Theresa Irene Jensen

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

4704270666 Issued in MI

Practice address

8200 S Saginaw St Ste 500
Grand Blanc, MI 48439-2451

Phone

(810) 953-8700

Fax

(810) 953-8704

NPI assigned

Jan 26, 2015

Last updated

Jan 28, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15223/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/15478/brand/1/csg/1/fhir/r4
• Direct secure messaging: theresa.jensen.1@20355.direct.athenahealth.com

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.

• Columbiaville Family Clinic PLLC

  dba Jehad Jafari Clinic

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1457716102
  Medicare reassignment NPD
• Michigan Rheumatology Group PC

  • Rheumatology Physician
  • Grand Blanc, MI
  • NPI 1689746901
  Medicare reassignment NPD
• Mohamed Ally Health Plaza PLLC

  • Internal Medicine Physician
  • Otisville, MI
  • NPI 1891103784
  Medicare reassignment NPD
• Saginaw Valley Walk in Clinic, PLLC

  dba Saginaw Valley Medical Care

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1770883738
  Medicare reassignment NPD
• Shattuck Family Physicians PLLC

  • Internal Medicine Physician
  • Caro, MI
  • NPI 1801251194
  Medicare reassignment NPD
• St. Charles Family Clinic PLLC

  • Family Medicine Physician
  • Saint Charles, MI
  • NPI 1669837993
  Medicare reassignment NPD
• Michigan Rheumatology Group PC

  • Rheumatology Physician
  • Lapeer, MI
  • NPI 1801968144
  NPD

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1639569916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 S SAGINAW ST STE 500",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392451",
            "telephone_number": "810-953-8700",
            "fax_number": "810-953-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 S SAGINAW ST STE 500",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392451",
            "telephone_number": "810-953-8700",
            "fax_number": "810-953-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "THERESA",
        "middle_name": "IRENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704270666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pattielashawn Jefferies
• Brianna Jefferson
• Jeffrey S. Rohr, D.O., PC
• Janani Jeganathan
• Amarion Jenkins
• Li Jin
• Natasha Jivraj, M.D.
• Jkdhadli MD PLC (Grand Blanc Psychiatric Center)
• Joe Luv F.I.T.
• Joyce John

• Gerontology Nurse Practitioner in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Gerontology Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.