Jodi M Deckard, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R174883 Issued in MD

Practice address

333 Washington Ave N Ste 5000
Minneapolis, MN 55401-1331

Phone

(612) 659-7111

Fax

(612) 659-7101

NPI assigned

Sep 13, 2006

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

Other identifiers 4

Other names 1

• Jodi M Denton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ohio Valley Pathologists PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Evansville, IN
  • NPI 1487649398
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1871698373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 BLAIR CT",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210151678",
            "telephone_number": "410-776-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WASHINGTON AVE N STE 5000",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011331",
            "telephone_number": "612-659-7111",
            "fax_number": "612-659-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKARD",
        "first_name": "JODI",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R174883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - MARY STREET",
            "identifier": "000000374582",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200802970",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78015609",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - GATEWAY",
            "identifier": "000000381104",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "DENTON",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jane Decarolis
• Tera Decavalcante, LGSW
• Decent Home Care Inc
• Jennifer Lee Dechant, DDS
• Murray K Decio, L.AC
• Kaitlin Deckard, LICSW
• Christina Marie Decker, LICSW
• Dominic Paul Decker, M.D.
• Joseph J Decker, M.D.
• Karen L Decker, PT

• Nurse Practitioner in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.