Jacqueline McLeod-Werket

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R079049 Issued in MN

Practice address

920 2ND Ave S Ste 400
Minneapolis, MN 55402-4010

Phone

(612) 225-1538

NPI assigned

Oct 15, 2008

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1972755478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 2ND AVE S STE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554024010",
            "telephone_number": "612-225-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 2ND AVE S STE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554024010",
            "telephone_number": "612-225-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD-WERKET",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "R079049",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R 079049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Jo McLean, DNP, APRN, CNP
• Shayla Renee McLean, PT
• Tina McLean, CNP
• Daniel S McLellan, MD
• Lisa Jean McLellan, PA
• Dudley Maurice McLinn, MD
• Patricia Jean McLinn, RN
• Dallas Edward McLochlin
• Krista Kay McMahon, CES
• Luke McMahon, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.