Jodell E Dahl, RN, MS, CNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R0866590 Issued in MN

Practice address

2450 Riverside Ave SE
East Building Journey Clinic 9E
Minneapolis, MN 55454-0341

Phone

(612) 365-8100

Fax

(612) 626-2815

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Science, Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1396861217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 OAK GROVE PLACE",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551052759",
            "telephone_number": "612-626-2804",
            "fax_number": "612-626-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 RIVERSIDE AVE SE",
            "address_2": "EAST BUILDING JOURNEY CLINIC 9E",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554540341",
            "telephone_number": "612-365-8100",
            "fax_number": "612-626-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "JODELL",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "RN, MS, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MN",
            "license": "R0866590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David C Dahl, MD
• Deadra Marie Dahl, MS,RN,CNS
• Gregory J Dahl, DC
• Jan Mary Dahl, MA PT
• Jessica Dahl, CRNA
• Laura Paige Dahl, PT
• Linnea Dahl
• Mary Dahl
• Wendy Ann Dahl
• Daniel Dahlberg

• Pediatric Nurse Practitioner in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Pediatric Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.