JENNA SOMMER TRUCKENBROD


Address: 1205 S Grange Ave, Suite 201, Sioux Falls, SD 57105-0407
Phone: 6053289290

JENNA SOMMER TRUCKENBROD (NPI# 1942644521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942644521
Entity Type Individual
Full Name JENNA SOMMER TRUCKENBROD
Credential PA-C
Practice Address 1205 S Grange Ave
Suite 201
Sioux Falls
SD 57105-0407
Mailing Address 964 Fawn Pkwy
Omaha
NE 68154-3531
Practice Telephone 6053289290
Mailing Telephone 6053707823
Enumeration Date 2013-04-25
Last Update Date 2016-06-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 1040 SD Physician Assistants & Advanced Practice Nursing Providers
Y 363A00000X Physician Assistant 1737 NE Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
1737 NE Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1205 S GRANGE AVE
SUITE 201
City SIOUX FALLS
State SD
Zip Code 57105-0407

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346245222 David W Zeigler Internal Medicine 1205 S Grange Ave, Ste 510, Sioux Falls, SD 57105-0410 2005-06-16
1447703962 Jennifer Lynn Newman Nurse Practitioner 1205 S Grange Ave, Mb2, Suite 104, Sioux Falls, SD 57105-0407 2016-08-02
1760835276 Rebecca Krivarchka Nurse Practitioner 1205 S Grange Ave, Suite 104, Sioux Falls, SD 57105-0407 2016-07-20
1992181200 Stacy Rausch Nurse Practitioner 1205 S Grange Ave, Ste 104, Sioux Falls, SD 57105-0407 2015-08-10
1487038774 Jenilee Kludt Pharmacist 1205 S Grange Ave, Suite 103, Sioux Falls, SD 57105-0407 2015-07-16
1285027417 Megan Bell Genetic Counselor, MS 1205 S Grange Ave, Ste 510, Sioux Falls, SD 57103 2015-03-12
1134523350 Lori Buschena Social Worker 1205 S Grange Ave, Suite 510, Sioux Falls, SD 57105-0407 2014-10-17
1275963506 Tiffany Reitsma Nurse Practitioner 1205 S Grange Ave, Ste 104, Sioux Falls, SD 57105-0407 2013-11-22
1649525825 Kerry R Jerke Nurse Practitioner 1205 S Grange Ave, Ste 201, Sioux Falls, SD 57105-0407 2012-07-13
1043576853 Katie Elizabeth Larson Pediatrics 1205 S Grange Ave, Suite 307, Sioux Falls, SD 57105-0407 2012-04-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871117549 Ashlesha Ravindra Bagwe Student in an Organized Health Care Education/Training Program Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 2020-05-29
1306494489 Kelsey Elaine Kruse Counselor 3101 West 41st, Sioux Falls, SD 57105 2019-08-30
1902388341 Sarah Tacke Nurse Practitioner 1301 West 18th Street, Sioux Falls, SD 57105 2018-09-02
1235624727 Mahum Shahid Student in an Organized Health Care Education/Training Program 1400 W. 22nd St, Sioux Falls, SD 57105 2018-06-27
1942790126 Smitha Narayana Gowda Student in an Organized Health Care Education/Training Program 1400 22nd Street, Sioux Falls, SD 57105 2018-05-14
1326538554 Mali Elizabeth Teller Speech-Language Pathologist 2501 W. 26th Street, Sioux Falls, SD 57105 2018-05-14
1871081505 Abdelmohaymin Abdalla Abufatima Abdalla Student in an Organized Health Care Education/Training Program Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 2018-04-27
1710474697 Moataz Ellithi Student in an Organized Health Care Education/Training Program 1400 W. 22nd St., Sioux Falls, SD 57105 2018-04-17
1366948663 Holly Ahlers Registered Nurse 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 2018-04-04
1558864124 Darcy Lee Jensen Counselor 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 2018-03-09
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124627898 Mikaela Theobald Physician Assistant 6101 E Quartzite Dr, Sioux Falls, SD 57110-3988 2020-10-22
1467064097 Kara Rae Koth Physician Assistant 4913 E 42nd St, Sioux Falls, SD 57110-4409 2020-08-17
1528695798 Allison Mcentee Physician Assistant 3620 East Prairiewind Street, Sioux Falls, SD 57108 2020-03-26
1326608910 Ashley Pommer Physician Assistant 8232 W 51st St, Sioux Falls, SD 57106-7861 2019-06-17
1225550908 Almir Krdzalic Physician Assistant 110 W Honors St, Sioux Falls, SD 57108-8174 2017-07-13
1598160335 Heidi Jo Vogel Physician Assistant 1417 S Cliff Avenue, Suite 200, Sioux Falls, SD 57105 2014-10-22
1639507882 Kelsey Isaacson Physician Assistant 4201 S Minnesota Ave, Suite 112, Sioux Falls, SD 57105-6705 2013-10-25
1033551114 Karissa G Zimmer Physician Assistant 2315 W. 57th Street, Suite 300, Sioux Falls, SD 57108 2013-07-18
1740623065 Nicolette Schmuck Physician Assistant 1500 W 22nd St Ste 302, Sioux Falls, SD 57105-1599 2013-04-17
1023389392 Leah Ayn Mergen Physician Assistant 521 N Main Ave Ste 100, Sioux Falls, SD 57104-5947 2012-01-19
Find all providers in SIOUX FALLS

Competitor

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City SIOUX FALLS
Zip Code 57105

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Dataset Information

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.

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