Individual provider Active NPI

Jill Marie Rosenthal, BSN, RN, PHN, LSN

  • School Registered Nurse
  • Forest Lake, MN
National Provider Identifier
1386578102
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
1605349 Issued in MN
Practice address
246 11TH Ave SE
Forest Lake, MN 55025-1823
Phone
(651) 252-6740
NPI assigned
Jun 9, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 1605349 MN Primary

Addresses

Primary practice location

246 11TH Ave SE
Forest Lake, MN 55025-1823

Mailing address

246 11TH Ave SE
Forest Lake, MN 55025-1823
Phone (651) 252-6740

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

NPI Registry JSON

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

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1386578102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 11TH AVE SE",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550251823",
            "telephone_number": "651-252-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 11TH AVE SE",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550251823",
            "telephone_number": "651-252-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "BSN, RN, PHN, LSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "MN",
            "license": "1605349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.