Julie Renee Mittleider, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L8014 Issued in ND

Practice address

2430 20TH St SW Ste 8
Jamestown, ND 58401-6208

Phone

(701) 952-4787

NPI assigned

Dec 9, 2024

Last updated

Dec 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1023824521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 20TH ST SW STE 8",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584016208",
            "telephone_number": "701-952-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 20TH ST SW STE 8",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584016208",
            "telephone_number": "701-952-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTLEIDER",
        "first_name": "JULIE",
        "middle_name": "RENEE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "ND",
            "license": "L8014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam D. Miller, PSY.D.
• Clinton S Miller, D.M.D.
• Amanda Kathleen Mindt, MS, OTR/L
• Carmen Mittleider, APRN,CNP
• Halie Mittleider
• Chelsea Modlin, LSCW
• Martin Dean Monek, LAC
• Cassandra Lee Monk, RN, NP
• Ashley M Montag
• Pamela Jean Montplaisir, APRN,CNP

• Licensed Practical Nurse in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Licensed Practical Nurse in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.