Lisa Jenson

Primary specialty

Neonatal/Pediatric Certified Respiratory TherapistTaxonomy code 2278P3900X

License

1964 Issued in MN

Practice address

2800 Cleveland Ave N
Roseville, MN 55113-1126

Phone

(651) 642-1825

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861534273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 4TH ST N",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563771695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 CLEVELAND AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131126",
            "telephone_number": "651-642-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSON",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278P3900X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Neonatal/Pediatrics",
            "state": "MN",
            "license": "1964",
            "primary": true
        },
        {
            "code": "2278P3900X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Neonatal/Pediatrics",
            "state": "WI",
            "license": "3054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Wing Louie Chiropractic LLC
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• Adam B Jeffers, MD
• Karol Jensen-Schneider
• Leif Erik Jensen, MD MPH
• Catherine M Jents, RN
• Christine Phan Jerabek, PA
• Ahmed Sheikh Jeylani
• JJS Optical LLC
• JLC Homecare LLC

• Certified Respiratory Therapist in Roseville, MN
• Providers in Roseville, MN by specialty
• Certified Respiratory Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.