BROOKE KOSIAK (NPI# 1841689437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841689437 |
| Entity Type | Individual |
| Full Name | BROOKE KOSIAK |
| Credential | LSW |
| Practice Address |
112 1st St Ne Ashley ND 58413-0218 |
| Mailing Address |
Po Box 218 Ashley ND 58413-0218 |
| Practice Telephone | 7012883343 |
| Practice Fax Number | 7012882186 |
| Mailing Telephone | 7012883343 |
| Mailing Fax Number | 7012882186 |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 00000 | ND | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 50736 | 05 |
| Street Address |
112 1ST ST NE |
| City | ASHLEY |
| State | ND |
| Zip Code | 58413-0218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851782114 | Mcintosh County Social Services | Case Manager/Care Coordinator | 112 1st St Ne, Ashley, ND 58413 | 2015-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538262654 | Ashley Drug | Pharmacy | 109 W Main St, Ashley, ND 58413 | 2006-09-06 |
| 1053475020 | White Drug Co of Jamestown Inc | Durable Medical Equipment & Medical Supplies | 109 W Main St, Ashley, ND 58413-7003 | 2006-12-21 |
| 1740286616 | Ashley Medical Center | General Acute Care Hospital | 612 Center Ave N, Ashley, ND 58413-7013 | 2005-06-24 |
| 1083182174 | Cori Lynn Randall | Nurse Practitioner | 612 Center Ave N, Ashley, ND 58413-7013 | 2018-11-06 |
| 1548712516 | Jeremy St. Aubin | Physical Therapist | 612 Center Ave N, Ashley, ND 58413-7013 | 2016-10-26 |
| 1578962130 | Tara Brandner | Nurse Practitioner | 612 Center Ave N, Ashley, ND 58413-7013 | 2014-08-20 |
| 1942465364 | Ashley Medical Center | Clinic/Center | 612 Center Ave N, Ashley, ND 58413-7013 | 2008-07-24 |
| 1619061454 | Ashley Medical Center | Durable Medical Equipment & Medical Supplies | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-10-03 |
| 1780784108 | Ashley Medical Center | Hospice Care, Community Based | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-09-25 |
| 1508963950 | Udom Tinsatul | Surgery | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-09-20 |
| Find all providers in zip 58413 | ||||
| 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 |
|---|---|---|---|---|
| 1851782114 | Mcintosh County Social Services | Case Manager/Care Coordinator | 112 1st St Ne, Ashley, ND 58413 | 2015-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300794 | Heather Leier | Case Manager/Care Coordinator | 101 16th St Sw, Minot, ND 58701-3463 | 2020-09-09 |
| 1659913879 | Christine Lawson | Case Manager/Care Coordinator | 531 W Villard St, Dickinson, ND 58601-5044 | 2019-10-09 |
| 1912549130 | Emily Gran | Case Manager/Care Coordinator | 531 W Villard St Ste 1, Dickinson, ND 58601-5044 | 2019-10-09 |
| 1821639899 | Brooke Peacock | Case Manager/Care Coordinator | 1008 4th Ave, Apt 116, Watford City, ND 58854-5885 | 2019-10-01 |
| 1104467174 | Fallon Kirby Maston | Case Manager/Care Coordinator | 1008 4th Ave Se Apt 116, Watford City, ND 58854-7732 | 2019-10-01 |
| 1942854260 | Johnita Whyte | Case Manager/Care Coordinator | 225 3rd St Se Fl 3, Minot, ND 58701-3958 | 2019-07-25 |
| 1225597750 | Missi Baranko | Case Manager/Care Coordinator | 4758 92nd Ave Sw, Richardton, ND 58652-9710 | 2019-03-14 |
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1972092757 | William David Nix | Case Manager/Care Coordinator | 102 Main Ave W, Rolla, ND 58367 | 2018-05-07 |
| 1245748649 | Alissa Lynn Parsons | Case Manager/Care Coordinator | Chase Building, 2nd Floor, 516 Cooper Avenue, Grafton, ND 58237 | 2018-01-19 |
| 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.