Active NPI
Jolene Kay Hoepner, DC
- Chiropractor
- Saint Cloud, MN
National Provider Identifier
1255380960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4824
- Practice address
- 3337 W Saint Germain St
Suite 109
Saint Cloud, MN 56301-8503 - Phone
- (320) 202-0577
- Fax
- (320) 202-0578
- NPI assigned
- May 9, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4824 | MN | Primary |
Addresses
Primary practice location
3337 W Saint Germain St
Suite 109
Saint Cloud, MN 56301-8503
Mailing address
802 3Rd Ave SE
Cold Spring, MN 56320-1457
Phone (612) 418-1121
Other names 1
- Dr. Jolene Kay Paulson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4824 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stadther Chiropractic, LTD. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255380960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 3RD AVE SE",
"city": "COLD SPRING",
"state": "MN",
"postal_code": "563201457",
"telephone_number": "612-418-1121",
"fax_number": "320-202-0578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3337 W SAINT GERMAIN ST",
"address_2": "SUITE 109",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563018503",
"telephone_number": "320-202-0577",
"fax_number": "320-202-0578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOEPNER",
"first_name": "JOLENE",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOLENE",
"last_name": "PAULSON",
"middle_name": "KAY",
"prefix": "DR.",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Saint Cloud, MN
Sources for this page
- 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.