JENNIFER MIKKELSON (NPI# 1700300720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700300720 |
| Entity Type | Individual |
| Full Name | JENNIFER MIKKELSON |
| Credential | NP |
| Practice Address |
225 Smith Ave N Saint Paul MN 55102-2533 |
| Mailing Address |
7048 18th Ave S Richfield MN 55423-3442 |
| Practice Telephone | 6512900133 |
| Mailing Telephone | 9522709181 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2017-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
5282 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669767380 | Jennifer Mikkelson | Pharmacist | 74 Bridge St, East Windsor, CT 06088-9679 | 2011-06-09 |
| Street Address |
225 SMITH AVE N |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-2533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902805146 | Kristi R Swarthwood | Nurse Practitioner | 225 Smith Ave N, Suite 400, Saint Paul, MN 55102-2533 | 2005-07-19 |
| 1053936922 | Suzanne Moseley | Clinical Neuropsychologist | 225 Smith Ave N, Saint Paul, MN 55102-2533 | 2020-06-16 |
| 1518404268 | Jon Reynolds England | Physician Assistant | 225 Smith Ave N, Saint Paul, MN 55102-2533 | 2017-01-19 |
| 1891248977 | Lucy Bernhoft Bediako | Physician Assistant | 225 Smith Ave N, Suite 400, Saint Paul, MN 55102-2533 | 2016-07-26 |
| 1033662135 | Sonja Harlane | Registered Nurse | 225 Smith Ave N, #400, Saint Paul, MN 55102-2533 | 2016-07-26 |
| 1528413689 | Katie Reger | Psychologist | 225 Smith Ave N, Suite 201, Saint Paul, MN 55102-2533 | 2016-04-26 |
| 1053770784 | Anne Sheehan | Nurse Practitioner | 225 Smith Ave N, #400, Saint Paul, MN 55102-2533 | 2016-02-23 |
| 1306203278 | Megan Corinne Ayers Assad | Physician Assistant | 225 Smith Ave N, Suite 200, Saint Paul, MN 55102-2533 | 2016-01-24 |
| 1760868053 | Augusta Ruth Neisen | Physician Assistant | 225 Smith Ave N, Ste. 400, Saint Paul, MN 55102-2533 | 2015-08-10 |
| 1265817886 | Rodica Catrava | Nurse Practitioner | 225 Smith Ave N, Suite 400, Saint Paul, MN 55102-2533 | 2015-07-24 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184145914 | Andrea Lueck | Nurse Practitioner | 345 Smith Ave N Ste 301, Saint Paul, MN 55102-2346 | 2017-07-01 |
| 1780209486 | Megan Kipfer | Nurse Practitioner | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2020-06-09 |
| 1427694926 | Katherine Marie Betzel | Nurse Practitioner | 45 10th St W, Saint Paul, MN 55102-1062 | 2019-11-20 |
| 1457778623 | Nicole Kalamitsiotis | Nurse Practitioner | 1700 University Ave W Fl 6, Saint Paul, MN 55104 | 2014-03-25 |
| 1699108209 | Kathleen Adele Jackson | Nurse Practitioner | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2013-08-19 |
| 1023253945 | Susan Marie Johnson-sickel | Nurse Practitioner | 640 Jackson St, Saint Paul, MN 55101-2502 | 2008-12-05 |
| 1497940860 | The Saint Paul Lung Clinic | Nurse Practitioner | 225 Smith Ave N Ste 300, Saint Paul, MN 55102-2592 | 2007-09-10 |
| 1174717847 | Rebecca Ann Wieben | Nurse Practitioner | 225 Smith Ave N, Suite 300, Saint Paul, MN 55102-2533 | 2007-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043826605 | Angela Jean Splettstoeszer | Nurse Practitioner | 916 Arch Ln Sw, Bemidji, MN 56601-8861 | 2020-09-18 |
| 1316581440 | Northern Lights Health LLC | Nurse Practitioner | 212 W Lake St, Waconia, MN 55387-1014 | 2019-10-31 |
| 1285190132 | Hudson M Omweri | Nurse Practitioner | 1621 Highway 47, Ogilvie, MN 56358-9005 | 2019-02-15 |
| 1871914887 | Brooke Habisch | Nurse Practitioner | 1200 Sixth Ave No Centracare Clinic, Saint Cloud, MN 56303 | 2013-12-17 |
| 1851635502 | Kim Noreen Garrett | Nurse Practitioner | 1703 Bradach Rd, Ely, MN 55731-8041 | 2012-11-19 |
| 1821365305 | Nathaniel I Cree | Nurse Practitioner | 500 Harvard St., Fairview University Hospital, Minneapolis, MN 55455 | 2011-11-28 |
| 1235461419 | Eric Andrew Reyer | Nurse Practitioner | 6401 Sycamore Ln N, Maple Grove, MN 55369-6356 | 2010-02-12 |
| 1457303067 | David A Palm | Nurse Practitioner | Hennepin County Medical Center, 701 Park Ave, Minneapolis, MN 55415 | 2006-05-16 |
| 1972567956 | Michelle D Lewis | Nurse Practitioner | 9900 Bren Rd East, Mail Route Mn 008-b213, Minnetonka, MN 55343-9664 | 2006-04-14 |
| 1679170278 | Paul R Jerve | Nurse Practitioner | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
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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.