JESSICA L MAHONEY


Address: 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568
Phone: 6512900133

JESSICA L MAHONEY (NPI# 1659836070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659836070
Entity Type Individual
Full Name JESSICA L MAHONEY
Credential NURSE PRACTITIONER
Practice Address 225 Smith Ave N Ste 400
Saint Paul
MN 55102-2568
Mailing Address 46 Crocus Pl
Saint Paul
MN 55102-2810
Practice Telephone 6512900133
Mailing Telephone 6125086766
Enumeration Date 2019-02-11
Last Update Date 2019-02-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner AG02190059 MN Physician Assistants & Advanced Practice Nursing Providers

Other Providers JESSICA MAHONEY

NPI Name Taxonomy Address Enumeration
1730648783 Jessica M Mahoney Counselor 807 Lawn Ave, Sellersville, PA 18960-1594 2019-03-19
1790196715 Jessica Mahoney Psychologist 3457 Brook Crossing Dr, Brandon, FL 33511-8181 2014-05-13
1538233507 Jessica Ann Mahoney Pharmacist 600 Highland Ave, Compliance Mail Code 2433, Madison, WI 53792-0001 2006-11-20
1659459253 Jessica B. Mahoney Pediatrics 395 Hickey Blvd, Daly City, CA 94015-2770 2006-11-01
1972525129 Jessica Robin Mahoney Physician Assistant 1000 South Ave, Rochester, NY 14620-2733 2006-07-24

Office Location

Street Address 225 SMITH AVE N STE 400
City SAINT PAUL
State MN
Zip Code 55102-2568

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083697825 Richard Jay Brody Internal Medicine 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 2005-11-25
1780209486 Megan Kipfer Nurse Practitioner 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 2020-06-09
1124501515 Matthew Alan Klimek Licensed Practical Nurse 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 2018-09-11
1427552686 Brittany Lynn Butts Physician Assistant 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 2018-03-22
1598212839 Rachel M Thompson Physician Assistant 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 2016-09-02
1659827111 Caitlin Ann Rau Physician Assistant 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 2016-08-25
1649723107 Bridget Blake Physician Assistant 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 2016-08-01
1568809986 Takeshi Onizuka Internal Medicine 225 Smith Ave N Ste 400, Saint Paul, MN 55102 2013-05-24
1184988032 Kalie Yang Kebed Internal Medicine 225 Smith Ave N Ste 400, Saint Paul, MN 55102 2012-06-26
1962778050 Kathleen Carlson Internal Medicine 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 2012-03-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720623366 Ning Wu Acupuncturist Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 2019-11-07
1730730615 Tianwei Guo Acupuncturist 613 Grand Avenue, Saint Paul, MN 55102 2019-09-23
1194374850 Justin Crawford Diehl Counselor 976 Juno Avenue, Saint Paul, MN 55102 2019-09-05
1699329169 Elisabeth Johanna Wurtmann Genetic Counselor, MS 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 2019-08-01
1265907083 Lillia Budd Nurse Practitioner 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 2018-10-08
1922505098 Women of Nations Substance Abuse Rehabilitation Facility 73 Leech Street, St. Paul, MN 55102 2018-04-06
1609371939 Courtney Marie Klinkhammer Student in an Organized Health Care Education/Training Program 1026 West Seventh Street, St. Paul, MN 55102 2018-03-28
1427429372 Compass Pathology and Consulting Clinical Medical Laboratory 360 Sherman St Suite 400b, St. Paul, MN 55102 2015-10-16
1639550494 Daniel Delapp Speech-Language Pathologist United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 2015-06-17
1124419940 Suzanne Carl Speech-Language Pathologist 360 Colborne Avenue, St. Paul, MN 55102 2015-02-16
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063039378 Samantha Dion Richardson Nurse Practitioner 3225 Dogwood Dr, Saint Paul, VA 24283-2543 2020-07-02
1033547708 Jane Monita Nurse Practitioner 225 Smith Ave N Ste 200, Saint Paul, MN 55102-2697 2013-10-16
1851541239 Emily A. Wolfe Nurse Practitioner 640 Jackson St - Mc 11108b, Healthpartners Regions Specialty Clinics, Saint Paul, MN 55101-2502 2008-09-23
1629264668 Chris-ann Lauria Nurse Practitioner 1145 Homer St, Saint Paul, MN 55116-3231 2007-09-24
1871790956 Susan M Knier Nurse Practitioner 178 9th St E, Saint Paul, MN 55101 2007-07-02
1275625485 Michele Johnson Nurse Practitioner 916 Rice St, Saint Paul, MN 55117-5425 2006-09-28
1063517100 Samuel Yaw Boadu Nurse Practitioner 409 North Dunlap Street, Open Cities Health Center, Saint Paul, MN 55104-4201 2006-09-13
1205843307 Jean Marie Kummer Iv Nurse Practitioner 4831 Richard Ln, Saint Paul, MN 55122-2784 2006-08-02
1568489037 Anna Mergit Novak Nurse Practitioner 1055 Westgate Dr Ste 100, Saint Paul, MN 55114-1451 2006-07-17
1144287251 Diane M Budnick Nurse Practitioner 1700 University Ave W, Medical Advanced Pain Specialists, Saint Paul, MN 55104-3727 2006-05-01
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Competitor

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City SAINT PAUL
Zip Code 55102

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Dataset Information

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.

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