DR. JESSICA RENEE SUNDBY (NPI# 1336198464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336198464 |
| Entity Type | Individual |
| Full Name | DR. JESSICA RENEE SUNDBY |
| Credential | D.C. |
| Practice Address |
100 1st Ave Sw Lamoure ND 58458-0158 |
| Mailing Address |
Po Box 158 Lamoure ND 58458-0158 |
| Practice Telephone | 7018834353 |
| Practice Fax Number | 7018834228 |
| Mailing Telephone | 7018834353 |
| Mailing Fax Number | 7018834228 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2013-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 464 | AK | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 767 | ND | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 13651 | 05 | |
| ND | 13655 | 05 | |
| ND | BLUE CROSS | 26403 | 01 |
| Street Address |
100 1ST AVE SW |
| City | LAMOURE |
| State | ND |
| Zip Code | 58458-0158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740249929 | Lamoure Drug Store, Inc. | Pharmacy | 100 1st Ave Sw, Lamoure, ND 58458-7415 | 2006-03-17 |
| 1225504731 | Jenna Marie Long | Nurse Practitioner | 100 1st Ave Sw, Lamoure, ND 58458 | 2018-10-23 |
| 1861631210 | Alicia Rae Lauf-pekarski | Pharmacist | 100 1st Ave Sw, Lamoure, ND 58458 | 2009-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194387472 | Travis Rinkenberger | Physical Therapist | 16 Main St S, Lamoure, ND 58458 | 2019-07-08 |
| 1346730728 | Zachary James Neva | Physical Therapist | 16 South Main Street, Lamoure, ND 58458 | 2018-05-11 |
| 1912106600 | Ashley Marie Kottsick | Social Worker | 202 4th Ave Ne, Lamoure, ND 58458 | 2007-07-13 |
| 1629159074 | Community Volunteer Ems of Lamoure | Ambulance | 31 Center Ave East, Lamoure, ND 58458 | 2006-10-18 |
| 1134141153 | Meritcare Medical Group | Family Medicine | 107 2nd Avenue Ne, Lamoure, ND 58458 | 2006-07-25 |
| 1982093043 | Lamoure County Social Services | Community/Behavioral Health | 202 4th Ave Ne, Lamoure, ND 58458 | 2015-01-13 |
| 1144418906 | County of Lamoure Office of Auditor | Public Health or Welfare | 100 1st Avenue Southwest, Lamoure, ND 58458 | 2007-10-05 |
| 1942486113 | Thielges Therapy Inc | Physical Medicine & Rehabilitation | 119 Main Street Se, Lamoure, ND 58458-0007 | 2008-01-17 |
| 1851794036 | Patricia Bernice Arndt | Speech-Language Pathologist | 119 Main Street Se, Suite A, Lamoure, ND 58458-0007 | 2014-10-02 |
| 1194877670 | Walter Spiese | Pharmacist | 100 1st Ave. Sw, Lamoure, ND 58458-0175 | 2007-01-17 |
| Find all providers in zip 58458 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730185794 | Carl Robert Black | Chiropractor | 502 1st Ave Se, Lamoure, ND 58458-7109 | 2005-06-23 |
| 1033381231 | Dana Paul Sundby | Chiropractor | 100 1st Ave Nw, Lamoure, ND 58458-7311 | 2008-03-27 |
| 1912178724 | Sundby Family Chiropractic PC | Chiropractor | 100 1st Ave Nw, Lamoure, ND 58458-7311 | 2008-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374322 | Annie Caitlyn Fitzell | Chiropractor | 3501 30th Ave S Apt 2, Fargo, ND 58103-6243 | 2020-10-23 |
| 1912514662 | Megan Ann Sayler | Chiropractor | 5050 Timber Pkwy S Unit 120, Fargo, ND 58104-4811 | 2020-09-28 |
| 1417569690 | Shelby Dawn Lee | Chiropractor | 1412 2nd Ave Sw Ste C, Minot, ND 58701-3630 | 2020-08-19 |
| 1447879515 | Nodak Chiropractic and Acupuncture LLC | Chiropractor | 2730 Paintball Way Bldg B, Lincoln, ND 58504-2503 | 2020-04-09 |
| 1043844582 | Moving Forward Chiropractic Pllc | Chiropractor | 2100 S 29th St Apt 321, Grand Forks, ND 58201-5894 | 2020-02-24 |
| 1932731726 | Hannah Christine Jangula | Chiropractor | 2523 Railroad Ave, Ste 1, Bismarck, ND 58501-5072 | 2020-02-10 |
| 1821629221 | Jordan Derrick Lunski | Chiropractor | 4700 S Washington St Ste B, Grand Forks, ND 58201-8155 | 2020-02-04 |
| 1083253199 | Joshua John Dahlen | Chiropractor | 2625 24th Ave S Ste B, Grand Forks, ND 58201-6539 | 2020-01-06 |
| 1639715303 | Parker Paul Mckittrick | Chiropractor | 1207 Prairie Pkwy Ste A, West Fargo, ND 58078-3145 | 2019-11-18 |
| 1598312365 | Basin Health & Spine Center | Chiropractor | 1319 2nd Ave W # 101, Williston, ND 58801-4164 | 2019-08-26 |
| Find all providers with the same taxonomy | ||||
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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.