Jamie Enno

Individual provider Active NPI Peer Specialist · Devils Lake, ND

NPI 1316625957 · NPPES record last updated Jul 5, 2023

Key facts

NPI
1316625957
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
414 4TH Ave NE
Devils Lake, ND 58301-2458
Phone
(701) 662-6767
NPI assigned
Jul 5, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Amachi Mentoring Current
since Jul 9, 2023
Accepting new patients
Lake Region Community Shelter Current
since Jul 9, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

414 4TH Ave NE
Devils Lake, ND 58301-2458

Mailing address

414 4TH Ave NE
Devils Lake, ND 58301-2458

Other providers in Devils Lake, ND

All providers in Devils Lake, ND · Peer Specialist in North Dakota

Sources for this page

Verify at the official NPI Registry.