Jared Eagle
Individual provider Active NPI Health Educator · New Town, ND
NPI 1689146201 · NPPES record last updated Dec 20, 2018
Key facts
- NPI
- 1689146201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Educator 174H00000X
- Practice address
- 1058 College Dr
New Town, ND 58763-9112 - Phone
- (701) 627-7931
- NPI assigned
- Dec 20, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Yes |
Addresses
Primary practice location
1058 College Dr
New Town, ND 58763-9112
Mailing address
Diabetes Program
1058 College Drive
New Town, ND 58763
Phone (170) 162-7793
Other providers in New Town, ND
- Jessica Danks
- Ramona Marie Danks
- Gwendolyn Ashley Davis
- Jacey Decoteau
- Bernice Annelle Dubois
- Kayla Dawn Edwards
- Elbowoods Memorial Health Center
- Elbowoods Memorial Health Center
- Elbowoods Memorial Health Center
- Elbowoods Memorial Health Center
All providers in New Town, ND · Health Educator in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.