Individual provider Active NPI

Brandi Rose Jimenez

  • Social Worker
  • Bismarck, ND
National Provider Identifier
1992552376
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6094 Issued in ND
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

Updated by the provider on Aug 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
6094NDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Krumm & Co., PLLC CurrentSince May 7, 2024 Accepting new patients
Chambers & Blohm Psychological Clinical CurrentSince May 7, 2024 Accepting new patients

Locations

309 N Mandan St
Ste 1
Bismarck, ND 58501
Phone (701) 323-0924

Interoperability endpoints

  • Direct secure messaging: brandi.arndt.jimenez.1@23247.direct.athenahealth.com
  • FHIR API: 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.

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.

Verify at the official NPI Registry.