MRS. JENNIFER ROSE PORTER (NPI# 1770103129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770103129 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER ROSE PORTER |
| Credential | PMHNP |
| Practice Address |
120 Labree Ave S Thief River Falls MN 56701-2819 |
| Mailing Address |
1604 Park Dr Se East Grand Forks MN 56721-3210 |
| Practice Telephone | 2186834351 |
| Mailing Telephone | 7015909559 |
| Enumeration Date | 2020-04-25 |
| Last Update Date | 2020-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
7365 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326587098 | Jennifer Porter | Technician, Other | 4725 Sunflower Dr, Mckinney, TX 75070-7432 | 2017-02-14 |
| 1952650038 | Jennifer Abigail Porter | Psychologist | 3939 Atlantic Ave Ste 103, Long Beach, CA 90807-3529 | 2012-09-05 |
| 1750657375 | Jennifer Marie Porter | Social Worker | 6 James St, Wharton, NJ 07885-1023 | 2012-03-28 |
| 1295890671 | Jennifer Porter | Physical Therapist | 11 Leyden St, Medford, MA 02155-6632 | 2006-12-26 |
| 1831259571 | Jennifer P Porter | Otolaryngology | 7201 Wisconsin Ave, Suite 515, Bethesda, MD 20814-4810 | 2006-12-11 |
| 1023036233 | Jennifer Lovett Porter | Chiropractor | 1 Cecil Ln, Lexington, SC 29073-8008 | 2006-07-17 |
| 1528673407 | Jennifer Gessler Porter | Physical Therapist | 2520 N Orange Ave Ste 100, Orlando, FL 32804-4638 | 2020-09-09 |
| 1205473071 | Jennifer Porter | Pharmacist | 9835 Fall Creek Rd, Indianapolis, IN 46256-4802 | 2019-11-29 |
| 1891348702 | Jennifer L Porter | Nurse Practitioner | 100 Rosebrook Way, Wareham, MA 02571-1138 | 2019-07-19 |
| 1669943247 | Jennifer Marie Porter | Physical Therapist | 9150 Allen Rd, Allen Park, MI 48101-1436 | 2018-12-08 |
| Street Address |
120 LABREE AVE S |
| City | THIEF RIVER FALLS |
| State | MN |
| Zip Code | 56701-2819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912992447 | Madaline G. Barnes | Psychologist | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2005-09-12 |
| 1710585286 | Sherrie Ann Kahn | Counselor | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2020-10-15 |
| 1881212819 | Brady Anderson | Social Worker | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2020-07-07 |
| 1063035608 | Davis John Mills | Nurse Practitioner | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2020-05-18 |
| 1548800535 | Rozlynn O'lee Johnsrud | Nurse Practitioner | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2020-01-08 |
| 1811466444 | Angelica Erickson | Counselor | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2018-11-13 |
| 1023504248 | Miranda Elizabeth Solem | Counselor | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2018-07-11 |
| 1033603683 | Ashley Lauren Holtan | Speech-Language Pathologist | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2018-06-18 |
| 1790275196 | Dawn Marie Ellis | Counselor | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2018-05-11 |
| 1417446824 | Stacy Mae Carlson | Counselor | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2018-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265885834 | Julia Nelson | Physical Therapist | 1511 Highway 59 S Ste A, Thief River Falls, MN 56701 | 2016-07-19 |
| 1326321167 | Achieve Therapy LLC | Physical Therapist | 201 Brooks Ave, Thief River Falls, MN 56701 | 2011-09-27 |
| 1841581121 | Kathleen G. Barry | Dietitian, Registered | 120 Labree Ave S, Thief River Falls, MN 56701 | 2011-04-21 |
| 1740437789 | Altra Care P A | Clinic/Center | 1140 Vanrooy Dr., Thief River Falls, MN 56701 | 2008-08-21 |
| 1255514477 | Terrence Robert Demars | Social Worker | Meritcare Northwest Medical Center, 120 Labree Ave S, Thief River Falls, MN 56701 | 2007-12-11 |
| 1437290970 | Donna B Helmich | Dentist | 318 La Bree Ave. North, Thief River Falls, MN 56701 | 2007-02-09 |
| 1528129160 | Great Plains Ems, Inc | Ambulance | 511 N Atlantic, Thief River Falls, MN 56701 | 2006-12-13 |
| 1609959022 | John Lloyd Seaverson | Dentist | 318 Labree Ave North, Thief River Falls, MN 56701 | 2006-10-21 |
| 1932280120 | Pennington Health Services | Skilled Nursing Facility | 130 Labree Avenue South, Thief River Falls, MN 56701 | 2006-10-17 |
| 1336232495 | Anderson Hearing Center Ltd | Audiologist | 302 3rd St E, Thief River Falls, MN 56701 | 2006-10-02 |
| Find all providers in zip 56701 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063035608 | Davis John Mills | Nurse Practitioner | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2020-05-18 |
| 1548800535 | Rozlynn O'lee Johnsrud | Nurse Practitioner | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2020-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234435 | Hawa Warsame Ali | Nurse Practitioner | 2650 Portland Ave, Minneapolis, MN 55407-1011 | 2020-10-27 |
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1811504038 | Rita Jane Giglio | Nurse Practitioner | 201 Stade Ln, Fairmont, MN 56031-3227 | 2020-09-30 |
| 1568077725 | Linda Mongare | Nurse Practitioner | 3659 Tower Pond Dr, Anoka, MN 55303-8302 | 2020-09-14 |
| 1366056806 | Associates In Mental Health and Addiction Services. P.l.l.c | Nurse Practitioner | 166 W 3rd St Ste 202, Winona, MN 55987-6591 | 2020-09-02 |
| 1891308813 | Chelsey Paulson | Nurse Practitioner | 228 Krays Mill Rd, Cold Spring, MN 56320-4563 | 2020-08-28 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1609488964 | Heather Mantsch | Nurse Practitioner | 1900 Silver Lake Rd Nw Ste 100, New Brighton, MN 55112-1786 | 2020-08-18 |
| 1326659210 | Monsurat Oluwa-okougbo | Nurse Practitioner | 1565 11th Ave, Newport, MN 55055-1650 | 2020-08-13 |
| 1629687124 | Justin Robert Wirth | Nurse Practitioner | 4801 Veterans Dr # 111, Saint Cloud, MN 56303-2015 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
| City | THIEF RIVER FALLS |
| Zip Code | 56701 |
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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.