Jean Marie Rosdhal, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11166 Issued in MN

Practice address

1726 7TH Ave S
Saint Cloud, MN 56301-5711

Phone

(763) 634-6375

NPI assigned

Jan 16, 2024

Last updated

Jan 16, 2024By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jean.rosdhal.1@32401.direct.athenahealth.com

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1689435729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20955 123RD AVE",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744968",
            "telephone_number": "612-481-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 7TH AVE S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563015711",
            "telephone_number": "763-634-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSDHAL",
        "first_name": "JEAN",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "11166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Rood
• Heather Ann Rood, RN
• Jennifer Elizabeth Rooney, MSW, LGSW
• Austin Morris Roques
• Yoshiko Rosales
• Brittany Rose, LMFT
• Celia Joy Rose, RBT
• Jackson Rose
• Benjamin Dale Rosenbush
• Donna Roske

• Family Nurse Practitioner in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.