Individual provider Active NPI

Kayla Nicole Jungling, M.S., OTR/L

  • Occupational Therapist
  • Minot, ND
National Provider Identifier
1265806152
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1398 Issued in ND
Practice address
800 16TH Ave SE
Minot, ND 58701-6781
Phone
(701) 852-1399
Fax
(701) 838-0613
NPI assigned
Nov 16, 2015
Last updated
Jun 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 104845 MN
Occupational Therapist 225X00000X 1398 ND Primary

Addresses

Primary practice location

800 16TH Ave SE
Minot, ND 58701-6781

Mailing address

800 16TH Ave SE
Minot, ND 58701-6781
Phone (701) 852-1399

Other names 1

  • Kayla Miller Former name

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1398NDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Edge Op LLC CurrentSince Jun 3, 2019 Accepting new patients

Locations

2801 39th Ave SE
Mandan, ND 58554
Phone (701) 663-5664

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1265806152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 16TH AVE SE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016781",
            "telephone_number": "701-852-1399",
            "fax_number": "701-838-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 16TH AVE SE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016781",
            "telephone_number": "701-852-1399",
            "fax_number": "701-838-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNGLING",
        "first_name": "KAYLA",
        "middle_name": "NICOLE",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "104845",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "1398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "MILLER",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.