Active NPI
Mary F Jenn, CMT, MBLEX
- Health Educator
- Saint Paul, MN
National Provider Identifier
1316285158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 33326
- Practice address
- 2388 University Ave W
Ste 205
Saint Paul, MN 55114-1769 - Phone
- (612) 564-5487
- NPI assigned
- Jan 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | 33326 | CA | Primary |
Addresses
Primary practice location
2388 University Ave W
Ste 205
Saint Paul, MN 55114-1769
Mailing address
2388 University Ave W
Ste 205
Saint Paul, MN 55114-1769
Phone (612) 564-5427
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33326 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493337600000",
"number": "1316285158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2388 UNIVERSITY AVE W",
"address_2": "STE 205",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141769",
"telephone_number": "612-564-5427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2388 UNIVERSITY AVE W",
"address_2": "STE 205",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141769",
"telephone_number": "612-564-5487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENN",
"first_name": "MARY",
"middle_name": "F",
"name_prefix": "Ms.",
"credential": "CMT, MBLEX",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-30",
"last_updated": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "CA",
"license": "33326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
- Greta Hysjulien Jeffrey, L.AC
- Kathryn Jeffy, PHARMD
- Kristina Frances Jelacic, NP
- Jennifer Lee Jendro, LICSW
- Jenna Jenkins, MA, CCC-SLP
- Jenna Schuder, Inc
- Ann E Jennen, D.D.S.
- Sara Elizabeth Jennerjohn
- Jennie Hardman Therapy
- Jennie Yngsdahl , Ma, Licensed Psychologist, LLC (Center for Counseling and Wellness)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.