JESSICA L MAHONEY (NPI# 1659836070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659836070 |
| Entity Type | Individual |
| Full Name | JESSICA L MAHONEY |
| Credential | NURSE PRACTITIONER |
| Practice Address |
225 Smith Ave N Ste 400 Saint Paul MN 55102-2568 |
| Mailing Address |
46 Crocus Pl Saint Paul MN 55102-2810 |
| Practice Telephone | 6512900133 |
| Mailing Telephone | 6125086766 |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AG02190059 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730648783 | Jessica M Mahoney | Counselor | 807 Lawn Ave, Sellersville, PA 18960-1594 | 2019-03-19 |
| 1790196715 | Jessica Mahoney | Psychologist | 3457 Brook Crossing Dr, Brandon, FL 33511-8181 | 2014-05-13 |
| 1538233507 | Jessica Ann Mahoney | Pharmacist | 600 Highland Ave, Compliance Mail Code 2433, Madison, WI 53792-0001 | 2006-11-20 |
| 1659459253 | Jessica B. Mahoney | Pediatrics | 395 Hickey Blvd, Daly City, CA 94015-2770 | 2006-11-01 |
| 1972525129 | Jessica Robin Mahoney | Physician Assistant | 1000 South Ave, Rochester, NY 14620-2733 | 2006-07-24 |
| Street Address |
225 SMITH AVE N STE 400 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-2568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083697825 | Richard Jay Brody | Internal Medicine | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2005-11-25 |
| 1780209486 | Megan Kipfer | Nurse Practitioner | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2020-06-09 |
| 1124501515 | Matthew Alan Klimek | Licensed Practical Nurse | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2018-09-11 |
| 1427552686 | Brittany Lynn Butts | Physician Assistant | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2018-03-22 |
| 1598212839 | Rachel M Thompson | Physician Assistant | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2016-09-02 |
| 1659827111 | Caitlin Ann Rau | Physician Assistant | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2016-08-25 |
| 1649723107 | Bridget Blake | Physician Assistant | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2016-08-01 |
| 1568809986 | Takeshi Onizuka | Internal Medicine | 225 Smith Ave N Ste 400, Saint Paul, MN 55102 | 2013-05-24 |
| 1184988032 | Kalie Yang Kebed | Internal Medicine | 225 Smith Ave N Ste 400, Saint Paul, MN 55102 | 2012-06-26 |
| 1962778050 | Kathleen Carlson | Internal Medicine | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2012-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| 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 |
|---|---|---|---|---|
| 1063039378 | Samantha Dion Richardson | Nurse Practitioner | 3225 Dogwood Dr, Saint Paul, VA 24283-2543 | 2020-07-02 |
| 1033547708 | Jane Monita | Nurse Practitioner | 225 Smith Ave N Ste 200, Saint Paul, MN 55102-2697 | 2013-10-16 |
| 1851541239 | Emily A. Wolfe | Nurse Practitioner | 640 Jackson St - Mc 11108b, Healthpartners Regions Specialty Clinics, Saint Paul, MN 55101-2502 | 2008-09-23 |
| 1629264668 | Chris-ann Lauria | Nurse Practitioner | 1145 Homer St, Saint Paul, MN 55116-3231 | 2007-09-24 |
| 1871790956 | Susan M Knier | Nurse Practitioner | 178 9th St E, Saint Paul, MN 55101 | 2007-07-02 |
| 1275625485 | Michele Johnson | Nurse Practitioner | 916 Rice St, Saint Paul, MN 55117-5425 | 2006-09-28 |
| 1063517100 | Samuel Yaw Boadu | Nurse Practitioner | 409 North Dunlap Street, Open Cities Health Center, Saint Paul, MN 55104-4201 | 2006-09-13 |
| 1205843307 | Jean Marie Kummer Iv | Nurse Practitioner | 4831 Richard Ln, Saint Paul, MN 55122-2784 | 2006-08-02 |
| 1568489037 | Anna Mergit Novak | Nurse Practitioner | 1055 Westgate Dr Ste 100, Saint Paul, MN 55114-1451 | 2006-07-17 |
| 1144287251 | Diane M Budnick | Nurse Practitioner | 1700 University Ave W, Medical Advanced Pain Specialists, Saint Paul, MN 55104-3727 | 2006-05-01 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
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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.