DR. JENNIFER JUNE OLSON (NPI# 1659380954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659380954 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER JUNE OLSON |
| Credential | M.D. |
| Practice Address |
10961 Club West Pkwy Blaine MN 55449-4671 |
| Mailing Address |
6401 University Ave Ne Suite 200 Fridley MN 55432-4341 |
| Practice Telephone | 7635725710 |
| Practice Fax Number | 7635282945 |
| Mailing Telephone | 7635725710 |
| Mailing Fax Number | 7635713008 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 42020 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | HEALTHPARTNERS | HP29302 | 01 |
| MN | PREFERRED ONE | 1045886 | 01 |
| MN | UCARE MN | 127222 | 01 |
| MN | BCBS OF MN | 269P3OL | 01 |
| MN | AMERICA'S PPO | 24227 | 01 |
| MN | MEDICA | 1203511 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364089 | Jennifer Ann Olson | Behavioral Analyst | Autism Matters 14387 Edgewood Drive, Baxter, MN 56425 | 2020-04-13 |
| 1487128492 | Jennifer Marie Olson | Physical Medicine & Rehabilitation | 10520 Amberjack Way Unit 102, Englewood, FL 34224-9157 | 2019-01-14 |
| 1306234505 | Jennifer Olson | Occupational Therapist | 2112 Hihgway 36, Wathena, KS 66090 | 2014-12-23 |
| 1801295571 | Jennifer Lynn Olson | Nurse Practitioner | 333 Pine Ridge Blvd Ste 317, Wausau, WI 54401-4102 | 2014-08-19 |
| 1033521034 | Jennifer Olson | Registered Nurse | 3266 17th Ave Ne, Arvilla, ND 58214-9477 | 2014-05-24 |
| 1487065884 | Jennifer Olson | Student in an Organized Health Care Education/Training Program | 531 W Briar Pl, 3, Chicago, IL 60657-6809 | 2014-05-19 |
| 1265858633 | Jennifer S Olson | Physical Therapy Assistant | 8365 Bella Tierra Ct, Champions Gate, FL 33896-5385 | 2014-03-10 |
| 1871614305 | Jennifer A Olson | Massage Therapist | 933 W 3rd Ave, Suite 106, Spokane, WA 99201-4512 | 2007-04-02 |
| 1932202991 | Jennifer Elizabeth Olson | Internal Medicine | 1471 Chester Blvd., Ste. A, Reid Internal Medicine, Richmond, IN 47374-1946 | 2006-09-06 |
| 1538183546 | Jennifer C Olson | Speech-Language Pathologist | 9895 La View Cir, Roswell, GA 30075-4632 | 2006-07-26 |
| Street Address |
10961 CLUB WEST PKWY |
| City | BLAINE |
| State | MN |
| Zip Code | 55449-4671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447205810 | Mary Bhavsar | Ophthalmology | 10961 Club West Pkwy, Suite 130, Blaine, MN 55449-5866 | 2006-05-24 |
| 1437774957 | Brian J Helmrick | Specialist/Technologist | 10961 Club West Pkwy, Blaine, MN 55449-5866 | 2020-06-10 |
| 1912364134 | Fairview Health Services | Clinic/Center | 10961 Club West Pkwy, Blaine, MN 55449-5866 | 2016-01-19 |
| 1528466372 | Carissa Fleek | Specialist/Technologist | 10961 Club West Pkwy, Blaine, MN 55449-5866 | 2014-12-10 |
| 1740683192 | Ann Studniski | Specialist/Technologist | 10961 Club West Pkwy, Suite 200, Blaine, MN 55449-5866 | 2014-09-30 |
| 1366855629 | Charles Joseph Kopp | Optometrist | 10961 Club West Pkwy, Suite 130, Blaine, MN 55449-5866 | 2014-06-04 |
| 1912332271 | Tec LLC | Eyewear Supplier (Equipment, not the service) | 10961 Club West Pkwy, Suite 130, Blaine, MN 55449-5866 | 2013-09-05 |
| 1831456953 | Jonathan Raphael Snitzer | Anesthesiology | 10961 Club West Pkwy, Blaine, MN 55449-5866 | 2012-04-13 |
| 1780962381 | Andrea Lewis | Physical Therapist | 10961 Club West Pkwy, Blaine, MN 55449-5866 | 2011-07-30 |
| 1114210036 | Joseph Miles Palmquist | Physician Assistant | 10961 Club West Pkwy, Blaine, MN 55449-5866 | 2011-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736368 | Landon Thomas Case | Dentist | 10729 Town Square Drive Ne, Ste 100, Blaine, MN 55449 | 2020-07-02 |
| 1881168441 | Ear Institutes, LLC | Otolaryngology | 4365 Pleasant Ridge Dr Ne, Suite 106, Blaine, MN 55449 | 2019-01-17 |
| 1841776242 | Kristin Broback | Nurse Practitioner | 10705 Town Square Dr Ne #100, Blaine, MN 55449 | 2018-07-18 |
| 1043719016 | Robin Lynn Broen | Registered Nurse | 3012 129th Ave Ne, Blaine, MN 55449 | 2018-02-06 |
| 1194197368 | Lund Health Professional Corporation | Chiropractor | 1360 101st Ave Ne, Suite 140, Blaine, MN 55449 | 2015-10-27 |
| 1871989806 | Blaine Wp II, LLC | Assisted Living Facility | 12402 Jamestown Street Ne, Blaine, MN 55449 | 2015-04-07 |
| 1154761633 | Jean Budge | Marriage & Family Therapist | 11800 Aberdeen Street Ne, Suite 100, Blaine, MN 55449 | 2013-06-28 |
| 1295013498 | Jeff K Yu | Veterinarian | 11850 Aberdeen St Ne, Blaine, MN 55449 | 2011-07-22 |
| 1528394707 | Julie Ann Eibensteiner | Physical Therapist | 11304 Davenport Circle Ne #a, Minneapolis, MN 55449 | 2009-10-23 |
| 1871725333 | Deborah Kathryn Zongo | Nurse Practitioner | 10190 Baltimore St Ne Ste 100, Blaine, MN 55449 | 2009-08-18 |
| Find all providers in zip 55449 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629590872 | Alexandra Staum Reif | Pediatrics | 11107 Ulysses Street Ne, Suite 100, Blaine, MN 55434 | 2017-07-10 |
| 1649409665 | Indrani Saha | Pediatrics | 10961 Club West Pkwy, Blaine, MN 55449-5866 | 2009-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144164 | Sundus Sabrie | Pediatrics | 17705 Hutchins Dr Ste 250, Minnetonka, MN 55345-4103 | 2020-08-13 |
| 1356998215 | Katie Marie Heille | Pediatrics | 305 W Franklin Ave Apt 201, Minneapolis, MN 55404-2308 | 2019-08-24 |
| 1780156208 | Crescent Cove | Pediatrics | 4201 58th Avd N., Brooklyn Center, MN 55429 | 2018-12-21 |
| 1952889073 | Kelly Mcgregory Pediatrics LLC | Pediatrics | 6000 Bass Lake Rd Ste 102, Crystal, MN 55429 | 2018-07-31 |
| 1043709124 | Erica Wade Lundberg | Pediatrics | 4875 Cottonwood Ln N, Plymouth, MN 55442-2277 | 2018-05-04 |
| 1851896187 | Hamdi A Ali | Pediatrics | 26 Mayo Park Dr Se, Rochester, MN 55904 | 2018-03-28 |
| 1942736103 | Taylor Ashley Argo | Pediatrics | 717 Delaware Street Se, Suite 353, General Pediatrics & Adolescent Health, Minneapolis, MN 55455 | 2017-05-10 |
| 1932634052 | Christopher Maierhofer | Pediatrics | 715 S 8th St Fl 3, Minneapolis, MN 55404-1210 | 2017-04-26 |
| 1487009817 | Kalli Amber Hess | Pediatrics | 111 Hundertmark Rd #420, Chaska, MN 55318-1459 | 2016-05-04 |
| 1255785572 | Kate Follese | Pediatrics | 1025 Marsh St Fl 1, Mankato, MN 56001 | 2016-04-22 |
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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.