Jenny Kay Mortensen

Primary specialty

DriverTaxonomy code 172A00000X

License

SW801321 Issued in OH

Practice address

25147 Tara Lynn Dr
North Olmsted, OH 44070-1292

Phone

(440) 364-2975

NPI assigned

Mar 9, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1285334060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5269 DEVON DR",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703038",
            "telephone_number": "440-281-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25147 TARA LYNN DR",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440701292",
            "telephone_number": "440-364-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTENSEN",
        "first_name": "JENNY",
        "middle_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "OH",
            "license": "SW801321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid America Health
• Angela Moizuk, PHARMD
• Alberta Lynn Monteleone
• Savannah Moody, RN
• Heidi R Morgan, LPN
• Latasha A Moss
• Mohammad Muntaser
• Angela Marie Murphy, DO
• Kimberly Michele Murray, LISW
• Zain Bin Mushtaq

• Driver in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Driver in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.