DR. JACKIE MRACHEK (NPI# 1225220759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225220759 |
| Entity Type | Individual |
| Full Name | DR. JACKIE MRACHEK |
| Credential | PT |
| Practice Address |
300 N 7th St Bismarck ND 58501-4439 |
| Practice Telephone | 7013236097 |
| Practice Fax Number | 7013236189 |
| Mailing Telephone | 7013236097 |
| Mailing Fax Number | 7013236189 |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1279 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
300 N 7TH ST |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-4439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104801760 | Paul G Grooms | Emergency Medicine | 300 N 7th St, Bismarck, ND 58501-4439 | 2005-12-07 |
| 1376141671 | Jaclin Dee Seeberg | Nurse Practitioner | 300 N 7th St, Bismarck, ND 58501-4439 | 2020-10-09 |
| 1558968560 | Sanford Bismarck | Pharmacy | 300 N 7th St, Bismarck, ND 58501-4439 | 2020-10-02 |
| 1194343293 | Sierra Kolle | Dietitian, Registered | 300 N 7th St, Bismarck, ND 58501-4439 | 2020-07-06 |
| 1215554324 | Lisa Michelle Vaca | Nurse Practitioner | 300 N 7th St, Bismarck, ND 58501-4439 | 2020-07-06 |
| 1164042792 | Joseph Mcdonald | Pharmacist | 300 N 7th St, Bismarck, ND 58501-4439 | 2020-04-23 |
| 1245865377 | Matthew John Kopp | Nurse Practitioner | 300 N 7th St, Bismarck, ND 58501-4439 | 2020-03-09 |
| 1437783701 | Danielle Rusch | Dietitian, Registered | 300 N 7th St, Bismarck, ND 58501-4439 | 2020-02-26 |
| 1255965604 | Samantha Mead | Occupational Therapist | 300 N 7th St, Bismarck, ND 58501-4439 | 2020-02-25 |
| 1982238333 | Erika Jean Fagerstrom | Occupational Therapist | 300 N 7th St, Bismarck, ND 58501-4439 | 2020-02-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| Find all providers in zip 58501 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871853010 | Kim Bloms | Physical Therapist | 1702 E Main St # 103, Mandan, ND 58554-3818 | 2012-05-22 |
| 1114198983 | Erika Lea Hanson | Physical Therapist | 1420 8th St N, Fargo, ND 58102-2613 | 2008-03-19 |
| 1861619900 | Karena Lee Holm | Physical Therapist | 2200 Library Cir, Grand Forks, ND 58201 | 2007-04-19 |
| 1497805196 | Great Kids Therapy, Ltd. | Physical Therapist | 102 W Beaton Dr, Suite 100, West Fargo, ND 58078-2652 | 2007-01-12 |
| 1275680720 | Jodi Denee Hendrickson | Physical Therapist | 3060 Frontier Way, Fargo, ND 58104-8909 | 2007-01-05 |
| 1053468223 | Brian Allen Borchardt | Physical Therapist | 7119 Maple Ln, Horace, ND 58047-4714 | 2007-01-03 |
| 1245287069 | Tammy Leigh Sayler | Physical Therapist | 2951 S 34th St, Grand Forks, ND 58201-6061 | 2006-05-27 |
| 1689290124 | Engagement Pllc | Physical Therapist | 508 13th St E, Dickinson, ND 58601-4179 | 2020-06-21 |
| 1548712516 | Jeremy St. Aubin | Physical Therapist | 612 Center Ave N, Ashley, ND 58413-7013 | 2016-10-26 |
| 1487032173 | Melissa Marie Lennon | Physical Therapist | 2200 Library Cir, Grand Forks, ND 58201-6326 | 2015-05-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.