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DOROTHY LEE JENICKE STUDENT
NPI 1053088245
Student in an Organized Health Care Education/Training Program in Bloomington, MN

Active since August 25, 2021
8053 E BLOOMINGTON FWY, BLOOMINGTON, MN 55420(612) 333-2155 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2024, Aug 25, 2021 (2 updates tracked since 2021).

About Dorothy Lee Jenicke Student NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOROTHY LEE JENICKE STUDENT (NPI 1053088245) is an individual student in an organized health care education/training program in Bloomington, Minnesota and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1053088245
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDOROTHY LEE JENICKECredential: STUDENT
Location Address8053 E BLOOMINGTON FWYBloomington, MN 55420-4577
Mailing Address946 Hawthorne Ave ESaint Paul, MN 55106-2012 · (989) 289-5997
Phone(612) 333-2155
Sole ProprietorNo
Enumeration DateAugust 25, 2021
Last NPPES UpdateNovember 13, 20242 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1053088245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
8053 E BLOOMINGTON FWY, Bloomington, MN 55420
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR.STEPHEN P. TONNER OPT. LTD.
Eyewear Supplier
8053 E BLOOMINGTON FWY, SUITE 550
BLOOMINGTON, MN 55420
Hennepin County (952) 224-2883
DR. STEPHEN PAUL TONNER O.D.
Optometrist
8053 E BLOOMINGTON FWY, SUITE 550
BLOOMINGTON, MN 55420
Hennepin County (952) 224-2883
NORTHSTAR IMAGING LLC
Clinic/Center (Radiology)
8053 E BLOOMINGTON FWY, #450
BLOOMINGTON, MN 55420
Hennepin County (612) 227-9606
MRS ACQUISITION CORPORATION
Psychologist
8053 E BLOOMINGTON FWY
BLOOMINGTON, MN 55420
Hennepin County (612) 333-2155
US HEALTH IMAGING LLC
Clinic/Center (Radiology)
8053 E BLOOMINGTON FWY, SUITE 450
BLOOMINGTON, MN 55420
Hennepin County (714) 793-3075
US HEALTH CLINIC PLLC
Clinic/Center (Medical Specialty)
8053 E BLOOMINGTON FWY, SUITE 450
BLOOMINGTON, MN 55420
Hennepin County (651) 600-6525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dorothy Jenicke's NPI number?

The NPI number for Dorothy Jenicke is 1053088245. It was assigned to this individual provider in the NPPES registry on August 25, 2021.

Where is Dorothy Jenicke located?

Dorothy Jenicke practices at 8053 E Bloomington Fwy, Bloomington, MN 55420. The listed phone number is (612) 333-2155.

What is Dorothy Jenicke's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Dorothy Jenicke was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.