Jacqueline L Bauerle, CPHT, CNA
Individual provider Active NPI Personal Care Attendant · Harvey, ND
NPI 1336747641 · NPPES record last updated Oct 9, 2020
Key facts
- NPI
- 1336747641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 2650 32ND Ave NE Apt 1
Harvey, ND 58341-8604 - Phone
- (701) 341-7476
- NPI assigned
- Oct 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
2650 32ND Ave NE Apt 1
Harvey, ND 58341-8604
Mailing address
2650 32ND Ave NE
Harvey, ND 58341-8604
Phone (170) 134-1747
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16373 | Other | ND | CERTIFIED NURSING ASSISTANT |
| 1451384 | Medicaid | ND | |
| 10014274 | Other | ND | PHARMACY TECHNICIAN CERTIFICATION BOARD |
Other providers in Harvey, ND
- Christine Arends
- Robin Lynn Arnold
- Susan Kay Bartz
- Deborah Buxa
- Vicky Calheim
- Central Dakota Family Physicians, PC
- Central Regional Education Association
- Chamberz, LLC
All providers in Harvey, ND · Personal Care Attendant in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.