Genovations Regen PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GENOVATIONS REGEN PLLC

Practice address

2228 James St
Eagan, MN 55122-2336

Phone

(210) 630-0146

NPI assigned

Feb 8, 2022

Last updated

Feb 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Lynn Ergang, NPNPI 1518429273

Title

Owner

Phone

(210) 630-0146

Specialties & licenses 2

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer L Ergang, APRN, FNP-C

  • Family Nurse Practitioner
  • Woodbury, MN
  • NPI 1518429273
  Authorized official Same address or phone

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1457005548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 JAMES ST",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 JAMES ST",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222336",
            "telephone_number": "210-630-0146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1440 Duckwood Dr",
            "address_purpose": "LOCATION",
            "city": "Eagan",
            "state": "MN",
            "postal_code": "551221451",
            "country_code": "US",
            "telephone_number": "651-203-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENOVATIONS REGEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "ERGANG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-630-0146",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PEHR",
            "affiliation": "N",
            "address_1": "2228 James St",
            "city": "Eagan",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551222336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shalom Ashenafi Gebe
• Maryan Abshir Gelle
• Nicholas S Geller, DDS
• Genesis Chiropractic Health Center
• Deanna Lyn Genette, MSW LICSW
• Lindsey Hanna George
• Patrick Geraghty, MSE, LP
• Jessica Ellen Gerhan, MA, LPCC
• Emily Ann Gerlich
• Erica Elizabeth Gerrity, LICSW

• Clinic/Center in Eagan, MN
• Providers in Eagan, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.