Kandia Qual

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

414 11TH St N
Fargo, ND 58102-4312

Phone

(701) 364-0743

NPI assigned

Aug 12, 2021

Last updated

Oct 1, 2021By 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 2

Addresses

Other identifiers 1

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": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1932874856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S 2ND ST STE 308C",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045726",
            "telephone_number": "701-364-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 11TH ST N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024312",
            "telephone_number": "701-364-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAL",
        "first_name": "KANDIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1482663",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Puzzle Piece Speech
• Jennifer Renee Heldt Pyper, LICSW
• Melissa M Pytlik Monson, PA-C
• Roberta J Pytlik, LAC, LPCC
• Ahmer H Qarni, MD
• Afton Quale
• Marsha Quale, CCC-SLP
• Mary J Qualey, RPH
• April Alisa Qualley, APRN, CNP
• Madeline Qualley

• Case Manager/Care Coordinator in Fargo, ND
• Providers in Fargo, ND by specialty
• Case Manager/Care Coordinator in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.