JULIANNE PEDERSEN (NPI# 1336746247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336746247 |
| Entity Type | Individual |
| Full Name | JULIANNE PEDERSEN |
| Other Name | JULIE PEDERSEN |
| Practice Address |
412 Demers Ave Grand Forks ND 58201-4508 |
| Mailing Address |
3911 20th Ave S Fargo ND 58103-4705 |
| Practice Telephone | 7012713231 |
| Mailing Telephone | 7012713232 |
| Enumeration Date | 2020-10-04 |
| Last Update Date | 2020-10-04 |
| 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 |
412 DEMERS AVE |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-4508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952720401 | Darcy Diane Watts | Social Worker | 412 Demers Ave, Grand Forks, ND 58201-4508 | 2014-04-14 |
| 1124660899 | Rebecca Beneda | Case Manager/Care Coordinator | 412 Demers Ave, Grand Forks, ND 58201-4508 | 2019-10-14 |
| 1326609751 | Leanne M Robinson | Social Worker | 412 Demers Ave, Grand Forks, ND 58201-4508 | 2019-06-26 |
| 1841855657 | Elisabeth Christine Storkson | Case Manager/Care Coordinator | 412 Demers Ave, Grand Forks, ND 58201-4508 | 2019-05-07 |
| 1073087920 | Tiffany Myers | Case Manager/Care Coordinator | 412 Demers Ave, Grand Forks, ND 58201-4508 | 2019-01-14 |
| 1619441573 | Kailey Ann Maley | Case Manager/Care Coordinator | 412 Demers Ave, Grand Forks, ND 58201-4508 | 2019-01-14 |
| 1427533421 | Emily Johnson | Social Worker | 412 Demers Ave, Grand Forks, ND 58201-4508 | 2018-09-26 |
| 1063948263 | Denae Haagenson | Counselor | 412 Demers Ave, Grand Forks, ND 58201 | 2017-05-08 |
| 1861860322 | Debra Camperud | Case Manager/Care Coordinator | 412 Demers Ave, Grand Forks, ND 58201-4508 | 2015-09-14 |
| 1285002741 | Abigail De Witt | Case Manager/Care Coordinator | 412 Demers Ave, Grand Forks, ND 58201-4508 | 2015-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| 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 |
|---|---|---|---|---|
| 1154857621 | Nicole Louise Fleming | Case Manager/Care Coordinator | 311 S 4th St Ste 119, Grand Forks, ND 58201-4792 | 2017-05-03 |
| 1417178617 | Rhoda J Klava | Case Manager/Care Coordinator | 301 N 3rd St Ste 200, Grand Forks, ND 58203-3519 | 2007-05-02 |
| 1124660899 | Rebecca Beneda | Case Manager/Care Coordinator | 412 Demers Ave, Grand Forks, ND 58201-4508 | 2019-10-14 |
| 1841855657 | Elisabeth Christine Storkson | Case Manager/Care Coordinator | 412 Demers Ave, Grand Forks, ND 58201-4508 | 2019-05-07 |
| 1073087920 | Tiffany Myers | Case Manager/Care Coordinator | 412 Demers Ave, Grand Forks, ND 58201-4508 | 2019-01-14 |
| 1619441573 | Kailey Ann Maley | Case Manager/Care Coordinator | 412 Demers Ave, Grand Forks, ND 58201-4508 | 2019-01-14 |
| 1811474182 | Janean Nichole Skajem | Case Manager/Care Coordinator | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2018-07-19 |
| 1033624127 | Katie Deborah Heazlett Carl | Case Manager/Care Coordinator | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2017-12-11 |
| 1326553413 | Emily J. Reilly | Case Manager/Care Coordinator | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2017-12-11 |
| 1487168639 | Kristi Turano | Case Manager/Care Coordinator | 2751 2nd Ave N Stop 9013, Grand Forks, ND 58202-9013 | 2017-11-27 |
| Find all providers in GRAND FORKS | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
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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.