Jessica J Bauer
Individual provider Active NPI Personal Care Attendant · Moffit, ND
NPI 1740885151 · NPPES record last updated Dec 2, 2020
Key facts
- NPI
- 1740885151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 20 1St Ave NE
Moffit, ND 58560-4029 - Phone
- (701) 391-7035
- NPI assigned
- Dec 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
20 1St Ave NE
Moffit, ND 58560-4029
Mailing address
20 1St Ave NE
Moffit, ND 58560-4029
Phone (701) 391-7035
Other providers in Moffit, ND
All providers in Moffit, ND · Personal Care Attendant 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 2, 2020. 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.