JODI M NICHOLSON (NPI# 1922078344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922078344 |
| Entity Type | Individual |
| Full Name | JODI M NICHOLSON |
| Credential | PA-C |
| Practice Address |
1527 Broadway St Alexandria MN 56308-2537 |
| Practice Telephone | 3207620399 |
| Practice Fax Number | 3207626847 |
| Mailing Telephone | 3207620399 |
| Mailing Fax Number | 3207626847 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9998 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE SHIELD | 318G2NI | 01 |
| MN | HEALTH PARTNERS | HP53165 | 01 |
| MN | PREFERRED ONE | 1043861 | 01 |
| MN | CHAMPUS | A029 | 01 |
| MN | AMERICA'S PPO | 2360626 | 01 |
| MN | MEDICA | 0121310 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215416821 | Jodi Nicholson | Counselor | 1413 Dina Dr, Crowley, TX 76036-1383 | 2018-08-14 |
| Street Address |
1527 BROADWAY ST |
| City | ALEXANDRIA |
| State | MN |
| Zip Code | 56308-2537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649279753 | Thomas Joseph Holsinger | Podiatrist | 1527 Broadway St, Alexandria, MN 56308-2537 | 2005-07-20 |
| 1366892689 | Laurie A Chittum | Nurse Practitioner | 1527 Broadway St, Alexandria, MN 56308-2537 | 2016-06-17 |
| 1396108437 | Britney A Mach | Physician Assistant | 1527 Broadway St, Alexandria, MN 56308-2537 | 2016-04-04 |
| 1124487038 | Jacob Timothy Mach | Physician Assistant | 1527 Broadway St, Alexandria, MN 56308-2537 | 2016-02-19 |
| 1245602119 | Megan Larsen | Nurse Practitioner | 1527 Broadway St, Alexandria, MN 56308-2537 | 2015-10-30 |
| 1639548795 | Casey B Hovendick | Nurse Practitioner | 1527 Broadway St, Alexandria, MN 56308-2537 | 2015-09-18 |
| 1790191435 | Samuel Hintz | Psychologist | 1527 Broadway St, Alexandria, MN 56308-2537 | 2014-07-02 |
| 1215342068 | Kaylee Miller | Podiatrist | 1527 Broadway St, Alexandria, MN 56308-2537 | 2014-06-30 |
| 1043551773 | Sarah Lyn Feierabend | Registered Nurse | 1527 Broadway St, Alexandria, MN 56308-2537 | 2013-03-05 |
| 1548532468 | Sanford Clinic North | Internal Medicine | 1527 Broadway St, Alexandria, MN 56308-2537 | 2012-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
| 1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
| 1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
| 1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
| 1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
| 1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
| 1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
| 1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
| Find all providers in zip 56308 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638986 | Courtney Anne Kassner | Physician Assistant | 2706 Davis Ave, Alexandria, VA 22302-2817 | 2020-08-06 |
| 1316418544 | Kristen Elizabeth Dreyer | Physician Assistant | 5270 Duke St Apt C421, Alexandria, VA 22304-2943 | 2018-12-16 |
| 1083140677 | Rachel Suzann Young | Physician Assistant | 1501 Duke St Ste 100, Alexandria, VA 22314-3449 | 2017-05-03 |
| 1770821381 | Christine M Hollenbeck | Physician Assistant | 8101 Hinson Farm Rd Ste 219, Alexandria, VA 22306-3406 | 2013-01-17 |
| 1811244007 | Jennifer Weiss | Physician Assistant | 4660 Kenmore Ave Ste 810, Alexandria, VA 22304-1300 | 2012-08-07 |
| 1528237724 | Amy Michelle Suter | Physician Assistant | 4615 Parliament Dr Ste 204, Alexandria, LA 71303-2780 | 2008-02-21 |
| 1174727986 | Jamie Dunn Perrotti | Physician Assistant | 145 Yorktown Dr, Alexandria, LA 71303-3621 | 2007-06-14 |
| 1174686877 | Hazel Alviar | Physician Assistant | 1011 Snow White Dr, Alexandria, LA 71303-3234 | 2006-12-18 |
| 1003921008 | Jessica Suppa Ware | Physician Assistant | 4401 Ford Ave Ste 250, Alexandria, VA 22302-1467 | 2006-08-20 |
| 1316955453 | Lori Ann Romano-collins | Physician Assistant | 8219 Treebrooke Ln, Alexandria, VA 22308-1746 | 2006-08-04 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 56308 |
Please comment or provide details below to improve the information on JODI M NICHOLSON.
| 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.