Active NPI
Carly Ann Jungles, RD, LD
- Registered Dietitian
- Melrose, MN
National Provider Identifier
1063939734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3442
- Practice address
- 525 Main St W
Melrose, MN 56352-1043 - Phone
- (320) 352-2221
- NPI assigned
- Aug 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3442 | MN | Primary |
Addresses
Primary practice location
525 Main St W
Melrose, MN 56352-1043
Mailing address
525 Main St W
Melrose, MN 56352-1043
Other practice location 1
425 Elm St N
Sauk Centre, MN 56378-1010
Phone (320) 352-2221 ext. 21664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3442 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Health System - Melrose | Current | Accepting new patients | |
| Cura of Sauk Centre LLC | Current | Accepting new patients | |
| Centracare Health System - Sauk Centre | Current | Accepting new patients |
Locations
525 Main St W
Melrose, MN 56352
Phone (320) 256-4228
425 Elm St N
Sauk Centre, MN 56378
Phone (320) 352-2221
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Sauk Centre, MN
- NPI 1578813762
-
- Critical Access Hospital
- Melrose, MN
- NPI 1720045073
-
- Critical Access Hospital
- Sauk Centre, MN
- NPI 1740553932
-
- Rural Health Clinic/Center
- Melrose, MN
- NPI 1730407586
-
- Skilled Nursing Facility
- Sauk Centre, MN
- NPI 1245504448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1063939734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 MAIN ST W",
"city": "MELROSE",
"state": "MN",
"postal_code": "563521043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 MAIN ST W",
"city": "MELROSE",
"state": "MN",
"postal_code": "563521043",
"telephone_number": "320-352-2221"
}
],
"practiceLocations": [
{
"address_1": "425 Elm St N",
"address_purpose": "LOCATION",
"city": "Sauk Centre",
"state": "MN",
"postal_code": "563781010",
"country_code": "US",
"telephone_number": "320-352-2221 x21664",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUNGLES",
"first_name": "CARLY",
"middle_name": "ANN",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-24",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "3442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melrose, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.