JENNIFER BECK (NPI# 1760897979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760897979 |
| Entity Type | Individual |
| Full Name | JENNIFER BECK |
| Credential | PA-C |
| Practice Address |
550 Osborne Rd Ne Fridley MN 55432-2718 |
| Mailing Address |
5435 Feltl Rd Minnetonka MN 55343-7983 |
| Practice Telephone | 7632365000 |
| Mailing Telephone | 9528359880 |
| Mailing Fax Number | 9528571554 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871065250 | Jennifer Sue Beck | Lactation Consultant, Non-RN | 506 N Elida, Winnebago, IL 61088 | 2018-12-22 |
| 1205340395 | Jennifer Beck | Nurse Practitioner | 320 Click St, Ashdown, AR 71822-3225 | 2017-11-28 |
| 1326597022 | Jennifer Beck | Nutritionist | 110 Hanson Rd., Paso Robles, CA 93446 | 2016-09-23 |
| 1275865453 | Jennifer Anne Beck | Pharmacist | 9714 Ne Mill Plain Blvd, Vancouver, WA 98664 | 2010-02-12 |
| 1558457234 | Jennifer L Beck | Pharmacist | 10 W 2nd St, Pana, IL 62557-1302 | 2006-10-04 |
| 1043257181 | Jennifer Jones Beck | Social Worker | 521 Woodhaven, Ingleside, TX 78362-4678 | 2006-05-31 |
| 1225591324 | Jennifer Ann Beck | Behavior Technician | 1900 Indian Wood Cir Ste 100, Maumee, OH 43537-4033 | 2019-04-08 |
| 1386116176 | Jennifer Beck | Counselor | 401 E 10th Ave Ste 330, Eugene, OR 97401-3357 | 2018-12-18 |
| 1699259754 | Jennifer Beck | Behavior Technician | 744 Empire St Ste 160, Fairfield, CA 94533-5562 | 2018-09-24 |
| 1407231756 | Jennifer L Beck | Pharmacist | 1100 Emmers Ln, Oshkosh, WI 54904-7758 | 2015-07-29 |
| Street Address |
550 OSBORNE RD NE |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689666497 | Jeffrey S Herman | Radiology | 550 Osborne Rd Ne, Unity Radiation Therapy Ctr, Fridley, MN 55432-2718 | 2005-08-17 |
| 1982231189 | Sylvia Lirazan | Physical Medicine & Rehabilitation | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2020-03-26 |
| 1487206926 | Marie Granquist | Physical Therapy Assistant | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-07-15 |
| 1003468539 | Laura Jeanne Houfek | Occupational Therapist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-07-15 |
| 1497307235 | Shaun Michael Sperr | Physical Therapist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-07-11 |
| 1285192252 | Chamaera Sowell | Social Worker | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-03-07 |
| 1932665858 | Amy Kirsten Maynard | Registered Nurse | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-02-15 |
| 1225593825 | Shannon Thomas Woulfe | Psychologist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-02-07 |
| 1578031779 | Caroline Betty Muthuri | Nurse Practitioner | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2018-11-06 |
| 1841783131 | Symphony Michelle Moser | Speech-Language Pathologist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2018-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| 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 |
|---|---|---|---|---|
| 1760435036 | Colleen L Weed | Physician Assistant | 550 Osborne Rd, Ne, Fridley, MN 55432 | 2006-05-18 |
| 1588638514 | Amy C Lindell | Physician Assistant | 8290 University Ave Ne, Suite 200, Fridley, MN 55432-1847 | 2006-02-15 |
| 1497757470 | Marguerite Nancy Kibira | Physician Assistant | 755 53rd Ave Ne, Fridley, MN 55421-1240 | 2005-08-10 |
| 1568999126 | Peter D Fitzgerald | Physician Assistant | 8290 University Ave Ne, Fridley, MN 55432-1847 | 2017-05-15 |
| 1912358219 | Kelli Michelle Cannata | Physician Assistant | 8290 University Ave Ne, Ste 200, Fridley, MN 55432-1847 | 2016-06-28 |
| 1588035612 | Yelena Babashova | Physician Assistant | 480 Osborne Rd Ne, Fridley, MN 55432-2773 | 2015-10-15 |
| 1891101838 | Katie Mclaughlin | Physician Assistant | 8290 University Ave Ne, Suite 200, Fridley, MN 55432-1847 | 2014-07-10 |
| 1205277571 | Nea Rae Bennington | Physician Assistant | 8290 University Ave Ne, Suite 200, Fridley, MN 55432-1847 | 2013-07-15 |
| 1750722617 | Michael Russell Neutkens | Physician Assistant | 480 Osborne Rd Ne, Fridley, MN 55432-2773 | 2013-07-08 |
| 1356789952 | Rachael Moberg | Physician Assistant | 755 53rd Ave Ne, Cvs Minute Clinic, Fridley, MN 55421-1240 | 2013-06-05 |
| Find all providers in FRIDLEY | ||||
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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.