Jill Elaine Denault

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2101 Issued in ND

Practice address

300 Boundary Rd W # 3
Cavalier, ND 58220-4308

Phone

(701) 265-8441

Fax

(701) 265-8058

NPI assigned

Oct 30, 2017

Last updated

Oct 30, 2017By 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pembina County

  dba Pembina County Social Services

  • Case Management Agency
  • Cavalier, ND
  • NPI 1356752935
  NPD (past) Authorized official

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1174035224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BOUNDARY RD W # 3",
            "city": "CAVALIER",
            "state": "ND",
            "postal_code": "582204308",
            "telephone_number": "701-265-8441",
            "fax_number": "701-265-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BOUNDARY RD W # 3",
            "city": "CAVALIER",
            "state": "ND",
            "postal_code": "582204308",
            "telephone_number": "701-265-8441",
            "fax_number": "701-265-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENAULT",
        "first_name": "JILL",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "2101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selmer Meredith Clark, OD
• Alexandria Elaine Connin
• Landon Makall Connin
• County of Pembina
• Sharon A Cummings, PHYSICAL THERAPIST
• Laura Dawn Ermer, PA-C
• Kimberly Ford, NURSE PRACTITIONER
• Rose M Greb, R.PH.
• Mark James Hardy, PHARM D CANDIDATE
• Janae Crystal Heuchert, PHARMD

• Social Worker in Cavalier, ND
• Providers in Cavalier, ND by specialty
• Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.