Jennifer Owens, QDDS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

635 Phalen Blvd Apt 401
Saint Paul, MN 55130-5308

Phone

(612) 707-8121

NPI assigned

Nov 5, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Agegrace, Inc.

  • Health Maintenance Organization
  • Saint Paul, MN
  • NPI 1033738554
  NPD Authorized official

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1154922011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28041",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551280041",
            "telephone_number": "612-707-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 PHALEN BLVD APT 401",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551305308",
            "telephone_number": "612-707-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "JENNIFER",
        "credential": "QDDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jowens@student.umgc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "635 Phalen Blvd Apt 401",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551305308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ovitsky Vision Care of Minnesota PC
• Reed Grace Owens-Pochinka, MD
• Yaroslav Owens-Pochinka
• Alicia Tamara Owens
• Ashley Owens
• Christina Ann Oye, RDCS
• Bankole B Oyefesobi
• Olayemi Oyinloye, LICSW
• Koken Ozdogan, MD
• Ali R Ozyigit

• All providers in Saint Paul, MN
• Case Manager/Care Coordinator in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.