Active NPI
Teage R Kinzell
- Case Manager/Care Coordinator
- Jamestown, ND
National Provider Identifier
1396861670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 520 3Rd St NW
Jamestown, ND 58401-2968 - Phone
- (701) 253-6310
- Fax
- (701) 253-6400
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
520 3Rd St NW
Jamestown, ND 58401-2968
Mailing address
PO Box 2055
Jamestown, ND 58402-2055
Phone (701) 253-6310
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Human Service Center | Past | Accepting new patients | |
| South Central Behavioral Health Clinic | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jamestown, ND
- NPI 1225075906
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Jamestown, ND
- NPI 1093542391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1396861670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2055",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584022055",
"telephone_number": "701-253-6310",
"fax_number": "701-253-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 3RD ST NW",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584012968",
"telephone_number": "701-253-6310",
"fax_number": "701-253-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINZELL",
"first_name": "TEAGE",
"middle_name": "R",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.