JODIE DUNTLEY (NPI# 1417901109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417901109 |
| Entity Type | Individual |
| Full Name | JODIE DUNTLEY |
| Credential | CNS, MS |
| Practice Address |
701 Park Ave # S1 Minneapolis MN 55415-1623 |
| Mailing Address |
701 Park Ave Minneapolis MN 55415-1623 |
| Practice Telephone | 6128736800 |
| Practice Fax Number | 6129044322 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2012-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364S00000X | Clinical Nurse Specialist | R 115323-1 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364S00000X | Clinical Nurse Specialist | 348363-05 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 0006633800 | 05 |
| Street Address |
701 PARK AVE # S1 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55415-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547643 | Kevin Reininger | Pharmacist | 730 S 8th St., Pharmacy Department, Minneapolis, MN 55415 | 2020-04-24 |
| 1124674551 | Andrew Michael Baker | Pathology | Hennepin County Medical Examiner, 530 Chicago Ave, Minneapolis, MN 55415 | 2019-08-12 |
| 1598326951 | Monazza Iqbal Chaudhry | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center 701 Park Avenue, Minneapolis, MN 55415 | 2019-06-26 |
| 1760947196 | Brandon Haas | Pharmacist | 701 Park Ave Rll, Minneapolis, MN 55415 | 2019-02-11 |
| 1710474192 | Andrea Kramer | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center Emergency Medicine, 701 Park Avenue, Minneapolis, MN 55415 | 2018-04-20 |
| 1750888640 | Alexandra Rose Coward | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center - General Surgery, 701 Park Avenue, Minneapolis, MN 55415 | 2018-04-09 |
| 1194235861 | Gretchen Jane Vanderlinden-wang | Social Worker | Hennepin County Medical Center Adult Psychiatry Clinic, 701 Park Avenue, Shapiro Building, Suite S1.110, Minneapolis, MN 55415 | 2017-10-06 |
| 1720501117 | Dominique Lacha Jones | Advanced Practice Midwife | 716 South 7th Street, Purple Building Level 5, Minneapolis, MN 55415 | 2017-07-18 |
| 1669905618 | Joseph Douglas Steffens | Internal Medicine | 701 Park Avenue, Internal Medicine Residency Program, Hennepin County Medical Center, Minneapolis, MN 55415 | 2017-04-06 |
| 1215469689 | Michael Reitz | Student in an Organized Health Care Education/Training Program | 701 Park Avenue, B5.118, Minneapolis, MN 55415 | 2017-04-03 |
| Find all providers in zip 55415 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255761821 | Karen Mary Gmitro Prieto | Clinical Nurse Specialist | 913 E 26th St # 401, Minneapolis, MN 55404-4515 | 2013-11-19 |
| 1164419644 | Elisa M Smith | Clinical Nurse Specialist | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2005-09-30 |
| 1235743584 | Nicole Ji-hae Johnson | Clinical Nurse Specialist | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2020-09-03 |
| 1013178490 | Janet Mae Swanson | Clinical Nurse Specialist | 701 Park Ave South, Hennepin County Medical Center/revenue Management, Minneapolis, MN 55415 | 2008-06-19 |
| 1528258795 | Karen M Leaman | Clinical Nurse Specialist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2007-07-25 |
| 1659469948 | Nancy Gayle Gauthier | Clinical Nurse Specialist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2006-10-11 |
| 1558455097 | Mildred L Caspersen | Clinical Nurse Specialist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2006-10-02 |
| 1942392014 | Debra Ann Herbaugh | Clinical Nurse Specialist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-09-28 |
| 1376643734 | Maureen Anne Malloy | Clinical Nurse Specialist | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 | 2006-09-25 |
| 1538269568 | Sharon Lucille Lehmann | Clinical Nurse Specialist | 500 Harvard Street Se, University of Minnesota Medical Center, Fairview, Minneapolis, MN 55455-0363 | 2006-09-22 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55415 |
Please comment or provide details below to improve the information on JODIE DUNTLEY.
| 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.