JODI ANN WIECZOREK (NPI# 1780126474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780126474 |
| Entity Type | Individual |
| Full Name | JODI ANN WIECZOREK |
| Credential | AGCNS-BC, A.P.R.N. |
| Practice Address |
201 E Nicollet Blvd Burnsville MN 55337-5714 |
| Mailing Address |
552 Red Oak Ct Eagan MN 55121-2335 |
| Practice Telephone | 9528922000 |
| Mailing Telephone | 6514028993 |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2016-11-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | R 118342-1 CNS 0 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
201 E NICOLLET BLVD |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-5714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649265737 | South Metropolitan Anesthesia, Pa | Nurse Anesthetist, Certified Registered | 201 E Nicollet Blvd, Burnsville, MN 55337 | 2005-09-14 |
| 1467053389 | Dana Sotherland | Physical Therapist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2020-11-06 |
| 1770181265 | Ericka Maldonado Medina | Physical Therapist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2020-10-15 |
| 1477162196 | Kyle Webb | Registered Nurse | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2020-07-28 |
| 1568070936 | Fairview Express Care | General Practice | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2020-07-21 |
| 1972141315 | Whitney Paitra Hernlem | Dietitian, Registered | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2019-12-17 |
| 1962045187 | Robert Henry Steingraeber | Physical Therapist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2019-10-21 |
| 1821657065 | Kaitlyn Mae Gretsch | Physician Assistant | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2019-06-11 |
| 1447815600 | Jennifer Lynne Anderson | Occupational Therapist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2019-05-03 |
| 1881158350 | Alanna Burchman | Nurse Anesthetist, Certified Registered | 201 E Nicollet Blvd, Burnsville, MN 55337-5799 | 2019-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| 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 |
|---|---|---|---|---|
| 1952499444 | Fairview Health Services | Clinical Nurse Specialist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2006-10-10 |
| 1750356036 | Mary Corinne Beshara | Clinical Nurse Specialist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2006-02-21 |
| 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 |
| 1942642681 | Jean Vaneps | Clinical Nurse Specialist | 708 Division St, Deer River, MN 56636-8706 | 2013-07-23 |
| 1174745715 | Susan M Karnitz | Clinical Nurse Specialist | 1575 Beam Avenue, Maplewood, MN 55109 | 2007-05-03 |
| 1598805079 | Marybeth L O Neil | Clinical Nurse Specialist | 2100 Campus Dr Se, Rochester, Rochester, MN 55904-4831 | 2007-02-07 |
| 1700955366 | Geropsych Health Services, Inc. | Clinical Nurse Specialist | 611 Spruce Grove Ln Nw, Bemidji, MN 56601-7746 | 2006-11-07 |
| 1912008152 | Molly S Fritz-beckers | Clinical Nurse Specialist | Range Mental Health Center Perpich Building, 3203 W 3rd Ave, Hibbing, MN 55746 | 2006-09-26 |
| 1407866510 | Saunda St Martin | Clinical Nurse Specialist | 24760 Hospital Drive, Redlake, MN 56671 | 2006-08-09 |
| 1578577953 | Nancy Menzel | Clinical Nurse Specialist | 15 S Pilot Ct, Mankato, MN 56001-4127 | 2006-07-28 |
| 1417901109 | Jodie Duntley | Clinical Nurse Specialist | 701 Park Ave # S1, Minneapolis, MN 55415-1623 | 2006-05-19 |
| 1992766869 | Gay M Bartholic | Clinical Nurse Specialist | 2345 Ariel Street N - Mail Stop 13601a, Healthpartners Regions Behavioral Health - Maplewood, Maplewood, MN 55109-2248 | 2006-03-30 |
| Find all providers with the same taxonomy | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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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.