Jolliffe Restorative Medicine & Aesthetics Institute

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

JOLLIFFE RESTORATIVE MEDICINE & AESTHETICS INSTITUTE

Practice address

1400 43Rd Ave NE Ste 420
Bismarck, ND 58503-6193

Phone

(701) 955-4559

Fax

(701) 751-1721

NPI assigned

Dec 6, 2021

Organization subpart

No

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

Authorized official

Name

Ronnell Jane Kulish

Title

Billing Manager

Phone

(701) 204-7772

Specialties & licenses 1

Addresses

Tax ID family

Jolliffe Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jolliffe Restorative Medicine & Aesthetics Institute

  • Health Service Clinic/Center
  • Bismarck, ND
  • NPI 1912644402
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rhonda D Dockter Jolliffe, MSN, ARNP, FNP

  • Nurse Practitioner
  • Bismarck, ND
  • NPI 1063461507
  NPD (past)
• Alicia Hansen, MS, OTR/L

  • Occupational Therapist
  • Bismarck, ND
  • NPI 1518372408
  NPD (past)

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1104584226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 43RD AVE NE STE 420",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585036193",
            "telephone_number": "701-955-4559",
            "fax_number": "701-751-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 43RD AVE NE STE 420",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585036193",
            "telephone_number": "701-955-4559",
            "fax_number": "701-751-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLLIFFE RESTORATIVE MEDICINE & AESTHETICS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "KULISH",
        "authorized_official_first_name": "RONNELL",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "701-204-7772"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry M Johnson, MD
• Toni Patricia Johnson
• Twyla Johnson
• Michele Ann Johnston, FNP-C
• Medinat Folake Jolayemi
• Jolliffe Restorative Medicine & Aesthetics Institute
• Jason Jonas
• Jonathan Chiropractic PC
• Paul E Jondahl, MD
• Jones Physical Therapy, PC

• Family Nurse Practitioner in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.