Jared Taylor

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

201 5TH St NW Unit 790
Watford City, ND 58854-7118

Phone

(701) 444-7470

Fax

(701) 444-6436

NPI assigned

Aug 2, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• McKenzie County Social Services

  • Case Management Agency
  • Watford City, ND
  • NPI 1598177156
  NPD (past)

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1366124018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 5TH ST NW UNIT 790",
            "city": "WATFORD CITY",
            "state": "ND",
            "postal_code": "588547118",
            "telephone_number": "701-444-7470",
            "fax_number": "701-444-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 5TH ST NW UNIT 790",
            "city": "WATFORD CITY",
            "state": "ND",
            "postal_code": "588547118",
            "telephone_number": "701-444-7470",
            "fax_number": "701-444-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JARED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609294321",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desiree Sorenson
• Faith Stenberg
• Kristen Stenehjem
• Summit Silver Creek, LLC
• Jessica Sweetser, FNP
• Karen Thompson
• Tracy Beth Tomjack, D.O.
• Gary L Trauger, D.C.
• Alexandra Tubbs
• Jessica Tucker

• Case Manager/Care Coordinator in Watford City, ND
• Providers in Watford City, ND by specialty
• Case Manager/Care Coordinator in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.