Elley Jaskowski

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

824 3Rd St N
Wahpeton, ND 58075-3404

Phone

(701) 640-9422

NPI assigned

May 17, 2022

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

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1912644360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 3RD ST N",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580753404",
            "telephone_number": "701-640-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 3RD ST N",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580753404",
            "telephone_number": "701-640-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASKOWSKI",
        "first_name": "ELLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Hornstein, D.C.
• Innovis Health, LLC (Essentia Health Wahpeton ASC)
• Innovis Health, LLC. (Essentia Health Wahpeton Clinic)
• Mary Isom, PA-C
• Michael D Jacklitch, D.C.
• Jeffrey S. Withuski & Paula Sabbe DDS
• Bonita J Jenzen, APRN,CNP
• Erin Nicole Jirak, PA-C
• Daniel William Johnson, DPT
• McKenzie Paige Johnson, OTA

• Personal Care Attendant in Wahpeton, ND
• Providers in Wahpeton, ND by specialty
• Personal Care Attendant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.