JENNA L. POTTER


Address: 2450 Riverside Ave, Minneapolis, MN 55454-1450
Phone: 6126726000

JENNA L. POTTER (NPI# 1720495484) 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) 1720495484
Entity Type Individual
Full Name JENNA L. POTTER
Practice Address 2450 Riverside Ave
Minneapolis
MN 55454-1450
Mailing Address 400 Stinson Blvd Fl 2
Minneapolis
MN 55413-2614
Practice Telephone 6126726000
Enumeration Date 2014-07-15
Last Update Date 2019-07-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 5836-33 WI Physician Assistants & Advanced Practice Nursing Providers
Y 363LC0200X Nurse Practitioner
Specialization: Critical Care Medicine 		5978 MN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
500 Harvard St Se, Minneapolis, MN 554550363 6126263343 6126263366
600 Highland Ave, Madison, WI 537920001 6082637203

Other Providers JENNA POTTER

NPI Name Taxonomy Address Enumeration
1487142899 Jenna Potter Behavioral Analyst 701 Glencrest Ln Ste A, Longview, TX 75601-5145 2018-05-01
1962790303 Jenna M. Potter Social Worker 607 E 200 S, Salt Lake City, UT 84102-2110 2011-07-19

Office Location

Street Address 2450 RIVERSIDE AVE
City MINNEAPOLIS
State MN
Zip Code 55454-1450

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568462570 Sreejaya Veluvali Psychiatry & Neurology 2450 Riverside Ave, Minneapolis, MN 55454-1450 2005-08-01
1588265375 Fairview Health Services General Acute Care Hospital 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-11-06
1215535927 Katrina Joelle Christian Student in an Organized Health Care Education/Training Program 2450 Riverside Ave, Department of Pediatrics, 6 East Building, Minneapolis, MN 55454-5510 2020-10-14
1023616208 Jodi Renee Nelson Psychologist 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-10-11
1912504150 Pamela Norling Counselor 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-10-01
1225635345 Trevor Ryan Goldsmith Nurse Anesthetist, Certified Registered 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-10-01
1215534342 Michelle L White Marriage & Family Therapist 2450 Riverside Ave, Attn: Adult Cd Lodging Plus, Minneapolis, MN 55454-1450 2020-10-01
1295341048 Tobias Zander Donlon Student in an Organized Health Care Education/Training Program 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-09-17
1417562497 Megan Farr Dietitian, Registered 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-09-15
1871101238 Fairview Express Care General Practice 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-07-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194341842 Bruce Zhang Student in an Organized Health Care Education/Training Program 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 2020-06-18
1205456738 Sara Segner Student in an Organized Health Care Education/Training Program Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 2020-04-24
1417576844 Sabena Khan Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 2020-04-15
1811525983 Kayla Joy Solstad Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 2020-04-01
1720647126 Lauren Harasymiw Student in an Organized Health Care Education/Training Program Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 2019-06-10
1689237448 Katelyn Marie Adams Student in an Organized Health Care Education/Training Program Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 2019-04-17
1285197848 Adrienne Bruder Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 2019-04-10
1588142855 Stewart Graeme Morrison Student in an Organized Health Care Education/Training Program Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 2018-07-30
1831682251 Sherab Tsheringla Student in an Organized Health Care Education/Training Program 2450 Riverside Avenue South, Minneapolis, MN 55454 2018-06-11
1669962148 Pooja Elizabeth Mishra Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 2018-05-10
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Taxonomy Information

Taxonomy Code 363LC0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386805067 Steven Andrew Mcdonald Nurse Practitioner 420 Delaware St Se, Minneapolis, MN 55455-0341 2008-06-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437659190 Riley Odom Nurse Practitioner 559 Capitol Blvd, Saint Paul, MN 55103-2101 2018-02-19
1700991098 Durae June Pfeffer Nurse Practitioner 400 E 3rd St, Duluth, MN 55805-1951 2006-08-20
1508898156 Sara Ann Forrest Nurse Practitioner 400 E 3rd St, Duluth, MN 55805-1951 2006-07-06
1184668576 Cheryl Swenson Nurse Practitioner 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 2006-06-15
1609866201 Amy L Kramer Nurse Practitioner 1200 6th Ave N, Saint Cloud, MN 56303-2735 2005-10-25

Competitor

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City MINNEAPOLIS
Zip Code 55454

Improve Information

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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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