Hattie Rose Dorman

Key facts

NPI

1730775438

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

Practice address

316 6TH Ave SW
Perham, MN 56573-1508

Phone

(218) 346-2322

Fax

(218) 346-2323

NPI assigned

Dec 16, 2020

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Empowering Kids Perham Clinic/Center · Perham, MN · NPI 1831607423
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 16, 2020.

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1730775438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "565730452",
            "telephone_number": "218-346-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 6TH AVE SW",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "565731508",
            "telephone_number": "218-346-2322",
            "fax_number": "218-346-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORMAN",
        "first_name": "HATTIE",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Perham, MN · Behavior Technician in Minnesota