JODI JOHANNESSEN (NPI# 1750648846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750648846 |
| Entity Type | Individual |
| Full Name | JODI JOHANNESSEN |
| Credential | RN |
| Practice Address |
4961 Rice Lake Rd Ste 105 Duluth MN 55803-8439 |
| Practice Telephone | 2187270296 |
| Practice Fax Number | 2187274135 |
| Mailing Telephone | 2187270296 |
| Mailing Fax Number | 2187274135 |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
R156709-2 | MN | Nursing Service Providers |
| Street Address |
4961 RICE LAKE RD STE 105 |
| City | DULUTH |
| State | MN |
| Zip Code | 55803-8439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760048631 | Rikki Jo Swartz | Registered Nurse | 4961 Rice Lake Rd Ste 105, Duluth, MN 55803-8439 | 2019-05-15 |
| 1730643560 | Lisa Bruzek | Registered Nurse | 4961 Rice Lake Rd Ste 105, Duluth, MN 55803-8439 | 2019-01-25 |
| 1447721154 | Molly Dwyer Drewlo | Registered Nurse | 4961 Rice Lake Rd Ste 105, Duluth, MN 55803-8439 | 2018-12-07 |
| 1376014084 | Timothy Lyle Fellman | Registered Nurse | 4961 Rice Lake Rd Ste 105, Duluth, MN 55803-8439 | 2018-12-07 |
| 1174880611 | Honah Marie Schul | Registered Nurse | 4961 Rice Lake Rd Ste 105, Duluth, MN 55803-8439 | 2012-04-23 |
| 1497012587 | Vicki Rostollan | Registered Nurse | 4961 Rice Lake Rd Ste 105, Duluth, MN 55803-8439 | 2012-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144872615 | Rosslyn Jean Kendrick | Health Educator | 1926 Lakeview Dr, Duluth, MN 55803 | 2019-07-15 |
| 1255757191 | Chandra Rose Shoberg | Physical Therapy Assistant | 131 West Wabasha Street, Duluth, MN 55803 | 2014-03-17 |
| 1053642652 | Kate Elizabeth Matson | Social Worker | 5095 Fish Lake Road, Duluth, MN 55803 | 2010-01-21 |
| 1972740025 | Danie-marie Osterlund | Marriage & Family Therapist | 4321 Allendale Ave., Duluth, MN 55803 | 2009-01-12 |
| 1205020419 | Marjorie Lynn Gilbertson | Registered Nurse | 167 Farley Lane, Duluth, MN 55803 | 2007-08-30 |
| 1497894646 | Jeffrey Keith Somrock | Dentist | 22 E Calvary Rd, Woodland Family Dental Clinic Pa, Duluth, MN 55803 | 2007-02-05 |
| 1407949167 | The Hills Youth and Family Services | Clinic/Center | 4321 Allendale Avenue, Duluth, MN 55803 | 2006-10-02 |
| 1942567086 | Carl Peter Rasmussen | Family Medicine | 1400 Woodland Ave, Duluth, MN 55803 | 2012-04-13 |
| 1285011692 | Chandra J Fischer | Midwife | 3548 W Tischer Rd, Duluth, MN 55803-1124 | 2015-05-05 |
| 1518143999 | Claudia Virginia Weber | Psychologist | 4298 Charles Rd, Duluth, MN 55803-1270 | 2008-01-15 |
| Find all providers in zip 55803 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134762404 | Crystal Marie Macfarlane | Registered Nurse | 2232 Jefferson St, Duluth, MN 55812-2114 | 2019-10-19 |
| 1871082354 | Shelly Lynn Manthey | Registered Nurse | 2701 W Superior St Ste 101, Duluth, MN 55806-1857 | 2018-05-09 |
| 1497387450 | Nichol Lynn Sedivy | Registered Nurse | 2701 W Superior St Ste 101, Duluth, MN 55806-1857 | 2020-02-07 |
| 1730643560 | Lisa Bruzek | Registered Nurse | 4961 Rice Lake Rd Ste 105, Duluth, MN 55803-8439 | 2019-01-25 |
| 1447721154 | Molly Dwyer Drewlo | Registered Nurse | 4961 Rice Lake Rd Ste 105, Duluth, MN 55803-8439 | 2018-12-07 |
| 1376014084 | Timothy Lyle Fellman | Registered Nurse | 4961 Rice Lake Rd Ste 105, Duluth, MN 55803-8439 | 2018-12-07 |
| 1568956381 | Yvonne I Monien | Registered Nurse | 810 E 4th St, Duluth, MN 55805-2147 | 2018-06-15 |
| 1871953075 | Tiffany Degnan | Registered Nurse | 4815 Burning Tree Rd, Duluth, MN 55811-3800 | 2016-03-01 |
| 1962862375 | Jamie Marie Grills | Registered Nurse | 4815 Burning Tree Rd, Duluth, MN 55811-3800 | 2016-02-26 |
| 1417317827 | Ma-retta Camp | Registered Nurse | 4815 Burning Tree Rd, Duluth, MN 55811-3800 | 2016-02-26 |
| Find all providers in DULUTH | ||||
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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.