Active NPI
Brandi Rose Jimenez
- Social Worker
- Bismarck, ND
National Provider Identifier
1992552376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6094
- Practice address
- 309 N Mandan St Ste 1
Bismarck, ND 58501-3886 - Phone
- (701) 323-0924
- Fax
- (701) 323-0935
- NPI assigned
- May 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6094 | ND | |
| Social Worker | 104100000X | 6094 | ND | Primary |
Addresses
Primary practice location
309 N Mandan St Ste 1
Bismarck, ND 58501-3886
Mailing address
1009 4TH St SW
Mandan, ND 58554-3918
Phone (701) 425-8878
Other names 1
- Brandi Rose Arndt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6094 | ND | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krumm & Co., PLLC | Current | Accepting new patients | |
| Chambers & Blohm Psychological | Clinical | Current | Accepting new patients |
Locations
309 N Mandan St
Ste 1
Bismarck, ND 58501
Phone (701) 323-0924
Interoperability endpoints
- brandi.arndt.jimenez.1@23247.direct.athenahealth.com
- https://api.platform.athenahealth.com/23247/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Bismarck, ND
- NPI 1114045465
-
- Psychologist
- Bismarck, ND
- NPI 1568239903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1992552376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 4TH ST SW",
"city": "MANDAN",
"state": "ND",
"postal_code": "585543918",
"telephone_number": "701-425-8878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 N MANDAN ST STE 1",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585013886",
"telephone_number": "701-323-0924",
"fax_number": "701-323-0935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "BRANDI",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-02",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ND",
"license": "6094",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ND",
"license": "6094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRANDI",
"last_name": "ARNDT",
"middle_name": "ROSE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.