JOHANNA KALLEMEYN (NPI# 1336687425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336687425 |
| Entity Type | Individual |
| Full Name | JOHANNA KALLEMEYN |
| Credential | FNP-C |
| Practice Address |
1430 North Hwy Jackson MN 56143-1093 |
| Mailing Address |
112 3rd Ave Jackson MN 56143-1808 |
| Practice Telephone | 5078472200 |
| Practice Fax Number | 5078473808 |
| Mailing Telephone | 5072367401 |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2019-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CP001191 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1430 NORTH HWY |
| City | JACKSON |
| State | MN |
| Zip Code | 56143-1093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922088855 | Ronald F Kline | Emergency Medicine | 1430 North Hwy, Jackson, MN 56143-1093 | 2006-01-18 |
| 1275148009 | Brittany Ann Dahl | Nurse Practitioner | 1430 North Hwy, Jackson, MN 56143-1093 | 2020-09-09 |
| 1831603166 | Michelle Lee Evans | Nurse Practitioner | 1430 North Hwy, Jackson, MN 56143-1093 | 2017-11-22 |
| 1700335551 | Polina B Rivera | Nurse Practitioner | 1430 North Hwy, Jackson, MN 56143-1093 | 2016-09-21 |
| 1700210226 | Jessica Grant | Social Worker | 1430 North Hwy, Jackson, MN 56143-1093 | 2013-09-03 |
| 1669783106 | Habiba Alero Ikoghode | Family Medicine | 1430 North Hwy, Jackson, MN 56143-1093 | 2010-06-30 |
| 1871823179 | Denise Heupel | Nurse Anesthetist, Certified Registered | 1430 North Hwy, Jackson, MN 56143-1093 | 2010-01-08 |
| 1487840005 | Erika Freking | Nurse Practitioner | 1430 North Hwy, Jackson, MN 56143-1093 | 2007-09-18 |
| 1487717039 | Sioux Valley Regional Health Services | Clinic/Center | 1430 North Hwy, Jackson, MN 56143-1093 | 2006-12-18 |
| 1811901531 | Sanford Health Network | General Acute Care Hospital | 1430 North Hwy, Jackson, MN 56143-1093 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063576965 | Jackson County Central Schools | Local Education Agency (LEA) | Jackson County Central Schools, 1128 North Highway, Jackson, MN 56143 | 2006-12-22 |
| 1609952027 | Susan Marie Back | Psychologist | 116 County Road 34 W, Jackson, MN 56143 | 2006-10-27 |
| 1992805204 | Kevin John Dunlavey | Dentist | 607 2nd St, Jackson, MN 56143 | 2006-09-25 |
| 1285978221 | Paul Anthony Roggow | Dentist | 604 Second Street, Jackson, MN 56143 | 2012-11-15 |
| 1083896716 | Shopko Stores Operating Co LLC | Pharmacy | 506 2nd St, Jackson, MN 56143 | 2007-12-05 |
| 1053456889 | Jackson Drug Co | Durable Medical Equipment & Medical Supplies | 506 2nd St, Jackson, MN 56143-0233 | 2007-02-20 |
| 1811915648 | Jackson Volunteer Ambulance | Ambulance | 305 Sheridan Str, Jackson, MN 56143-0242 | 2006-07-18 |
| 1750378758 | Sister Marie Paul Lockerd | Family Medicine | 803 4th St, Jackson, MN 56143-1056 | 2005-10-04 |
| 1407065824 | Desmoines Valley Bhs | Clinical Nurse Specialist | 803 4th St, Jackson, MN 56143-1056 | 2007-05-22 |
| 1942426689 | Margaret Jean Hart | Family Medicine | 803 4th St, Jackson, MN 56143-1056 | 2007-04-18 |
| Find all providers in zip 56143 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113627 | Jessicah Blasdel | Nurse Practitioner | 113 W Michigan Ave, Jackson, MI 49201-1340 | 2020-10-31 |
| 1801406335 | Jade Russell | Nurse Practitioner | 2205 W Morrell St, Jackson, MI 49203-1357 | 2020-08-10 |
| 1992315212 | Patrecia Campbell | Nurse Practitioner | 2570 Bailey Ave Ste 7, Jackson, MS 39213-6905 | 2020-08-01 |
| 1669008926 | Kristine Edwards | Nurse Practitioner | 723 Woodlawn Ave, Jackson, MI 49203-2921 | 2020-03-19 |
| 1295366391 | Christy White | Nurse Practitioner | 363 Old Pinson Rd, Jackson, TN 38301-9576 | 2020-01-28 |
| 1972141620 | Primary Care - Bemis, LLC | Nurse Practitioner | 1385 S Highland Ave Ste B4, Jackson, TN 38301-7547 | 2019-12-12 |
| 1174164263 | Tami Anne Miller | Nurse Practitioner | 124 N Bast St, Jackson, MO 63755-1704 | 2019-10-01 |
| 1265080584 | Cameron Nicole Howard | Nurse Practitioner | 1860 Chadwick Dr Ste 256, Jackson, MS 39204-3486 | 2019-08-29 |
| 1831750843 | Rhiannon Michelle Andresen | Nurse Practitioner | 1022 Greystone Sq, Jackson, TN 38305-3580 | 2019-06-21 |
| 1902376361 | Jenay B Krumm | Nurse Practitioner | 1201 E Michigan Ave Ste 200, Jackson, MI 49201-1855 | 2018-11-28 |
| Find all providers in JACKSON | ||||
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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.