Active NPI
Jeanne Marie Thoreson, APRN CNP
- Nurse Practitioner
- Rochester, MN
National Provider Identifier
1437135654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R090654-4
- Practice address
- 210 9TH St SE
Rochester, MN 55904-6756 - Phone
- (507) 288-3443
- Fax
- (507) 529-6622
- NPI assigned
- Dec 20, 2005
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R090654-4 | MN | Primary |
Addresses
Primary practice location
210 9TH St SE
Rochester, MN 55904-6756
Mailing address
210 9TH St SE
Rochester, MN 55904-6756
Phone (507) 288-3443
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 090042700 | Medicaid | MN | |
| 500002597 | Other | MN | MEDICARE RAILROAD |
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R090654-4 | MN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1437135654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 9TH ST SE",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559046756",
"telephone_number": "507-288-3443",
"fax_number": "507-529-6622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 9TH ST SE",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559046756",
"telephone_number": "507-288-3443",
"fax_number": "507-529-6622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORESON",
"first_name": "JEANNE",
"middle_name": "MARIE",
"credential": "APRN CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-20",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R090654-4",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "090042700",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "500002597",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.