Jaime Armstrong
Individual provider Active NPI Case Manager/Care Coordinator · Edwardsville, IL
NPI 1750099552 · NPPES record last updated Oct 10, 2025
Key facts
- NPI
- 1750099552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 2110 Madison Ave
Edwardsville, IL 62025-2625 - Phone
- (618) 972-3954
- NPI assigned
- Nov 10, 2022
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017005659 | MO | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2017005659 | MO | |
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
2110 Madison Ave
Edwardsville, IL 62025-2625
Mailing address
902 W Main St
West Frankfort, IL 62896-2210
Phone (618) 937-6483
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2017005659 | Other | MO | OCCUPATIONAL THERAPY ASSISTANT LICENSE NO. |
Other providers in Edwardsville, IL
- Apex Physical Therapy, LLC
- Apg Network LLC
- Mark Arcega
- Arch View Family Dental, PLLC
- Melanie Renee Armstead-Williams
- Micah Arps
- Catherine Louise Ash
- Kassidy Ashmann
- Associated Physicians Group LTD
- Athletico LTD
All providers in Edwardsville, IL · Case Manager/Care Coordinator in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2025. 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.