Organization Active NPI

Peace Love & Healthcare Clinic PLLC

  • Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1619883568
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
PEACE LOVE & HEALTHCARE CLINIC PLLC
Practice address
825 Nicollet Mall Ste 1235
Minneapolis, MN 55402-2702
Phone
(612) 208-2195
NPI assigned
Aug 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Dr. Jodi Johnson, CNP
Title
FNP-C
Phone
(612) 208-2195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

825 Nicollet Mall Ste 1235
Minneapolis, MN 55402-2702

Mailing address

825 Nicollet Mall Ste 1235
Minneapolis, MN 55402-2702
Phone (612) 208-2195

Other names 1

  • Peace Love & Healthcare PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

825 Nicollet Mall
Ste 1235
Minneapolis, MN 55402

NPI Registry JSON

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

{
    "created_epoch": "1787184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1619883568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL STE 1235",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022702",
            "telephone_number": "612-208-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL STE 1235",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022702",
            "telephone_number": "612-208-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE LOVE & HEALTHCARE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "FNP-C",
        "authorized_official_telephone_number": "612-208-2195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peace Love & Healthcare PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.