JENNIFER MORTENSEN (NPI# 1952883027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952883027 |
| Entity Type | Individual |
| Full Name | JENNIFER MORTENSEN |
| Practice Address |
2330 Timber Shadows Dr Ste 102 Kingwood TX 77339-2675 |
| Practice Telephone | 9098090453 |
| Mailing Telephone | 9098090453 |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174189328 | Jennifer Mortensen | Behavior Technician | 11698 Huron St, Suite 106, Northglenn, CO 80234-2920 | 2019-05-14 |
| Street Address |
2330 TIMBER SHADOWS DR STE 102 |
| City | KINGWOOD |
| State | TX |
| Zip Code | 77339-2675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851913669 | Robert Rowlands | Student in an Organized Health Care Education/Training Program | 22999 Us Hwy 59 N, Kingwood, Tx, 77339, Kingwood, TX 77339 | 2020-05-14 |
| 1295356467 | Christopher Dilger | Student in an Organized Health Care Education/Training Program | 22999 Us Hwy 59 N, Gme Suite 105, Kingwood, TX 77339 | 2020-04-29 |
| 1427600337 | Lynda Nguyen | Nurse Practitioner | 24006 Highway 59 N, Kingwood, TX 77339 | 2019-07-11 |
| 1215599139 | H-e-b, Lp | Clinical Medical Laboratory | 19529 Northpark Drive, Kingwood, TX 77339 | 2019-07-01 |
| 1639631492 | Trung Nguyen | Student in an Organized Health Care Education/Training Program | 22999 Us 59 N, Kingwood, TX 77339 | 2019-04-02 |
| 1467913673 | Bhavin G Shah | Student in an Organized Health Care Education/Training Program | 22999 Us-59 N, Kingwood, Tx 77339, Kingwood, TX 77339 | 2019-03-29 |
| 1164999462 | Erica Peters | Behavior Technician | 2825 W. Town Center Circle, Kingwood, TX 77339 | 2018-10-25 |
| 1780162040 | Kaldan Inc | Dentist | 23812 Hwy 59 North, Kingwood, TX 77339 | 2018-07-30 |
| 1457845745 | John Micheal Leondike | Nurse Practitioner | 2665 Royal Forrest Dr., Ste B-150, Kingwood, TX 77339 | 2018-06-19 |
| 1780173161 | Pta Home Health Care | Home Health | 5606 Rocky Trail Dr, Kingwood, TX 77339 | 2018-05-01 |
| Find all providers in zip 77339 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306000252 | Kfs Medical Solutions LLC | Specialist/Technologist, Other | 24020 Hwy 59n, Kingwood, TX 77339-1500 | 2008-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649891169 | Edison Bio LLC | Specialist/Technologist, Other | 2700 Post Oak Blvd, Galleria Office Tower I, Houston, TX 77056 | 2020-05-06 |
| 1902456197 | Jimmie C Salazar | Specialist/Technologist, Other | 301 Tubb Loop Rd, Big Spring, TX 79720-0658 | 2019-09-19 |
| 1821646480 | Julio Rodriguez | Specialist/Technologist, Other | 7111 Elm St, Frisco, TX 75034-4234 | 2019-08-27 |
| 1700438074 | Myindustries, LLC | Specialist/Technologist, Other | 1151 N Buckner Blvd Ste 407, Dallas, TX 75218-3407 | 2019-07-16 |
| 1942862438 | Md Stream, LLC | Specialist/Technologist, Other | 2129 Fm 2920 Rd # 190-279, Spring, TX 77388-3671 | 2019-07-03 |
| 1427610575 | Anna L Landry | Specialist/Technologist, Other | 1432 Commerce, Buffalo, TX 75131 | 2019-06-28 |
| 1194381871 | Destry Graham Flatt | Specialist/Technologist, Other | 720 1/2 Rollingbrook Dr, Baytown, TX 77521-4059 | 2019-05-17 |
| 1881150670 | Ada J Smith | Specialist/Technologist, Other | 6414 Annunciation St, Houston, TX 77016-2102 | 2019-02-16 |
| 1255821435 | Axiom Health Services, LLC | Specialist/Technologist, Other | 5422 Alpha Rd, Dallas, TX 75240 | 2018-05-14 |
| 1710488010 | Kennisha Londrea Charles | Specialist/Technologist, Other | 2604 Persa St Ste 2, Houston, TX 77098-1437 | 2018-02-22 |
| Find all providers with the same taxonomy | ||||
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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.