Jackie Lyn Padgett, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R 143648-2 Issued in MN

Practice address

255 Smith Ave N Ste 100
Saint Paul, MN 55102-2518

Phone

(651) 726-2733

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093723736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 SILVER LN NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554213471",
            "telephone_number": "612-760-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SMITH AVE N STE 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022518",
            "telephone_number": "651-726-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADGETT",
        "first_name": "JACKIE",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R 143648-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• P.a.L.S LLC
• P&C Massage
• Mayra Pacheco-Hernandez
• Brigid Packer, APRN, CNP
• Michael Thomas Paddock, D.O.
• Lindsey Padgett, M.A. CCC
• Adrian Padilla, BA, LADC
• Nikolas Kolja Paech, M.D.
• Evan Bartlett Page, CCC-SLP
• Graydon T Page, MD

• Registered Nurse in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.