Jaydin A Hepper
Individual provider Active NPI Respite Care · Minot, ND
NPI 1982209169 · NPPES record last updated Dec 3, 2020
Key facts
- NPI
- 1982209169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Respite Care 385H00000X
- Practice address
- 624 8TH Ave NE
Minot, ND 58703-2608 - Phone
- (701) 509-1690
- NPI assigned
- Dec 3, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | Yes |
Addresses
Primary practice location
624 8TH Ave NE
Minot, ND 58703-2608
Mailing address
624 8TH Ave NE
Minot, ND 58703-2608
Phone (701) 509-1690
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1286899240010 | Other | BLUE CROSS BLUE SHEILD |
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2020. 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.