MS. KIRSTEN JENNISSEN (NPI# 1912305798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912305798 |
| Entity Type | Individual |
| Full Name | MS. KIRSTEN JENNISSEN |
| Credential | PA |
| Practice Address |
701 Dellwood St S Cambridge MN 55008-1920 |
| Mailing Address |
38986 14th Ave North Branch MN 55056-7067 |
| Practice Telephone | 7636898700 |
| Mailing Telephone | (651) 674-0055 |
| Mailing Fax Number | 6512410915 |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2017-06-20 |
| 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 |
| Street Address |
701 DELLWOOD ST S |
| City | CAMBRIDGE |
| State | MN |
| Zip Code | 55008-1920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093787152 | Randy A Karger | Ophthalmology | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2006-02-03 |
| 1629615778 | Elizabeth Horn | Physical Therapist | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-12-09 |
| 1982241170 | Jessica Gunion | Physical Therapy Assistant | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-12-06 |
| 1629615844 | Darren Vincent Rudeen | Physical Therapy Assistant | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-12-06 |
| 1881239325 | Lori Lynn Adams | Nurse Anesthetist, Certified Registered | 701 Dellwood St S, Cambridge, MN 55008-1923 | 2019-11-07 |
| 1396386173 | Allina Health System | Psychologist | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-10-03 |
| 1568013118 | Kimberly Jara | Counselor | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-09-25 |
| 1093360877 | Michelle Kay Schultz | Nurse Practitioner | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-08-07 |
| 1184284366 | Abigail Irene Christensen | Nurse Practitioner | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-06-19 |
| 1093270621 | Angelique Ann Creger | Occupational Therapist | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912475716 | B's Adult Day Center Inc | Clinic/Center | 626 Main Street North, Cambridge, MN 55008 | 2018-11-09 |
| 1538607494 | Katy Karas | Counselor | 3171 309 Ave Nw, Cambridge, MN 55008 | 2017-02-10 |
| 1295273944 | Amy Roell | Occupational Therapist | 701 S Dellwood Street, Mail Route 71000, Cambridge, MN 55008 | 2017-02-02 |
| 1689957888 | Minnesota Sedation Dental | Clinic/Center | 1596 2nd Ave Ne, Suite B, Cambridge, MN 55008 | 2011-09-23 |
| 1235424870 | Melanie Andree Furtney Christofferson | Obstetrics & Gynecology | 701 S. Dellwood St., Cambridge, MN 55008 | 2011-06-11 |
| 1962712638 | Joy Marie Morlock | Counselor | 32393 Rendova Circle Ne, Cambridge, MN 55008 | 2010-10-15 |
| 1386966166 | Stacie Mix | Massage Therapist | 807 Main St North, Cambridge, MN 55008 | 2010-02-22 |
| 1538491261 | Kristin Peltz | Massage Therapist | 807 Main St N, Cambridge, MN 55008 | 2010-02-05 |
| 1831324979 | Michelle Lynn Preuss Varsoke | Dietitian, Registered | 701 S Dellwood St, Cambridge, MN 55008 | 2009-05-19 |
| 1659590024 | Jennifer Ellen Norberg | Physical Therapist | 701 South Dellwood Street, Cambridge, MN 55008 | 2007-04-24 |
| Find all providers in zip 55008 | ||||
| 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 |
|---|---|---|---|---|
| 1043827058 | Anupa Manjunatha | Physician Assistant | 33 Rogers St Apt 210, Cambridge, MA 02142-1516 | 2020-09-24 |
| 1083263594 | Katherine Lemons | Physician Assistant | 6 Crawford St Apt 10, Cambridge, MA 02139-1644 | 2019-09-06 |
| 1790346674 | Heather Ann Borden | Physician Assistant | 87 New St Unit 207, Cambridge, MA 02138-1287 | 2019-06-22 |
| 1902331408 | Celia Alexandra Charlois | Physician Assistant | 169 Monsignor Obrien Hwy, Apt 805, Cambridge, MA 02141-1289 | 2017-04-22 |
| 1609244078 | Shawna Young | Physician Assistant | 817 Main St N, Cambridge, MN 55008-1275 | 2015-09-02 |
| 1518304567 | Samantha L Elich | Physician Assistant | 1435 Cambridge Street, Cambridge, MA 02139-1047 | 2013-05-31 |
| 1912239468 | Jeffrey Eric Stark | Physician Assistant | 35 Gilbert Street, Cambridge Medical Center, Cambridge, NY 12816-2618 | 2010-02-09 |
| 1902418411 | Emily Grace Yanico | Physician Assistant | 1330 Clark St, Cambridge, OH 43725-9614 | 2020-08-18 |
| 1043833221 | Nicholas D Gottshall | Physician Assistant | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-05-22 |
| 1760029342 | Christina Leahy | Physician Assistant | 1493 Cambridge St, Cambridge, MA 02139-1099 | 2019-12-03 |
| Find all providers in CAMBRIDGE | ||||
Please comment or provide details below to improve the information on MS. KIRSTEN JENNISSEN.
| 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.