Jessica Perrault

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

10767524 Issued in MN

Practice address

92294 W Frontage Rd
Sturgeon Lake, MN 55783-3876

Phone

(218) 216-5432

NPI assigned

Apr 26, 2024

Last updated

Apr 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1770339111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92294 W FRONTAGE RD",
            "city": "STURGEON LAKE",
            "state": "MN",
            "postal_code": "557833876",
            "telephone_number": "218-216-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92294 W FRONTAGE RD",
            "city": "STURGEON LAKE",
            "state": "MN",
            "postal_code": "557833876",
            "telephone_number": "218-216-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRAULT",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MN",
            "license": "10767524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A1 PR LLC (A1 Priority Transportation)
• Avalon Programs LLC (Avalon - Pine City add Avalon - Stureon Lake to this NPI number)
• Lake Area Therapy Services,LLC
• Northern Medical Transportation
• Shelley A Shaffer, MS, LPCC

• Nurse's Aide in Sturgeon Lake, MN
• Providers in Sturgeon Lake, MN by specialty
• Nurse's Aide in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.