DR. JODI LYNN MARTIN (NPI# 1942762828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942762828 |
| Entity Type | Individual |
| Full Name | DR. JODI LYNN MARTIN |
| Credential | DNP, CNP |
| Practice Address |
720 Washington Ave Se Ste 300 Minneapolis MN 55414-2904 |
| Mailing Address |
5075 Starview Ln Prior Lake MN 55372-9603 |
| Practice Telephone | 6128840769 |
| Mailing Telephone | 6127490263 |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
6175 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
6175 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 559 Capitol Blvd, Saint Paul, MN 551032101 | 6512322000 | |
| 720 Washington Ave Se Ste 300, Minneapolis, MN 554142904 | 6128840769 | |
| 909 Fulton St Se, Minneapolis, MN 554554800 | 6126727422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588724363 | Jodi A. Martin | Psychologist | 287 6th St E, Suite 220, Saint Paul, MN 55101-1654 | 2006-12-11 |
| 1740734730 | Jodi Alise Martin | Physician Assistant | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2016-08-08 |
| 1932432523 | Jodi Leigh Martin | Social Worker | 1124 E Lexington Ave, High Point, NC 27262-3336 | 2009-09-14 |
| 1275784209 | Jodi L Martin | Occupational Therapy Assistant | 100 Abbeyville Rd, Lancaster, PA 17603-4604 | 2008-10-08 |
| 1548358252 | Jodi Martin | Counselor | 200 E Frazier Ave, Columbia, KY 42728-1915 | 2006-10-10 |
| Street Address |
720 WASHINGTON AVE SE STE 300 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55414-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477180321 | Michelle Lyn Roof | Physician Assistant | 720 Washington Ave Se Ste 300, Minneapolis, MN 55414-2904 | 2020-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1346888732 | Danielle Lee Ann Vogler-bos | Naturopath | 575 Se 9th St, Suite #52, Minneapolis, MN 55414 | 2019-12-16 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1346806585 | Kristen Bastug | Student in an Organized Health Care Education/Training Program | General Pediatrics and Adolescent Health, 1932k, 1717 Delaware Street Southeast, Suite 353, Minneapolis, MN 55414 | 2019-05-14 |
| 1053881698 | Lauren Michelle Scholder | Psychologist | 401 Main St Se Apt 7009, Minneapolis, MN 55414 | 2018-11-27 |
| 1427530666 | Kelli Howard | Psychologist | 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2018-09-04 |
| 1306370218 | Jiexiong Yang | Student in an Organized Health Care Education/Training Program | 814 Essex St Se, Minneapolis, MN 55414 | 2017-04-18 |
| 1598297699 | Patrick Curran | Student in an Organized Health Care Education/Training Program | 628 University Ave Se, Apt. 112, Minneapolis, MN 55414 | 2017-03-29 |
| 1679923957 | Jillian Theresa Tholen | Dietitian, Registered | 411 E Hennepin Ave, Minneapolis, MN 55414 | 2016-06-16 |
| 1073960290 | First Language Interpreter & Translation Services LLC | Interpreter | 2828 University Ave Se Suite 150, Minneapolis, MN 55414 | 2016-05-17 |
| Find all providers in zip 55414 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083027536 | Mueni C Mualuko | Nurse Practitioner | 2220 Riverside Ave # Ms 26602g, Geriatrics Department Ms 26602g/ 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2014-06-03 |
| 1487937892 | Jonathan Deforest Olson | Nurse Practitioner | 30 W 22nd St, #204, Minneapolis, MN 55404-2428 | 2011-09-21 |
| 1386738995 | Jean F Wyman | Nurse Practitioner | Dept of Ob/gyn & Women's Health, 420 Delaware Street Se Mmc 395, Minneapolis, MN 55455 | 2006-10-03 |
| 1861593212 | Donna Mae Aske | Nurse Practitioner | 1 Veteran Drive, Minneapolis, MN 55417 | 2006-09-26 |
| 1326082991 | Patricia Anne Camillo | Nurse Practitioner | 2900 Thomas Ave S Apt 1903, Minneapolis, MN 55416-4583 | 2006-06-15 |
| 1730128505 | Sarah Louise Isakson | Nurse Practitioner | Mail Route 11414, 800 E. 28th Street, Minneapolis, MN 55407-3799 | 2006-06-06 |
| 1972121952 | Alicia Joy Minnis | Nurse Practitioner | 1415 Lilac Dr N Ste 190, Minneapolis, MN 55422-4544 | 2020-07-07 |
| 1508485970 | Christina Bricout | Nurse Practitioner | 3433 Broadway St Ne Ste 300, Minneapolis, MN 55413-1761 | 2020-04-15 |
| 1033746714 | Jennifer Voss | Nurse Practitioner | 3433 Broadway St Ne Ste 300, Minneapolis, MN 55413-1761 | 2020-03-24 |
| 1972153443 | Marianne Loftus | Nurse Practitioner | 3433 Broadway St Ne Ste 300, Minneapolis, MN 55413-1761 | 2019-09-17 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55414 |
Please comment or provide details below to improve the information on DR. JODI LYNN MARTIN.
| 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.