Individual provider Active NPI

Jennifer Irene Almanza, CNM, RN, PHN

  • Advanced Practice Midwife
  • Eagan, MN
National Provider Identifier
1457879595
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
375 Issued in MN
Practice address
1654 Diffley Rd Ste 100
Eagan, MN 55122-2237
Phone
(651) 641-3900
Fax
(651) 641-3904
NPI assigned
Sep 8, 2017
Last updated
Jun 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R-169659-4 MN
Advanced Practice Midwife 367A00000X 375 MN Primary

Addresses

Primary practice location

1654 Diffley Rd Ste 100
Eagan, MN 55122-2237

Mailing address

8170 33Rd Ave S
Ms 21110Q
Bloomington, MN 55425-4516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180821002815 MN Practitioner - Certified Nurse Midwife (CNM) 8022367291 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R-169659-4MNMDRegistered Nurse
375MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care Current Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2019 Accepting new patients
Group Health, Inc. CurrentSince Jun 8, 2021 Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2019 Accepting new patients
Group Health, Inc. CurrentSince Jun 8, 2021 Accepting new patients
Regions Hospital Past Accepting new patients

Locations

1654 Diffley Rd
Ste 100
Eagan, MN 55122
Phone (651) 456-8670

606 24th Ave S
Minneapolis, MN 55454
Phone (612) 273-7111

606 24th Ave S
Ste 300
Minneapolis, MN 55454
Phone (612) 273-7111

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0331

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1457879595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "address_2": "MS 21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 DIFFLEY RD STE 100",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222237",
            "telephone_number": "651-641-3900",
            "fax_number": "651-641-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMANZA",
        "first_name": "JENNIFER",
        "middle_name": "IRENE",
        "credential": "CNM, RN, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R-169659-4",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

Verify at the official NPI Registry.