JACKIE DEE STEVENS (NPI# 1801807235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801807235 |
| Entity Type | Individual |
| Full Name | JACKIE DEE STEVENS |
| Credential | RN, CNP |
| Practice Address |
401 16th St Se Ste 100 Rochester MN 55904-7974 |
| Mailing Address |
1900 Silver Lake Rd Nw New Brighton MN 55112-1786 |
| Practice Telephone | 5075160030 |
| Practice Fax Number | 5075160031 |
| Mailing Telephone | 6516280411 |
| Mailing Fax Number | 6516280411 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2019-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
CNP3637 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
R132984-5 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 5150779-00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316159668 | Jackie Paige Stevens | Counselor | 1900 W Commercial Blvd, #23, Ft Lauderdale, FL 33309-7104 | 2007-05-07 |
| 1912181694 | Jackie B. Stevens | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2007-12-18 |
| Street Address |
401 16TH ST SE STE 100 |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55904-7974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392106 | Kimberly Sue Moeller | Counselor | 401 16th St Se Ste 100, Rochester, MN 55904-7974 | 2020-10-08 |
| 1205453362 | Gregory Scott Jerdon | Counselor | 401 16th St Se Ste 100, Rochester, MN 55904-7974 | 2020-07-06 |
| 1992327076 | Ashley C Camacho | Counselor | 401 16th St Se Ste 100, Rochester, MN 55904-7974 | 2020-05-12 |
| 1447871553 | Hailie L Kallembach | Counselor | 401 16th St Se Ste 100, Rochester, MN 55904-7974 | 2020-04-29 |
| 1417586140 | Debra Lynn Melton | Counselor | 401 16th St Se Ste 100, Rochester, MN 55904-7974 | 2020-04-04 |
| 1649806688 | Kasey Meyer | Counselor | 401 16th St Se Ste 100, Rochester, MN 55904-7974 | 2020-03-22 |
| 1598390031 | Melinda June Grass | Counselor | 401 16th St Se Ste 100, Rochester, MN 55904-7974 | 2020-03-05 |
| 1033762398 | David Scott Brown | Counselor | 401 16th St Se Ste 100, Rochester, MN 55904-7974 | 2019-07-16 |
| 1821658410 | Mallory Anne Labelle | Counselor | 401 16th St Se Ste 100, Rochester, MN 55904-7974 | 2019-06-17 |
| 1457851271 | Emily Kathryn Barnett | Nurse Practitioner | 401 16th St Se Ste 100, Rochester, MN 55904-7974 | 2018-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912303 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1200 Eastgate Drive S.e., Rochester, MN 55904 | 2019-09-24 |
| 1952954992 | Jane Yaakni Hopaki | Midwife | 1224 Eastgate Dr Se, Rochester, MN 55904 | 2019-07-18 |
| 1851896187 | Hamdi A Ali | Pediatrics | 26 Mayo Park Dr Se, Rochester, MN 55904 | 2018-03-28 |
| 1255847059 | Brooke Maleszewski | Nurse Practitioner | 821 3rd Ave Se Ste 15, Rochester, MN 55904 | 2017-12-17 |
| 1699215988 | Maximus Language Resources | Interpreter | 1775 3rd Ave Se, Rochester, MN 55904 | 2017-03-06 |
| 1215484803 | Kylene Starr Allen | Social Worker | 343 Woodlake Dr. Se, Zumbro Valley Health Center, Rochester, MN 55904 | 2016-09-01 |
| 1013384627 | Breathe Easy Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 40 16th St. Sw Suite G, Rochester, MN 55904 | 2015-08-31 |
| 1932473105 | Michelle Lee Sather | Counselor | 343 Woodlake Drive Se, Rochester, MN 55904 | 2012-03-05 |
| 1538453022 | Amy M Carey | Social Worker | 40 16th Street Sw, Suite D, Rochester, MN 55904 | 2011-06-02 |
| 1396059895 | Lisa Marie Bingham | Optometrist | 111 S. Broadway, Rochester, MN 55904 | 2010-07-27 |
| Find all providers in zip 55904 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508412503 | Julie Marie Giles | Nurse Practitioner | 1415 Portland Ave Ste 200, Rochester, NY 14621-3022 | 2019-08-15 |
| 1174019038 | Adedayo Temitope Dosumu | Nurse Practitioner | 816 50th Ave Nw, Rochester, MN 55901-6554 | 2018-07-03 |
| 1730540154 | Brigit Klement | Nurse Practitioner | 13 Alvin Pl, Rochester, NY 14607-3301 | 2016-03-12 |
| 1104045848 | Jennifer Elseta Reid | Nurse Practitioner | 396 Chestnut Ridge Rd, Rochester, NY 14624-4329 | 2007-04-24 |
| 1568440303 | Jacquelyn Browning | Nurse Practitioner | 300 Meridian Centre, Suite 320 Evercare, Rochester, NY 14618 | 2006-01-03 |
| 1356337844 | Annette Palmieri Limbeck | Nurse Practitioner | 1437 Blossom Rd, Rochester, NY 14610-2211 | 2005-09-21 |
| 1427054261 | Nancy York Clar | Nurse Practitioner | 3156 East Ave, Rochester, NY 14618-3428 | 2005-06-27 |
| 1316596562 | Gertrude Nnebundo Orakwue | Nurse Practitioner | 1650 4th St Se, Rochester, MN 55904-4717 | 2019-09-10 |
| 1407321953 | Amy J Yates | Nurse Practitioner | 2655 Ridgeway Ave Ste 440, Rochester, NY 14626-4296 | 2018-10-11 |
| 1558845917 | Cara Mcgowan | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-3022 | 2018-09-21 |
| Find all providers in ROCHESTER | ||||
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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.