Kayla Marie Jessen, OWNER

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

40127 Issued in SD

Practice address

1010 W 5TH St
Redfield, SD 57469-2026

Phone

(605) 472-2191

Fax

(605) 472-2194

NPI assigned

Aug 22, 2025

Last updated

Aug 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakeside Assisted Living, LLC

  • Assisted Living Facility
  • Redfield, SD
  • NPI 1093190712
  NPD (past)
• Lakeside Healthcare LLC

  • Exclusive Provider Organization
  • Redfield, SD
  • NPI 1780990457
  NPD (past)

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1922986447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W 5TH ST",
            "city": "REDFIELD",
            "state": "SD",
            "postal_code": "574692026",
            "telephone_number": "605-472-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W 5TH ST",
            "city": "REDFIELD",
            "state": "SD",
            "postal_code": "574692026",
            "telephone_number": "605-472-2191",
            "fax_number": "605-472-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSEN",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "credential": "OWNER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "40127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rylie Gall
• Melissa Gorecki
• Scott J Hartung, DC
• Alyssa Osborn Howard, PHARMD
• Jean Mitchell Therapy
• Anne Jockheck, LPC
• Sandra Jungwirth, PT,DPT
• Tonja Jean Jungwirth, M.S., LPC-MH
• Jade Koch, DDS
• Lakeside Assisted Living, LLC

• Assisted Living Facility in Redfield, SD
• Providers in Redfield, SD by specialty
• Assisted Living Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.