Jamie Pederson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R199667-6 Issued in MN

Practice address

179 County Road 37 NW
Buffalo, MN 55313-2746

Phone

(320) 333-8844

NPI assigned

Aug 1, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1629750534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 COUNTY ROAD 37 NW",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132746",
            "telephone_number": "320-333-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 COUNTY ROAD 37 NW",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132746",
            "telephone_number": "320-333-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSON",
        "first_name": "JAMIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R199667-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park View Care Center (Buffalo Adult Day Center)
• Rebecca Linn Paumen
• Pca Positive Direction
• PCC, Inc (Professional Counseling Center of Buffalo)
• Jonathan Eric Pearson, PTA
• Mark Pederson, LP
• Performance and Wellness, Inc
• Douglas Peterson, M.D.
• Melissa Pfaff, RN
• Shannon Pfeifer

• Registered Nurse in Buffalo, MN
• Providers in Buffalo, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.