LACYE RAYE KNUDSEN


Address: 1001 N 11th St, Bismarck, ND 58501-4157
Phone: 4063703635

LACYE RAYE KNUDSEN (NPI# 1346849130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346849130
Entity Type Individual
Full Name LACYE RAYE KNUDSEN
Credential RN
Practice Address 1001 N 11th St
Bismarck
ND 58501-4157
Practice Telephone 4063703635
Enumeration Date 2020-10-22
Last Update Date 2020-10-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers

Office Location

Street Address 1001 N 11TH ST
City BISMARCK
State ND
Zip Code 58501-4157

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1831687532 Jacquelyn Mahoney Behavioral Analyst 604 North Ave, Bismarck, ND 58501 2018-04-27
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1306368220 Scott Vandyke Occupational Therapist 300 N. 7th St, Bismarck, ND 58501 2017-07-12
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Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Notes: [7/1/2003: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407457096 Amanda R Heupel Technician 1000 E Lasalle Dr, Bismarck, ND 58503-8895 2020-11-02
1427658061 Stephanie Zinke Technician 215 E Arbor Ave, Bismarck, ND 58504-5767 2020-10-30
1295335131 Amanda Elizabeth Rodin Technician 936 Summit Blvd Apt 1, Bismarck, ND 58504-5202 2020-10-29
1932709144 Melissa Guthmiller Technician 1507 E Bowen Ave, Bismarck, ND 58504-6028 2020-10-27
1558960039 Ruth Joan Schill Technician 420 E Main Ave Apt 611, Bismarck, ND 58501-4068 2020-10-26
1184224677 Gloria Dzvokora Technician 3635 Valcartier St Apt 10, Bismarck, ND 58503-0307 2020-10-26
1568061018 Kevin Ray Forderer Technician 13801 10th Ave Se, Bismarck, ND 58504-3827 2020-10-25
1982203527 Jamie Denise Keller Technician 1706 N 6th St, Bismarck, ND 58501-1807 2020-10-24
1023617669 Alisa Schulz Technician 612 Weyburn Dr, Bismarck, ND 58503-2016 2020-10-24
1801495437 Mandisha Caisha Cade Technician 1101 Westwood St Apt 115, Bismarck, ND 58504-6289 2020-10-24
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Competitor

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City BISMARCK
Zip Code 58501

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Dataset Information

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.

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