Active NPI
Jamie Lane Vogt, LSW
- Social Worker
- Sauk Rapids, MN
National Provider Identifier
1194084293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 20966
- Practice address
- 215 N. Benton Drive
Independent Lifestyles, Inc
Sauk Rapids, MN 56374 - Phone
- (320) 529-9000
- Fax
- (320) 529-0747
- NPI assigned
- May 9, 2012
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 20966 | MN | Primary |
Addresses
Primary practice location
215 N. Benton Drive
Independent Lifestyles, Inc
Sauk Rapids, MN 56374
Mailing address
215 N Benton Drive
Independent Lifestyles, Inc
Sauk Rapids, MN 56379
Phone (320) 529-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20966 | MN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Lifestyles, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Case Management Agency
- Sauk Rapids, MN
- NPI 1144852732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1194084293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 N BENTON DRIVE",
"address_2": "INDEPENDENT LIFESTYLES, INC",
"city": "SAUK RAPIDS",
"state": "MN",
"postal_code": "56379",
"telephone_number": "320-529-9000",
"fax_number": "320-529-0747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 N. BENTON DRIVE",
"address_2": "INDEPENDENT LIFESTYLES, INC",
"city": "SAUK RAPIDS",
"state": "MN",
"postal_code": "56374",
"telephone_number": "320-529-9000",
"fax_number": "320-529-0747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGT",
"first_name": "JAMIE",
"middle_name": "LANE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-09",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "20966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sauk Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.