 55802-2600 | 2020-10-08 |
| 1285231621 | Karlu Dorleh | Nurse Practitioner | 14151 Territorial Rd Unit 212, Maple Grove, MN 55369-5725 | 2020-10-08 |
| 1447857669 | Kimberly Dawn Bursch-tewalt | Nurse Practitioner | 11884 237th Ave Nw, Elk River, MN 55330-8255 | 2020-10-01 |
| 1639786312 | Peter Wahl | Nurse Practitioner | 4652 Lyndale Ave S, Minneapolis, MN 55419-5302 | 2020-09-28 |
| 1568078616 | Joanna Kay Rehm | Nurse Practitioner | 3025 Eagandale Pl Apt 338, Eagan, MN 55121-1236 | 2020-09-23 |
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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.