JENNIFER ELAINE GROSS (NPI# 1821026170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821026170 |
| Entity Type | Individual |
| Full Name | JENNIFER ELAINE GROSS |
| Other Name | JENNIFER ELAINE TRACY |
| Credential | PA-C, ATC |
| Practice Address |
303 Catlin St Buffalo MN 55313-1947 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 7636825225 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2016-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1588 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 363A00000X | Physician Assistant | 12024 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558801555 | Jennifer Bragg Gross | Physical Therapist | 3855 Shallowford Rd Ste 415, Marietta, GA 30062-4197 | 2017-02-24 |
| 1730549635 | Jennifer Leigh Gross | Speech-Language Pathologist | 543 General Cruft Dr, Richmond, KY 40475-7520 | 2016-03-04 |
| 1902283336 | Jennifer Gross | Counselor | 3161 Custer Dr Ste 4, Lexington, KY 40517-4067 | 2015-05-06 |
| 1043645328 | Jennifer Elaine Gross | Physical Therapist | 653 N La Nae Cir, Orange, CA 92869-2514 | 2013-09-05 |
| 1235281395 | Jennifer Gross | Occupational Therapist | 1410 W Daisy L Gatson Bates Dr, Little Rock, AR 72202-5434 | 2007-01-17 |
| 1841369618 | Jennifer Lynn Gross | Nurse Practitioner | 7350 Lakota Springs Dr, West Chester, OH 45069-5408 | 2006-11-07 |
| 1023197951 | Jennifer Marie Gross | Counselor | 1902 120th Pl Se Ste 102b, Everett, WA 98208-8400 | 2006-11-02 |
| 1467067058 | Jennifer Amanda Gross | Marriage & Family Therapist | 2600 S El Camino Real Ste 200, San Mateo, CA 94403-2382 | 2020-09-10 |
| 1861013047 | Jennifer Gross | Speech-Language Pathologist | 8101 Boat Club Rd Ste 160, Fort Worth, TX 76179-3631 | 2020-04-29 |
| 1114564648 | Jennifer Gross | Counselor | 280 E Thousand Oaks Blvd Ste D, Thousand Oaks, CA 91360-7762 | 2019-12-03 |
| Street Address |
303 CATLIN ST |
| City | BUFFALO |
| State | MN |
| Zip Code | 55313-1947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952385304 | Tracy Alan Powell | Emergency Medicine | 303 Catlin St, Buffalo, MN 55313-1947 | 2005-11-30 |
| 1932749199 | Carissa Mae Knott | Occupational Therapist | 303 Catlin St, Buffalo, MN 55313-1947 | 2020-01-15 |
| 1003472010 | Erika Renee Schilla | Audiologist | 303 Catlin St, Buffalo, MN 55313-1947 | 2019-05-15 |
| 1619433414 | Jessica Elizabeth Shor | Speech-Language Pathologist | 303 Catlin St, Buffalo, MN 55313-1947 | 2019-02-17 |
| 1275058273 | Erica Rose Berger | Social Worker | 303 Catlin St, Buffalo, MN 55313-1947 | 2017-08-10 |
| 1457881930 | Jenna Laurel Ramler | Physician Assistant | 303 Catlin St, Buffalo, MN 55313-1947 | 2017-06-15 |
| 1831626084 | Allina Health System | Clinic/Center | 303 Catlin St, Buffalo, MN 55313-1947 | 2017-05-18 |
| 1750820148 | Katie Olson | Dietitian, Registered | 303 Catlin St, Buffalo, MN 55313-1947 | 2017-02-17 |
| 1912445081 | Allina Health System | Acupuncturist | 303 Catlin St, Buffalo, MN 55313-1947 | 2017-02-08 |
| 1295272342 | Allina Health System | Orthopaedic Surgery | 303 Catlin St, Buffalo, MN 55313-1947 | 2017-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
| 1386279610 | Julie Lee | Pharmacist | 1300 Hwy 55, Buffalo, MN 55313 | 2020-03-06 |
| 1023510591 | Brenda Renee Bakken | Licensed Practical Nurse | 25 1st Ave Ne Suite 100, Buffalo, MN 55313 | 2018-03-01 |
| 1760938716 | Karen Kahler | Counselor | 1772 Donnelly Dr Nw, Buffalo, MN 55313 | 2016-08-30 |
| 1235514118 | Minnesota Teen Challenge, Inc. | Exclusive Provider Organization | 100 Garrison Ave Ne, Buffalo, MN 55313 | 2015-07-21 |
| 1912391723 | Cassandra Loeffler | Chiropractor | 1200 Mn 25, Buffalo, MN 55313 | 2015-03-19 |
| 1134531395 | Total Health and Wellness, Inc. | Chiropractor | 639 Ryan's Way, Buffalo, MN 55313 | 2014-05-22 |
| 1366797946 | Brenda Kay Lenz | Nurse Practitioner | 755 Crossroads Campus Dr Ne, Buffalo, MN 55313 | 2012-07-19 |
| 1801190327 | Professional Counseling Center | Community/Behavioral Health | 7 Highway 55 West, Unit 3, Wright One Plaza, Buffalo, MN 55313 | 2010-12-23 |
| 1619140456 | Lisa Marlene Marty | Speech-Language Pathologist | 2144 County Rd 12 South, Buffalo, MN 55313 | 2008-04-11 |
| Find all providers in zip 55313 | ||||
| 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 |
|---|---|---|---|---|
| 1023636743 | Elizabeth Ann Smith | Physician Assistant | 1083 Delaware Ave Ste 1, Buffalo, NY 14209-1674 | 2020-07-09 |
| 1720616055 | Carrie Saleh Fisher | Physician Assistant | 729 Tacoma Ave, Buffalo, NY 14216-2519 | 2020-03-31 |
| 1134757438 | Lauren Marie Fickett | Physician Assistant | 726 Exchange St Ste 710, Buffalo, NY 14210-1464 | 2020-03-31 |
| 1578191334 | Stephanie Catherine Reesor | Physician Assistant | 44 Leonard Post Dr, Buffalo, NY 14211-2806 | 2020-03-28 |
| 1679003206 | Amanda Marie Barnhard | Physician Assistant | 237 Linwood Ave Fl 1, Buffalo, NY 14209-2009 | 2017-06-15 |
| 1538692702 | Daniel Patrick | Physician Assistant | 302 W Tupper St, Lower Front, Buffalo, NY 14201-1945 | 2017-04-05 |
| 1902347354 | Alyssa Frndak | Physician Assistant | 2625 Harlem Rd Ste 160, Buffalo, NY 14225-4033 | 2017-03-18 |
| 1306205059 | Nathan Manna | Physician Assistant | 351 Mckinley Pkwy, Buffalo, NY 14220-2227 | 2016-02-22 |
| 1902265085 | Andrea R Miller | Physician Assistant | 77 Goodell St Ste 340, Buffalo, NY 14203-1243 | 2016-02-17 |
| 1811251218 | Emily C Hennessy | Physician Assistant | 1001 Main St # 4, Buffalo, NY 14203-1009 | 2012-06-29 |
| Find all providers in BUFFALO | ||||
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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.