Individual provider Active NPI

Brooke Louise Duval, B.S. ECSE

  • Case Manager/Care Coordinator
  • Hillsboro, ND
National Provider Identifier
1689171274
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
212 W Caledonia Avenue
Hillsboro, ND 58045-0190
Phone
(701) 636-5220
Fax
(701) 636-5221
NPI assigned
Apr 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Case Manager/Care Coordinator 171M00000X ND Primary

Addresses

Primary practice location

212 W Caledonia Avenue
Hillsboro, ND 58045-0190

Mailing address

P.O. Box 190
Hillsboro, ND 58045-0190
Phone (701) 636-5220

Other identifiers 1

IdentifierTypeStateIssuer
1467934MedicaidND

Other names 1

  • Brooke Louise Siegert Former name

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
Bachelor of Science

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1689171274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 190",
            "city": "HILLSBORO",
            "state": "ND",
            "postal_code": "580450190",
            "telephone_number": "701-636-5220",
            "fax_number": "701-636-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W CALEDONIA AVENUE",
            "city": "HILLSBORO",
            "state": "ND",
            "postal_code": "580450190",
            "telephone_number": "701-636-5220",
            "fax_number": "701-636-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVAL",
        "first_name": "BROOKE",
        "middle_name": "LOUISE",
        "credential": "B.S. ECSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467934",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "SIEGERT",
            "middle_name": "LOUISE",
            "credential": "B.S. ECSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hillsboro, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.