JENNILYN GUNN (NPI# 1174990089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174990089 |
| Entity Type | Individual |
| Full Name | JENNILYN GUNN |
| Credential | APRN, RN |
| Practice Address |
3300 Oakdale Ave N Robbinsdale MN 55422-2926 |
| Mailing Address |
3300 Oakdale Ave. No. Robbinsdale MN 55422 |
| Practice Telephone | 7635205200 |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
R214630-2 | MN | Nursing Service Providers |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
5222 | MN | Allopathic & Osteopathic Physicians |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
5222 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | RN.421986 | OH | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5555 E Fillmore Cir Ne, Minneapolis, MN 554325728 | 6126188340 | |
| 500 Harvard St Se, Minneapolis, MN 554550363 | 6122733000 |
| Street Address |
3300 OAKDALE AVE N |
| City | ROBBINSDALE |
| State | MN |
| Zip Code | 55422-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795928 | Brian J De Michaelis | Radiology | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2005-07-29 |
| 1861093023 | Linda Yang | Nurse Anesthetist, Certified Registered | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-11-04 |
| 1265033815 | Andrew Mattila | Nurse Anesthetist, Certified Registered | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-11-02 |
| 1760081293 | Kirk Acero Butler | Nurse Anesthetist, Certified Registered | 3300 Oakdale Ave N, Robbinsdale, MN 55422 | 2020-10-26 |
| 1366056889 | Kelly L Downes | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422 | 2020-09-02 |
| 1568070209 | Alicia M Reichenbach | Nurse Practitioner | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-07-20 |
| 1427676550 | Kate Elizabeth Mastel | Nurse Practitioner | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-07-06 |
| 1730715707 | Amanda Evans | Physical Therapist | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-03-20 |
| 1417583766 | Karen R Diehl | Registered Nurse | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-03-19 |
| 1821624248 | Greta Danae Mousel | Registered Nurse | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447883889 | Lorraine Woidylla | Surgery | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-02-13 |
| 1124670799 | Sarah Wilder | Surgery | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2019-07-12 |
| 1639684509 | Melanie Smalley | Surgery | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2017-12-13 |
| 1073042149 | Lauren A Johnson | Surgery | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2017-06-12 |
| 1376565325 | Benjamin B Ranstrom | Surgery | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235482225 | Roy A.m Myers | Surgery | 3907 Sunset Blvd, Minneapolis, MN 55416-4269 | 2012-10-16 |
| 1518330570 | Colleen Mooney | Surgery | 347 Smith Ave N Ste 203, Saint Paul, MN 55102-2388 | 2015-11-12 |
| 1396035028 | Sydne Muratore | Surgery | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2011-04-14 |
| 1003115783 | Brian S Myer | Surgery | 640 Jackson St # Ms 11502v, Saint Paul, MN 55101-2502 | 2011-03-21 |
| 1437476876 | Sara Elizabeth Wildenberg | Surgery | 6401 France Ave S, Edina, MN 55435-2104 | 2010-04-26 |
| 1760617641 | Uroghupatei Paul Iyegha | Surgery | 420 Delaware St Se, Mayo Mail Code 195, Minneapolis, MN 55455-0341 | 2009-05-21 |
| 1528041134 | Frederick A Foss Jr. | Surgery | 1015 Marsh St, Mankato, MN 56001-5294 | 2005-11-29 |
| City | ROBBINSDALE |
| Zip Code | 55422 |
Please comment or provide details below to improve the information on JENNILYN GUNN.
| 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.