JACK ROSS CHRISTOPHER (NPI# 1437759651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437759651 |
| Entity Type | Individual |
| Full Name | JACK ROSS CHRISTOPHER |
| Practice Address |
455 22nd St E Unit B West Fargo ND 58078-2392 |
| Practice Telephone | 7018098571 |
| Mailing Telephone | 7018098571 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
455 22ND ST E UNIT B |
| City | WEST FARGO |
| State | ND |
| Zip Code | 58078-2392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205068 | Ashley Kasson Therapy | Counselor | 3220 4th St E, West Fargo, ND 58078 | 2020-11-04 |
| 1427658624 | Deedee (dorin) Ngwe | Technician | 3240 9th S West Apt. 204, West Fargo, ND 58078 | 2020-10-27 |
| 1053879734 | Mpnd,inc | Pharmacy | 2050 Sheyenne Street, West Fargo, ND 58078 | 2019-03-12 |
| 1396239216 | Luke Gable | Behavior Technician | 647 13th Avenue South, West Fargo, ND 58078 | 2018-06-15 |
| 1629597919 | Cody Freng | Specialist/Technologist | 3276 9th St W Apt C, West Fargo, ND 58078 | 2017-09-18 |
| 1831613942 | Lauren Phyllis Loe | Physical Therapist | 1401 13th Avenue East, Essentia Health West Fargo Clinic, West Fargo, ND 58078 | 2017-07-31 |
| 1851746226 | Jodi Kilen | Occupational Therapy Assistant | 631 4th Ave East, West Fargo, ND 58078 | 2016-05-04 |
| 1922490101 | Betty Ann Helmer | Social Worker | 2355 Meadow Ridge Parkway, West Fargo, ND 58078 | 2015-02-25 |
| 1477972784 | Tessa Nicole Larson | Occupational Therapist | 3139 Bluestem Dr Ste 108, West Fargo, ND 58078 | 2014-04-15 |
| 1023432010 | Kaylyn Kortes | Licensed Practical Nurse | 1302 Sheyenne St, West Fargo, ND 58078 | 2014-02-11 |
| Find all providers in zip 58078 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658624 | Deedee (dorin) Ngwe | Technician | 3240 9th S West Apt. 204, West Fargo, ND 58078 | 2020-10-27 |
| 1104425685 | Betania Lugo | Technician | 1336 6th St E Apt 1, West Fargo, ND 58078-4005 | 2020-10-26 |
| 1528667078 | Nedzada Kasapovic | Technician | 3526 Eagle Run Dr, West Fargo, ND 58078-8198 | 2020-10-25 |
| 1003415563 | Sanjuanita Dominguez | Technician | 875 34th Ave E Apt 314, West Fargo, ND 58078-8051 | 2020-10-25 |
| 1740889435 | Marie Jeunide Faverdieu | Technician | 3562 8th St E, West Fargo, ND 58078-5422 | 2020-10-22 |
| 1689272940 | Judy Papenfuss | Technician | 309 19th Ave W, West Fargo, ND 58078-4614 | 2020-10-09 |
| 1750989778 | Kelsey Miller | Technician | 309 19th Ave W, West Fargo, ND 58078-4614 | 2020-10-12 |
| 1265030324 | Keith Papenfuss | Technician | 309 19th Ave W, West Fargo, ND 58078-4614 | 2020-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841095 | Dwayne Cason | Technician | 1028 Meadows Dr, Dickinson, ND 58601-6149 | 2020-11-07 |
| 1467053124 | Jon'e Kaye Mcdaniel | Technician | 4448 Bluestem Ct S, Fargo, ND 58104-4344 | 2020-11-07 |
| 1861093536 | Yadu M Ghimire | Technician | 2220 6th Ave S Apt 61, Fargo, ND 58103-2455 | 2020-11-07 |
| 1730780578 | Mary Lafferty | Technician | 410 Delano Ave, Walhalla, ND 58282-4635 | 2020-11-06 |
| 1154922094 | Leo Wilson | Technician | 403 Prospect Ave., Fairview, ND 59221 | 2020-11-06 |
| 1235730003 | Admira Omerovic | Technician | 4365 15th Ave S Apt 313, Fargo, ND 58103-3588 | 2020-11-06 |
| 1700487758 | Sheila Jean Hagel | Technician | 1417 16th St S, Fargo, ND 58103-3932 | 2020-11-05 |
| 1235730136 | Cindy Mae Anderson | Technician | 207 Central Ave S, Mohall, ND 58761-4066 | 2020-11-05 |
| 1568063840 | Audrey Rae Zeien | Technician | 209 2nd Ave Nw, Selz, ND 58341-7310 | 2020-11-04 |
| 1457952608 | Michele Lindemann | Technician | 1211 Truesdale Dr, Manvel, ND 58256-4304 | 2020-11-04 |
| Find all providers with the same taxonomy | ||||
| City | WEST FARGO |
| Zip Code | 58078 |
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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.