Jennifer Mae Qualm, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1956 Issued in ND

Practice address

1905 14TH St W
Williston, ND 58801-6020

Phone

(701) 651-6437

Fax

(701) 516-8462

NPI assigned

Jul 7, 2022

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Milestone Health Partners, LLCGroup PAC ID 8729483284, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Milestone Health Partners, LLC

  • Psychologist
  • Williston, ND
  • NPI 1942881560
  Medicare reassignment Care Compare group NPD
• Milestone Health Partners, LLC

  • Multi-Specialty Clinic/Center
  • Williston, ND
  • NPI 1336860428
  NPD

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1649903667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 14TH ST W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588016020",
            "telephone_number": "701-651-6437",
            "fax_number": "701-516-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 14TH ST W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588016020",
            "telephone_number": "701-651-6437",
            "fax_number": "701-516-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUALM",
        "first_name": "JENNIFER",
        "middle_name": "MAE",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "1956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH DAKOTA OCCUPATIONAL THERAPY LICENSE",
            "identifier": "1956",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lindy@milestonehealthpartners.com",
            "affiliation": "N",
            "endpointDescription": "owner/credentialing contact",
            "address_1": "205 Main St",
            "city": "Williston",
            "state": "ND",
            "country_code": "US",
            "postal_code": "588016020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karalynne Elizabeth Price, PHARMD
• Bruce S. Pugatch, MD
• Sharon Marie Pulvermacher
• Purpose Driven Interventions
• Ronald K Qualley, LAC
• Karen Alice Quick, LSW
• Rachelle Eldred Professional Counseling Services, PLLC
• Kerry Raghib, CNM, MSN
• June Ralph
• Yolanda Ramalho

• Occupational Therapist in Williston, ND
• Providers in Williston, ND by specialty
• Occupational Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.