JACKLYN JANE AASMUNDSTAD (NPI# 1295255446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295255446 |
| Entity Type | Individual |
| Full Name | JACKLYN JANE AASMUNDSTAD |
| Credential | CASE MANAGER |
| Practice Address |
200 Highway 2 W Devils Lake ND 58301-3532 |
| Mailing Address |
200 Hwy 2 W Devils Lake ND 58301-3532 |
| Practice Telephone | 7016652200 |
| Practice Fax Number | 7016652300 |
| Mailing Telephone | 7016652200 |
| Mailing Fax Number | 7016652300 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
200 HIGHWAY 2 W |
| City | DEVILS LAKE |
| State | ND |
| Zip Code | 58301-3532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669411930 | Lake Region Human Service Center | Clinic/Center | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2006-06-05 |
| 1730722950 | Paige Nicole Dahlen | Case Manager/Care Coordinator | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2019-10-21 |
| 1548728629 | Michelle Marie Bazal | Counselor | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2019-03-07 |
| 1316440472 | Angela M Holtz | Social Worker | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2018-03-15 |
| 1083122717 | Megan Gean Clinton | Case Manager/Care Coordinator | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2018-01-16 |
| 1962910745 | Jane F Adams | Social Worker | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2018-01-16 |
| 1235657073 | James Michael Cole | Social Worker | 200 Highway 2 W, Devils Lake, ND 58301 | 2017-08-31 |
| 1033631296 | Tania R Lyon | Case Manager/Care Coordinator | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2017-07-10 |
| 1740701754 | Lake Region Human Service Center | Community/Behavioral Health | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2017-06-29 |
| 1871029132 | Nicole Jean Rosencrantz | Registered Nurse | 200 Highway 2 W, 200 Hwy 2 W, Devils Lake, ND 58301-3532 | 2017-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187977 | Mark Christian Beatty | Social Worker | 1820 East Walnut Street, Suite 5, Devils Lake, ND 58301 | 2020-06-01 |
| 1841837663 | Wayne Rance | Pharmacist | 323 5th St Ne Ste 2, Devils Lake, ND 58301 | 2019-12-01 |
| 1639427792 | Donna Rance | Pharmacist | Bell Pharmacy 323 5th St Ne, Suite #2, Devils Lake, ND 58301 | 2012-08-21 |
| 1356603997 | Stephanie Ann Foughty | Family Medicine | 1001 7th St Ne Altru Clinic/devlis Lake, Devils Lake, ND 58301 | 2012-06-11 |
| 1245534668 | Altru Specialty Services, Inc. | Durable Medical Equipment & Medical Supplies | 223 4th Avenue Northeast, Suite B, Devils Lake, ND 58301 | 2010-12-28 |
| 1780830208 | Steven L Pederson | Physical Therapist | 404 Fourth Street N, Devils Lake, ND 58301 | 2008-08-15 |
| 1437368768 | Leatha N Vaagen | Physical Therapist | 404 Fourth Street North, Devils Lake, ND 58301 | 2007-05-22 |
| 1770634479 | Becky Fletschock | Pharmacist | Clinic Pharmacy, 1001 7th St Ne, Devils Lake, ND 58301 | 2007-01-16 |
| 1518047570 | The Evangelical Lutheran Good Samaritan Society | Custodial Care Facility | 302 7th Ave, Devils Lake, ND 58301 | 2006-10-16 |
| 1679591929 | Emergency Ambulance of Devils Lake | Ambulance | 314 2nd Ave Se, Devils Lake, ND 58301 | 2006-07-17 |
| Find all providers in zip 58301 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962938472 | Niki Kolberg | Case Manager/Care Coordinator | 304 4th St Ne, Suite 2, Devils Lake, ND 58301-2480 | 2017-05-03 |
| 1902332422 | David Lundy | Case Manager/Care Coordinator | 304 4th St Ne Ste 2, Devils Lake, ND 58301-2480 | 2017-05-03 |
| 1477961977 | Allyson Bartlett | Case Manager/Care Coordinator | 423 6th Ave Ne, Devils Lake, ND 58301-2513 | 2014-07-28 |
| 1174166318 | Janel Marie Pitzen Slowinski | Case Manager/Care Coordinator | Co Lake Region Human Service Center, 200 Hwy 2 W, Devils Lake, ND 58301 | 2019-10-21 |
| 1730722950 | Paige Nicole Dahlen | Case Manager/Care Coordinator | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2019-10-21 |
| 1376010066 | Madisyn Lou Brekke I | Case Manager/Care Coordinator | 524 4th Ave Ne Unit 19, Devils Lake, ND 58301-2400 | 2018-10-31 |
| 1013482090 | Briana Ryba | Case Manager/Care Coordinator | 524 4th Ave Ne Unit 19, Devils Lake, ND 58301-2400 | 2018-10-05 |
| 1366926180 | Kristy Majocha | Case Manager/Care Coordinator | 524 4th Ave Ne Unit 19, Devils Lake, ND 58301-2400 | 2018-09-18 |
| 1801379623 | Brittany Hunt | Case Manager/Care Coordinator | 524 4th Ave Ne Unit 19, Devils Lake, ND 58301-2400 | 2018-09-07 |
| 1104307149 | Callie Ann Clark | Case Manager/Care Coordinator | 524 4th Ave Ne Unit 19, Devils Lake, ND 58301-2400 | 2018-08-28 |
| Find all providers in DEVILS LAKE | ||||
| City | DEVILS LAKE |
| Zip Code | 58301 |
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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.