JESSICA LYNN CICERO (NPI# 1568806958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568806958 |
| Entity Type | Individual |
| Full Name | JESSICA LYNN CICERO |
| Other Name | JESSICA GERMAN |
| Credential | PA-C |
| Practice Address |
2700 Vikings Cir Eagan MN 55121 |
| Mailing Address |
4200 Dahlberg Dr Ste 300 Golden Valley MN 55422-4841 |
| Practice Telephone | 9524567600 |
| Practice Fax Number | 9524567601 |
| Mailing Telephone | 7635207870 |
| Mailing Fax Number | 7635207580 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 11338 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 435 Phalen Blvd, Ms51103h, Saint Paul, MN 551305302 | 6512548300 | 6512548379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952416661 | Jessica M Cicero | Physical Therapist | 475 Pioneer Ave, Suite 200, Woodland, CA 95776-4905 | 2006-08-20 |
| Street Address |
2700 VIKINGS CIR |
| City | EAGAN |
| State | MN |
| Zip Code | 55121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275581795 | Jason Lavern Eggers | Chiropractor | 2700 Vikings Cir, Eagan, MN 55121-1002 | 2006-05-05 |
| 1013554682 | Stephanie Anne Ham | Physical Therapist | 2700 Vikings Cir, Eagan, MN 55121-1002 | 2019-12-03 |
| 1649831363 | Lucas Daniel Richer | Occupational Therapist | 2700 Vikings Cir, Eagan, MN 55121-1002 | 2019-06-24 |
| 1114494606 | Blake R Huppert | Physical Therapist | 2700 Vikings Cir, Eagan, MN 55121-1002 | 2018-11-01 |
| 1629576467 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 2700 Vikings Cir, Eagan, MN 55121-1002 | 2018-01-26 |
| 1043720451 | Chee Vang | Physical Therapist | 2700 Vikings Cir, Eagan, MN 55121 | 2017-10-11 |
| 1811439748 | Grant Blasczyk | Physical Therapist | 2700 Vikings Cir, Eagan, MN 55121-1002 | 2016-11-09 |
| 1326580549 | Lukas David Cash | Physical Therapist | 2700 Vikings Cir, Eagan, MN 55121 | 2016-11-07 |
| 1386193035 | Alexander Todd Barney | Physical Therapist | 2700 Vikings Cir, Eagan, MN 55121 | 2016-09-22 |
| 1710431846 | Gabrielle Morgan Dahl | Physical Therapist | 2700 Vikings Cir, Eagan, MN 55121 | 2016-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
| 1154986479 | Elp Right Living Health LLC | Assisted Living Facility | 3035 Eagandale Pl #101, Eagan, MN 55121 | 2019-05-02 |
| 1467908699 | Hy Vee Inc | Pharmacy | 1500 Central Park Commons Drive, Eagan, MN 55121 | 2016-08-28 |
| 1962861005 | Lakeline Transportation LLC | Non-emergency Medical Transport (VAN) | 1416 Shoreline Dr, Eagan, MN 55121 | 2016-02-17 |
| 1467838615 | John Berchem | Physical Therapist | 1284 Coporate Center Drive, #500, Eagan, MN 55121 | 2015-08-10 |
| 1730426099 | Carole P Cohen | Occupational Therapist | 880 Blue Gentian Road, Ste # 190, Eagan, MN 55121 | 2013-01-07 |
| 1407102882 | Emergency Physicians Professional Association | Clinic/Center | 3010 Denmark Avenue, Eagan, MN 55121 | 2012-08-03 |
| 1851692289 | Eagan Family Chiropractic & Massage | Chiropractor | 1260 Yankee Doodle Road, Suite 100, Eagan, MN 55121 | 2010-11-17 |
| 1780805218 | Bridget Marie Mcconnell | Social Worker | 680 O'neill Drive, Eagan, MN 55121 | 2007-05-01 |
| Find all providers in zip 55121 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371789 | Kamini Bose Sundar Bose | Physician Assistant | 781 Elrene Ct, Eagan, MN 55123-1233 | 2019-11-20 |
| 1568960292 | Omar Fernandes | Physician Assistant | Healthpartners Eagan Clinic, 1654 Diffley Road Ste 100 Mail Stop 34701a, Eagan, MN 55122-2237 | 2018-01-29 |
| 1447649637 | Leah Ruth Streitman | Physician Assistant | 3460 Washington Dr Ste 200, Eagan, MN 55122 | 2015-01-12 |
| 1649328121 | Jennifer Marie Kulus | Physician Assistant | Fairview Urgent Care - Eagan, 1440 Duckwood Drive, Eagan, MN 55122 | 2007-01-08 |
| 1902875818 | Bryan C Sternberg | Physician Assistant | 2620 Eagan Woods Dr Ste 100, Eagan, MN 55121-1138 | 2006-03-14 |
| 1396307450 | Laura Fisher | Physician Assistant | 1400 Corporate Center Curv, Eagan, MN 55121-1373 | 2019-06-28 |
| 1194275552 | Ronneil Aviles | Physician Assistant | 1654 Diffley Rd, Eagan, MN 55122 | 2016-10-10 |
| 1033451232 | Brooke Schroepfer | Physician Assistant | 4241 Johnny Cake Ridge Rd, Eagan, MN 55122-2235 | 2013-03-26 |
| 1306149539 | Kathryn Susan Eisenmenger Fuentes | Physician Assistant | 2854 Highway 55, Suite 130, Eagan, MN 55121-2156 | 2010-12-09 |
| 1003135765 | Kathryn Kempe O'morchoe | Physician Assistant | 1185 Town Centre Dr Ste 205, Eagan, MN 55123-1370 | 2010-05-20 |
| Find all providers in EAGAN | ||||
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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.