Active NPI
Jodi May Zachary, PMHNP-BC
- Psychiatry Physician
- Cottage Grove, MN
National Provider Identifier
1366063828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 12931
- Practice address
- 8320 Jasmine Ave S
Cottage Grove, MN 55016-3454 - Phone
- (651) 226-3097
- NPI assigned
- May 6, 2020
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 12931 | MN | Primary |
Addresses
Primary practice location
8320 Jasmine Ave S
Cottage Grove, MN 55016-3454
Mailing address
8320 Jasmine Ave S
Cottage Grove, MN 55016-3454
Phone (612) 767-6272
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 |
|---|---|---|---|
| 12931 | MN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1366063828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8320 JASMINE AVE S",
"city": "COTTAGE GROVE",
"state": "MN",
"postal_code": "550163454",
"telephone_number": "612-767-6272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8320 JASMINE AVE S",
"city": "COTTAGE GROVE",
"state": "MN",
"postal_code": "550163454",
"telephone_number": "651-226-3097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACHARY",
"first_name": "JODI",
"middle_name": "MAY",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-06",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "12931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cottage Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.