GREGORY SCOTT JERDON (NPI# 1205453362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205453362 |
| Entity Type | Individual |
| Full Name | GREGORY SCOTT JERDON |
| Credential | LADC |
| Practice Address |
401 16th St Se Ste 100 Rochester MN 55904-7974 |
| Practice Telephone | 5075160030 |
| Mailing Telephone | 5075160030 |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
305692 | MN | Behavioral Health & Social Service Providers |
| Street Address |
401 16TH ST SE STE 100 |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55904-7974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801807235 | Jackie Dee Stevens | Nurse Practitioner | 401 16th St Se Ste 100, Rochester, MN 55904-7974 | 2006-08-10 |
| 1891392106 | Kimberly Sue Moeller | Counselor | 401 16th St Se Ste 100, Rochester, MN 55904-7974 | 2020-10-08 |
| 1992327076 | Ashley C Camacho | Counselor | 401 16th St Se Ste 100, Rochester, MN 55904-7974 | 2020-05-12 |
| 1447871553 | Hailie L Kallembach | Counselor | 401 16th St Se Ste 100, Rochester, MN 55904-7974 | 2020-04-29 |
| 1417586140 | Debra Lynn Melton | Counselor | 401 16th St Se Ste 100, Rochester, MN 55904-7974 | 2020-04-04 |
| 1649806688 | Kasey Meyer | Counselor | 401 16th St Se Ste 100, Rochester, MN 55904-7974 | 2020-03-22 |
| 1598390031 | Melinda June Grass | Counselor | 401 16th St Se Ste 100, Rochester, MN 55904-7974 | 2020-03-05 |
| 1033762398 | David Scott Brown | Counselor | 401 16th St Se Ste 100, Rochester, MN 55904-7974 | 2019-07-16 |
| 1821658410 | Mallory Anne Labelle | Counselor | 401 16th St Se Ste 100, Rochester, MN 55904-7974 | 2019-06-17 |
| 1457851271 | Emily Kathryn Barnett | Nurse Practitioner | 401 16th St Se Ste 100, Rochester, MN 55904-7974 | 2018-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912303 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1200 Eastgate Drive S.e., Rochester, MN 55904 | 2019-09-24 |
| 1952954992 | Jane Yaakni Hopaki | Midwife | 1224 Eastgate Dr Se, Rochester, MN 55904 | 2019-07-18 |
| 1851896187 | Hamdi A Ali | Pediatrics | 26 Mayo Park Dr Se, Rochester, MN 55904 | 2018-03-28 |
| 1255847059 | Brooke Maleszewski | Nurse Practitioner | 821 3rd Ave Se Ste 15, Rochester, MN 55904 | 2017-12-17 |
| 1699215988 | Maximus Language Resources | Interpreter | 1775 3rd Ave Se, Rochester, MN 55904 | 2017-03-06 |
| 1215484803 | Kylene Starr Allen | Social Worker | 343 Woodlake Dr. Se, Zumbro Valley Health Center, Rochester, MN 55904 | 2016-09-01 |
| 1013384627 | Breathe Easy Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 40 16th St. Sw Suite G, Rochester, MN 55904 | 2015-08-31 |
| 1932473105 | Michelle Lee Sather | Counselor | 343 Woodlake Drive Se, Rochester, MN 55904 | 2012-03-05 |
| 1538453022 | Amy M Carey | Social Worker | 40 16th Street Sw, Suite D, Rochester, MN 55904 | 2011-06-02 |
| 1396059895 | Lisa Marie Bingham | Optometrist | 111 S. Broadway, Rochester, MN 55904 | 2010-07-27 |
| Find all providers in zip 55904 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198707 | Erin Elizabeth Bachman | Counselor | 300 11th Ave Nw Ste 120, Rochester, MN 55901-2739 | 2020-09-15 |
| 1700405883 | Christa Caye Welbon | Counselor | 1530 Greenview Dr Sw Ste 109, Rochester, MN 55902-1080 | 2020-04-09 |
| 1477195659 | Wendy Kesby | Counselor | 33 Chestnut St Fl 1, Rochester, NY 14604-2303 | 2019-10-09 |
| 1568021103 | Carl Leslie Hatch-feir | Counselor | Delphi Rise, 835 West Main Street, Rochester, NY 14611-2335 | 2019-06-07 |
| 1427515873 | Yanny Tello | Counselor | 727 Saint Paul St, Rochester, NY 14605-1730 | 2019-02-21 |
| 1861956682 | Sonya Thomas | Counselor | Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 | 2019-01-25 |
| 1407337272 | Claudette Elisa Dones | Counselor | 14 Manitou St, Rochester, NY 14621-5609 | 2018-08-28 |
| 1225529704 | Hector Manuel Diaz | Counselor | 585 Joseph Ave Fl 1, Rochester, NY 14605-1215 | 2018-05-21 |
| 1518469162 | Magdimar Machado | Counselor | 18 Poplar Garden Ln Apt B, Rochester, NY 14606-4838 | 2018-02-28 |
| 1336640879 | Nicole Dale | Counselor | 130 Wakefield St, Rochester, NH 03867-1305 | 2018-02-21 |
| Find all providers in ROCHESTER | ||||
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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.