JORDAN BENSON (NPI# 1104126994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104126994 |
Entity Type | Individual |
Full Name | JORDAN BENSON |
Credential | NP |
Practice Address |
2024 S 6th St Brainerd MN 56401-3054 |
Mailing Address |
523 N 3rd St Brainerd MN 56401-3054 |
Practice Telephone | 2188287100 |
Practice Fax Number | 2188287194 |
Mailing Telephone | 2188292861 |
Mailing Fax Number | 2188287194 |
Enumeration Date | 2010-10-26 |
Last Update Date | 2016-01-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
BER104357610 | MN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
828847 | MN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437687712 | Jordan Benson | Occupational Therapist | 209 W 300 N, Logan, UT 84321-3809 | 2017-05-31 |
1689112047 | Jordan Benson | Speech-Language Pathologist | 4783 Fruitville Rd, Sarasota, FL 34232-1815 | 2017-02-06 |
Street Address |
2024 S 6TH ST |
City | BRAINERD |
State | MN |
Zip Code | 56401-3054 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861491672 | Nicholas P Bernier | Family Medicine | 2024 S 6th St, Brainerd, MN 56401-3054 | 2005-07-14 |
1013558881 | Karli G Dullum | Nurse Practitioner | 2024 S 6th St, Brainerd, MN 56401-4529 | 2019-10-03 |
1134572803 | Anna Eileen Wistrom-thesing | Nurse Practitioner | 2024 S 6th St, Brainerd, MN 56401-4529 | 2016-07-19 |
1215324983 | Gillette Children's Specialty Healthcare | Durable Medical Equipment & Medical Supplies | 2024 S 6th St, Brainerd, MN 56401-4529 | 2015-04-21 |
1669879730 | Randy Thomas Capelle | Physical Therapist | 2024 S 6th St, Brainerd, MN 56401-4529 | 2014-12-04 |
1467853002 | Melissa Ann Erickson | Nurse Practitioner | 2024 S 6th St, Brainerd, MN 56401-4529 | 2014-09-15 |
1477954576 | Nathan Aaron Kline | Clinical Nurse Specialist | 2024 S 6th St, Brainerd, MN 56401-4529 | 2014-09-08 |
1275952749 | Amanda Niemann | Physician Assistant | 2024 S 6th St, Brainerd, MN 56401-4529 | 2014-04-14 |
1215366380 | Adam Lee Purcell | Nurse Practitioner | 2024 S 6th St, Brainerd, MN 56401-4529 | 2013-11-08 |
1528409182 | Christina Gay Thell | Nurse Practitioner | 2024 S 6th St, Brainerd, MN 56401-4529 | 2013-07-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396222832 | Nicholas James Manning | Physical Therapist | 7350 Clearwater Rd N, Baxter, MN 56401 | 2018-07-27 |
1952819757 | Hannah Marie Darabi | Physical Therapist | Essentia Health Rehabilitation Services, 2016 South Sixth Street, Brainer, MN 56401 | 2018-01-15 |
1154867406 | Nancy Ann Schauer | Social Worker | 823 Maple Street, Northern Pine Mental Health Center, Brainerd, MN 56401 | 2017-01-10 |
1336530310 | Audrey Jean Twit | Pharmacist | 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 | 2015-02-11 |
1245638584 | The Renneke Chiropractic Clinic | Physical Therapist | 623 Madison St., Brainerd, MN 56401 | 2014-12-19 |
1124420179 | Jenna Niggeler | Acupuncturist | 1001 Kingwood St Ste 119a, Brainerd, MN 56401 | 2014-09-22 |
1073933719 | Nicholas Adam Lesmeister | Orthopaedic Surgery | 2014 South 6th Street, Brainerd, MN 56401 | 2014-04-21 |
1073864666 | Jennifer L. Owens | Marriage & Family Therapist | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 | 2012-09-24 |
1619297447 | Christine Elaine Smalling | Licensed Practical Nurse | 6317 Estate Circle Drive, Brainerd, MN 56401 | 2010-06-03 |
1528241577 | Dannia Lor Vang | Pharmacist | 2024 South 6th St, Clinic Pharmacy, Brainerd, MN 56401 | 2007-12-13 |
Find all providers in zip 56401 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831448935 | Erica Scheffler | Nurse Practitioner | 3625 W. 65th St., Suite 100, Edina, MN 55435 | 2012-09-05 |
1225054638 | Pamela E Layton | Nurse Practitioner | 525 Portland Ave. So., Hsb 4th Floor, Mc 952, Minneapolis, MN 55415 | 2006-07-15 |
1417922584 | Shirley J Jarcho | Nurse Practitioner | 6565 France Ave South, Suite 300, Edina, MN 55435 | 2006-02-21 |
1285618041 | Wendy Marie Lovaas | Nurse Practitioner | 9825 Hospital Drive #205, Maple Grove, MN 55369 | 2005-12-05 |
1255806428 | Bethany Anne Hjelle | Nurse Practitioner | 9825 Hospital Dr Ste 205, Maple Grove, MN 55369-4480 | 2018-10-03 |
1770064560 | Gwendolyn M Neumeister | Nurse Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2018-08-28 |
1598245128 | Jennifer R Finger | Nurse Practitioner | 500 S Maple St, Waconia, MN 55387-1791 | 2018-08-14 |
1578050928 | Melissa M Goble | Nurse Practitioner | 320 E Main St, Crosby, MN 56441-1645 | 2018-04-20 |
1568915742 | Dory Bernadette Warren | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2016-07-25 |
1962805549 | Terri Halverson | Nurse Practitioner | Essentia Health Duluth Clinic, 400 East Third Street, Duluth, MN 55805-1951 | 2014-09-26 |
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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.