Alyce M Goetz

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

712 5TH Ave
Washburn, ND 58577-4352

Phone

(701) 462-3581

Fax

(701) 462-3590

NPI assigned

Jul 16, 2024

Last updated

Jul 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dakota Central Social Services

  • Case Management Agency
  • Washburn, ND
  • NPI 1447641931
  NPD (past)

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1568200426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "WASHBURN",
            "state": "ND",
            "postal_code": "585770070",
            "telephone_number": "701-462-3581",
            "fax_number": "701-462-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 5TH AVE",
            "city": "WASHBURN",
            "state": "ND",
            "postal_code": "585774352",
            "telephone_number": "701-462-3581",
            "fax_number": "701-462-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "ALYCE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Buchholtz
• Chase Drug Store Inc
• Dakota Central Social Services
• Jason C Fahlstrom
• Emma Catherine Rita Fleischacker
• Jill Renee Goven, FNP
• Jason Hahn, RPT
• Ryan Robert Hamrick
• Maurice Hardy, LSW
• Jenni Hetletved, PA-C

• Case Manager/Care Coordinator in Washburn, ND
• Providers in Washburn, 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 Jul 16, 2024; 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.