Individual provider Active NPI

Jaime R Belcourt, RN

  • General Practice Registered Nurse
  • Bismarck, ND
National Provider Identifier
1528398658
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
R55077 Issued in ND
Practice address
716 W Avenue B
Bismarck, ND 58501-3452
Phone
(406) 788-3215
NPI assigned
Jan 12, 2010
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 174441 CO
Registered Nurse 163W00000X 30020 MT
General Practice Registered Nurse 163WG0000X R55077 ND Primary

Addresses

Primary practice location

716 W Avenue B
Bismarck, ND 58501-3452

Mailing address

716 W Avenue B
Bismarck, ND 58501-3452
Phone (406) 788-3215

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
174441COMDRegistered Nurse
30020MTMDRegistered Nurse
R55077NDMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1528398658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 W AVENUE B",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013452",
            "telephone_number": "406-788-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 W AVENUE B",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013452",
            "telephone_number": "406-788-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELCOURT",
        "first_name": "JAIME",
        "middle_name": "R",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "174441",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "30020",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "ND",
            "license": "R55077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.