Jennifer Lin Herther, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5802 Issued in MN

Practice address

3495 Northdale Blvd NW Ste 100
Coon Rapids, MN 55448-6713

Phone

(763) 323-4127

Fax

(763) 401-6353

NPI assigned

Sep 17, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Lin Dennison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Livea Medical PLLC

  • Obesity Medicine (Preventive Medicine) Physician
  • Coon Rapids, MN
  • NPI 1679386346
  NPD
• New Kingdom Pediatrics LLC

  • Clinic/Center
  • Eden Prairie, MN
  • NPI 1760816045
  NPD

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1265868624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 NORTHDALE BLVD NW STE 100",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554486713",
            "telephone_number": "202-715-7900",
            "fax_number": "202-544-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 NORTHDALE BLVD NW STE 100",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554486713",
            "telephone_number": "763-323-4127",
            "fax_number": "763-401-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTHER",
        "first_name": "JENNIFER",
        "middle_name": "LIN",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209010700",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "5802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DENNISON",
            "middle_name": "LIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffany Henry
• Fuab Her, OTR
• Nou Her
• Christina Mae Heringlake Jaspers, M.D.
• Alison Marie Herr, PT, DPT
• Deborah A Hesli, LICSW
• Brynn Leigh Hesselberg, AUD
• Kathleen Ann Hibbs, M.S.
• Emily Nicole Hicke, PA
• Diane Elizabeth Hickey, NP

• Adult Health Nurse Practitioner in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Adult Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.