Jona Rae Peltier, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4507 Issued in ND

Practice address

1015 Hospital Rd Suite a
Belcourt, ND 58316-0160

Phone

(701) 477-0455

Fax

(701) 477-0457

NPI assigned

Nov 23, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jona Rae Parisien-Peltier Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Quentin N Burdick Comprehensive Health Care Facility

  • Pharmacist
  • Belcourt, ND
  • NPI 1245754548
  NPD (past)

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1255633244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 HOSPITAL RD. SUITE A",
            "address_2": "PO BOX 1149",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "583160160",
            "telephone_number": "701-477-0455",
            "fax_number": "701-477-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 HOSPITAL RD SUITE A",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "583160160",
            "telephone_number": "701-477-0455",
            "fax_number": "701-477-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTIER",
        "first_name": "JONA",
        "middle_name": "RAE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "4507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01063",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONA",
            "last_name": "PARISIEN-PELTIER",
            "middle_name": "RAE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Parisien
• Linda Kay Patnaude
• Alyssa Payer, NP
• Margaret M Pederson, RN
• Aleta Jean Peltier, RN
• Michelle Peltier
• Neveah Constance Peltier
• Shelly Marie Peltier, PH.D.
• Shyann Lee Peltier
• Manh Van Pham, M.D.

• Clinical Social Worker in Belcourt, ND
• Providers in Belcourt, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.