JESSICA JO BERG (NPI# 1063041705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063041705 |
| Entity Type | Individual |
| Full Name | JESSICA JO BERG |
| Practice Address |
203 Park Ave S Ste 101 Saint Cloud MN 56301-6216 |
| Practice Telephone | 3202535650 |
| Practice Fax Number | 3202539222 |
| Mailing Telephone | 3202535650 |
| Mailing Fax Number | 3202539222 |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2020-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942572219 | Jessica Hanson Berg | Physician Assistant | 808 S Buchanan St, Amarillo, TX 79101-3604 | 2012-02-02 |
| 1891346755 | Jessica Lynn Berg | Nurse Anesthetist, Certified Registered | 401 E Spruce St, Garden City, KS 67846-5679 | 2019-09-23 |
| 1457864506 | Jessica Berg | Physician Assistant | 120 Spalding Dr Ste 207, Naperville, IL 60540-6520 | 2017-11-12 |
| 1003355611 | Jessica Danielle Berg | Licensed Vocational Nurse | 2801 Meadow Lark Dr, San Diego, CA 92123-2709 | 2017-02-15 |
| 1770930208 | Jessica Berg | Dietitian, Registered | 10105 N Bridgewater Cir, Owasso, OK 74055-7727 | 2016-05-13 |
| 1003210097 | Jessica Beth Berg | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2014-10-20 |
| 1194971127 | Jessica Berg | Obstetrics & Gynecology | 1840 Mease Dr, Suite 110, Safety Harbor, FL 34695-6602 | 2008-08-11 |
| 1760696942 | Jessica Jo Berg | Audiologist | 1220 Division Ave, Tacoma, WA 98403-1321 | 2007-05-09 |
| 1821155771 | Jessica Maree Berg | Counselor | 15600 Redmond Way, Suite 101, Redmond, WA 98052-3862 | 2007-01-02 |
| Street Address |
203 PARK AVE S STE 101 |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56301-6216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649636283 | Krista Ann Blomdahl | Chiropractor | 203 Park Ave S Ste 101, Saint Cloud, MN 56301-6146 | 2016-01-12 |
| 1205452125 | Katie Marie Cooley | Massage Therapist | 203 Park Ave S Ste 101, Saint Cloud, MN 56301-6216 | 2020-06-17 |
| 1699395582 | Nicole Marie Urbanska | Massage Therapist | 203 Park Ave S Ste 101, Saint Cloud, MN 56301-6216 | 2020-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1316453442 | Amber Grengs | Behavior Technician | 3721 23rd St S Ste 201, Saint Cloud, MN 56301 | 2017-12-27 |
| 1124532999 | Ashley Aune Lewandowski | Chiropractor | 3333 W. Division St. Suite 122a, St. Cloud, MN 56301 | 2017-11-30 |
| 1962923680 | Inspired By You Home Care, LLC | Home Health | 2700 1st Street N, Suite 202, St Cloud, MN 56301 | 2017-07-03 |
| 1487189569 | Brett Finberg | Pharmacy Technician | 141 33rd Ave South, Saint Cloud, MN 56301 | 2017-04-26 |
| 1629513221 | Robert Schug | Pharmacy Technician | 141 33rd Ave S, Saint Cloud, MN 56301 | 2017-01-05 |
| 1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
| 1558728600 | Language Partners | Interpreter | 400 1st St S, Suite 600, St. Cloud, MN 56301 | 2016-01-20 |
| 1679981856 | Quality Homecare Services Inc | Home Health | 3450 W Germain St, Ste 206, St Cloud, MN 56301 | 2014-07-31 |
| 1063759546 | Grand St Paul Cvs, LLC | Durable Medical Equipment & Medical Supplies | 2420 Division St, St. Cloud, MN 56301 | 2013-01-03 |
| Find all providers in zip 56301 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760098610 | Jasmine Hepburn | Massage Therapist | 1521 Pine Marsh Loop, Saint Cloud, FL 34771-7407 | 2020-09-16 |
| 1164030912 | Yolonda Pleshette Lewandowski | Massage Therapist | 3333 W Division St Ste 122a, Saint Cloud, MN 56301-4549 | 2020-07-17 |
| 1548718455 | Jessica Willoughby | Massage Therapist | 4350 Story Rd, Saint Cloud, FL 34772-9098 | 2016-09-20 |
| 1396179578 | Samantha Jo Fagnant | Massage Therapist | 1312 Illinois Ave, Suite E, Saint Cloud, FL 34769-4506 | 2013-08-24 |
| 1639412158 | Michelle Denise Schneider | Massage Therapist | 1006 9th St S, Saint Cloud, MN 56301-5214 | 2013-04-03 |
| 1528311099 | Francesca Urbano | Massage Therapist | 3318 Cypress Point Cir, Saint Cloud, FL 34772-8882 | 2012-10-22 |
| 1780953067 | Rachel Brehmer | Massage Therapist | 13 21st Ave S, Saint Cloud, MN 56301-3951 | 2011-12-15 |
| 1336421031 | Christine Nordquist | Massage Therapist | 606 25th Ave S Ste 107, Saint Cloud, MN 56301-4810 | 2011-09-19 |
| 1750690079 | Brenda Davenport | Massage Therapist | 3244 Lorimar Ln, Saint Cloud, FL 34772-6503 | 2010-10-04 |
| 1407187206 | Megan Alexandra Hartman | Massage Therapist | 203 Cooper Ave N Ste 160, Saint Cloud, MN 56303-4446 | 2010-01-19 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56301 |
Please comment or provide details below to improve the information on JESSICA JO BERG.
| 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.