TENAEA MARIE JEPPESON (NPI# 1043703887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043703887 |
Entity Type | Individual |
Full Name | TENAEA MARIE JEPPESON |
Credential | PMHNP-BC |
Practice Address |
720 Kenyon Rd Fort Dodge IA 50501 |
Mailing Address |
Po Box 63 Newell IA 50568-0063 |
Practice Telephone | 5159557171 |
Mailing Telephone | 7122993050 |
Enumeration Date | 2018-06-06 |
Last Update Date | 2018-06-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 128555 | IA | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
G128555 | IA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
720 KENYON RD |
City | FORT DODGE |
State | IA |
Zip Code | 50501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245203223 | Mary Beth Hutchinson | Nurse Practitioner | 720 Kenyon Rd, Fort Dodge, IA 50501-5759 | 2006-02-09 |
1699392597 | Kelli A Reuter | Counselor | 720 Kenyon Rd, Fort Dodge, IA 50501-5759 | 2020-06-26 |
1447810791 | Amber Lawrence | Counselor | 720 Kenyon Rd, Fort Dodge, IA 50501-5759 | 2019-06-18 |
1902464688 | Melissa A Klass | Counselor | 720 Kenyon Rd, Fort Dodge, IA 50501-5759 | 2019-05-29 |
1336618537 | North Central Iowa Mental Health Center Inc | Family Medicine | 720 Kenyon Rd, Fort Dodge, IA 50501-5759 | 2018-11-16 |
1982131769 | Tonya P Collins | Counselor | 720 Kenyon Rd, Fort Dodge, IA 50501-5759 | 2017-05-11 |
1922455096 | Dean Lee Guerdet | Registered Nurse | 720 Kenyon Rd, Fort Dodge, IA 50501-5759 | 2016-05-19 |
1831564921 | Rachel G Amhof | Marriage & Family Therapist | 720 Kenyon Rd, Fort Dodge, IA 50501-5759 | 2015-12-01 |
1508236829 | Timothy Wood | Licensed Practical Nurse | 720 Kenyon Rd, Fort Dodge, IA 50501-5759 | 2015-09-29 |
1528442142 | Melissa Oatman | Counselor | 720 Kenyon Rd, Fort Dodge, IA 50501-5759 | 2015-07-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023523412 | Katelin Judith Hartmann | Nurse Practitioner | 2913 5th Ave S, Fort Dodge, IA 50501 | 2017-12-06 |
1619338365 | John Clay Dds, Plc | Dentist | 1905 North 15th Street, Fort Dodge, IA 50501 | 2016-03-09 |
1710350517 | Alexandria Doyle | Nurse Practitioner | 800 Kenyon Road, Fort Dodge, IA 50501 | 2015-11-03 |
1366859993 | Heather Maureen Stillman Anderson | Dentist | 126 North 10th Street, Fort Dodge, IA 50501 | 2014-07-15 |
1205261575 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2029 5th Ave. South, Fort Dodge, IA 50501 | 2013-09-05 |
1952693020 | Riley Armstrong Plg & Htg, Inc | Contractor | 11 No. 20th St, Fort Dodge, IA 50501 | 2011-05-09 |
1407001639 | Marta Karyn Kramer | Pharmacist | 1428 2nd Ave No., Fort Dodge, IA 50501 | 2008-12-02 |
1427251305 | Andrew Bryant Sonksen | Dentist | 1716 1st Ave South, Fort Dodge, IA 50501 | 2007-06-07 |
1720127475 | John H Garton | Dentist | 1210 3rd Avenue South, Fort Dodge, IA 50501 | 2007-02-06 |
1912043746 | Aaron Mobley | Chiropractor | 1234 Central Ave, Fort Dodge, IA 50501 | 2007-01-29 |
Find all providers in zip 50501 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801846688 | Julie Lynn Schneider | Nurse Practitioner | 804 Kenyon Rd, Ste A, Physician's Office Building, West, Fort Dodge, IA 50501-5742 | 2006-05-11 |
1164823092 | Jamey L Gregersen | Nurse Practitioner | 720 Kenyon Rd, North Central Iowa Mental Health Center Inc Dba Unitypo, Fort Dodge, IA 50501-5759 | 2014-09-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407463292 | Sarah Evie Schuller | Nurse Practitioner | 215 Nw 18th St Ste 102, Ankeny, IA 50023-4282 | 2020-09-26 |
1174139950 | Heartland Healthcare Psychiatry, LLC | Nurse Practitioner | 455 N Orthmckenzie Lane, North Liberty, IA 52317-8901 | 2020-09-17 |
1356956916 | Jennifer Cherop Cheruiyot | Nurse Practitioner | 215 Nw 18th St, Ankeny Ia 50023, Ankeny, IA 50023 | 2020-09-10 |
1083224844 | Amy Leclere | Nurse Practitioner | 404 Stonehaven Ln Ne, Cedar Rapids, IA 52402-1451 | 2020-08-06 |
1154940971 | Raven N Niles | Nurse Practitioner | 732 13th Ave, Coralville, IA 52241-1737 | 2020-04-12 |
1104459254 | Jered Flinkman | Nurse Practitioner | 420 Mill St Sw, Mitchellville, IA 50169-7702 | 2020-02-18 |
1508401571 | Someplace Psychiatric Services, Plc | Nurse Practitioner | 3909 Briarwood Dr, Cedar Falls, IA 50613-7508 | 2019-11-13 |
1053963900 | Nicole Dora Mcclavy | Nurse Practitioner | 610 10th St, Perry, Ia 50220, Perry, IA 50220 | 2019-07-11 |
1740841188 | Evizzit of Iowa Psychiatry PC | Nurse Practitioner | 1501 42nd St Ste 120, West Des Moines, IA 50266-1005 | 2019-06-26 |
1548736085 | Ncc Psychiatric Services Pllc | Nurse Practitioner | 50 Central Ave Se Ste 102, Le Mars, IA 51031-3562 | 2018-10-23 |
Find all providers with the same taxonomy |
City | FORT DODGE |
Zip Code | 50501 |
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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.