JENNIFER TESTERMAN (NPI# 1548205008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548205008 |
| Entity Type | Individual |
| Full Name | JENNIFER TESTERMAN |
| Credential | NP |
| Practice Address |
920 N Main St O Fallon MO 63366-1746 |
| Mailing Address |
Po Box 955534 Saint Louis MO 63195-5534 |
| Practice Telephone | 6366961561 |
| Practice Fax Number | 6366961560 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2012035265 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2012035265 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1010309 | 05 |
| Street Address |
920 N MAIN ST |
| City | O FALLON |
| State | MO |
| Zip Code | 63366-1746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432145 | Elizabeth Ann Ridgway | Pharmacist | 920 N Main St, O Fallon, MO 63366-1746 | 2020-09-16 |
| 1215540125 | Rachel Dove | Pharmacist | 920 N Main St, O Fallon, MO 63366-1746 | 2020-08-29 |
| 1962015487 | Jeanine M Badwan | Pharmacist | 920 N Main St, O Fallon, MO 63366-1746 | 2020-08-25 |
| 1073903241 | Dawn Marie Johns | Nurse Practitioner | 920 N Main St, O Fallon, MO 63366-1746 | 2015-01-27 |
| 1538406954 | Lara Ann Penn | Nurse Practitioner | 920 N Main St, O Fallon, MO 63366-1746 | 2013-01-04 |
| 1174890859 | Robert Carl Palmer | Pharmacist | 920 N Main St, O Fallon, MO 63366-1746 | 2011-11-22 |
| 1285901066 | Thomas Eugene Mckean Jr. | Pharmacist | 920 N Main St, O Fallon, MO 63366-1746 | 2011-11-22 |
| 1659654739 | Erin Nicole Diepenbrock | Pharmacist | 920 N Main St, O Fallon, MO 63366-1746 | 2011-09-24 |
| 1154652360 | Lara M Burnett | Nurse Practitioner | 920 N Main St, O Fallon, MO 63366-1746 | 2010-01-28 |
| 1619984622 | Walgreen Co | Pharmacy | 920 N Main St, O Fallon, MO 63366-1746 | 2006-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407314826 | Transformative Health 180 LLC | Physical Therapist | 821 West Terra Lane, O Fallon, MO 63366 | 2019-03-05 |
| 1740754126 | Donna Marie Person | Nurse Practitioner | 331 Magnolia Valley Dr., Ofallon, MO 63366 | 2019-01-18 |
| 1679069470 | Samantha Schulte | Clinical Pharmacology | 7 Poor Richard Ct, O Fallon, MO 63366 | 2018-07-03 |
| 1790218048 | Jill Buery | Marriage & Family Therapist | 801 S Woodlawn Ave, Ste 15, O'fallon, MO 63366 | 2017-04-04 |
| 1114466968 | Jessica Anne Morris | Counselor | 103 Lincoln Street, O'fallon, MO 63366 | 2017-02-13 |
| 1639528540 | Kyle James Neuschaefer | Dentist | 31 Ofallon Sq, O Fallon, MO 63366 | 2016-06-10 |
| 1295116143 | Katherine Seiler Harkess | Obstetrics & Gynecology | 300 Winding Woods Drive Suite 200, O'fallon, MO 63366 | 2015-06-16 |
| 1528453354 | Amanda Flamm | Nurse Practitioner | 1101 Hightway K, Ofallon, MO 63366 | 2015-03-30 |
| 1144639972 | Sara Birkemeier | Physical Therapist | 1541 Norwood Hills Dr, Ofallon, MO 63366 | 2014-08-06 |
| 1710390893 | Catherine Rose Most | Speech-Language Pathologist | 555 E. Terra Lane, Fort Zumwalt School District, O'fallon, MO 63366 | 2014-06-06 |
| Find all providers in zip 63366 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942712310 | Shannon Marie Williams | Nurse Practitioner | 124 Regency Park Ste 7, O Fallon, IL 62269-1994 | 2017-10-25 |
| 1811357833 | Jodi Jany | Nurse Practitioner | 3 Saint Elizabeth Blvd Ste 3800, O Fallon, IL 62269-1281 | 2016-03-03 |
| 1851799720 | Metro-east Anp Services Inc | Nurse Practitioner | 1151 Red Hawk Ridge Ln, O Fallon, IL 62269-6939 | 2014-12-09 |
| 1447654827 | Tanja Johnson | Nurse Practitioner | 5 Mccluer Ct, O Fallon, MO 63368-1503 | 2014-10-14 |
| 1770509093 | Constance Stranquist | Nurse Practitioner | 2920 Highway K, O Fallon, MO 63368-7861 | 2006-07-14 |
| 1255848214 | Elayna Leah Temares | Nurse Practitioner | 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1099 | 2017-12-29 |
| 1205348133 | Katy Jo Lorenzo | Nurse Practitioner | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2017-11-01 |
| 1164956066 | Kimberly Burgess | Nurse Practitioner | 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 | 2017-04-18 |
| 1194259275 | Surgassist, LLC | Nurse Practitioner | 108 Cloverleaf Meadows Ct, O Fallon, MO 63366-4190 | 2017-04-17 |
| 1558800813 | Sarah Jane Poirot | Nurse Practitioner | 670 Pierce Blvd, O Fallon, IL 62269-2579 | 2017-02-20 |
| Find all providers in O FALLON | ||||
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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.