Jenneh Kotay Gbehan, DNP-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6866866 Issued in MN

Practice address

4825 Olson Memorial Hwy
Golden Valley, MN 55422-5147

Phone

(763) 496-5708

NPI assigned

Nov 4, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1083258933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 CREEKWOOD DR N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553161648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 OLSON MEMORIAL HWY",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554225147",
            "telephone_number": "763-496-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GBEHAN",
        "first_name": "JENNEH",
        "middle_name": "KOTAY",
        "name_prefix": "Dr.",
        "credential": "DNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "6866866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Marie Gapen, P.T.
• Jenna Gardner
• Eowyn Gatlin-Nygaard
• Adam Lee Gatzke
• Jenny Lynn Gau, PHARM.D.
• Andrea Gerladine Geib, PA-C
• Genoa Healthcare LLC
• Kaitlyn Gerber, OT
• John Gerstner, DDS
• Brian D Gervais, D.C.

• Family Nurse Practitioner in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.