Jennifer Nielle Webb, M.A., L.P.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP4116 Issued in MN

Practice address

834 98TH Ave NW
Coon Rapids, MN 55433-5492

Phone

(763) 757-8282

Fax

(763) 757-8282

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1427140508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 98TH AVE NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335492",
            "telephone_number": "763-757-8282",
            "fax_number": "763-757-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 98TH AVE NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335492",
            "telephone_number": "763-757-8282",
            "fax_number": "763-757-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "JENNIFER",
        "middle_name": "NIELLE",
        "name_prefix": "Ms.",
        "credential": "M.A., L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-11-11",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380023700#",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "125500  GRP # C613",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josslyn Warneke
• Randall C Warren, MD
• Mary Theresa Watson, WHCNP
• Nicole Wawra, L.AC
• We Care Home Health Services LLC
• Susan M Webb, CRNA
• Meghan Eleanor Webber, PA-C
• Julia Karen Weber
• Nancy Weaver Webster, MD
• Lauren Wedel

• Psychologist in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.