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AUDREY JAGT
NPI 1154679348
Specialist/Technologist, Other in Grand Rapids, MI

Active since August 21, 2012
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506(616) 940-0040 Get Directions Write a Review

NPPES record last updated: August 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Audrey Jagt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUDREY JAGT (NPI 1154679348) is an individual specialist/technologist, other provider in Grand Rapids, Michigan and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1154679348
Entity TypeIndividualFemale
Primary Taxonomy246Z00000X
Provider Legal NameAUDREY JAGT
Location Address1490 E BELTLINE AVE SEGrand Rapids, MI 49506-4336
Mailing Address3525 Pratt Lake Ave SeLowell, MI 49331-9376 · (616) 446-7085
Phone(616) 940-0040
Sole ProprietorYes
Enumeration DateAugust 21, 2012
✔ NPI 1154679348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246Z00000X
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
1490 E BELTLINE AVE SE, Grand Rapids, MI 49506
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD KEITH SMEDLEY RMA
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 940-0040
SAMANTHA KAY RASTALL
Behavior Technician
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 248-5205
JENNIFER JOHNSON
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (000) 000-0000
MRS. KWANYAH SEAWOOD SANDIFER
Licensed Practical Nurse
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 940-0040
DEVAN ALEXIS COURTLAND
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (855) 407-7575
JULIE DALTON
Rehabilitation Practitioner
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 940-0040
BRITTENY JEAN ALDRICH
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 788-5955
DANIELLE SUZANNE DETTMANN
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (269) 804-2828

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Audrey Jagt's NPI number?

The NPI number for Audrey Jagt is 1154679348. It was assigned to this individual provider in the NPPES registry on August 21, 2012.

Where is Audrey Jagt located?

Audrey Jagt practices at 1490 E Beltline Ave SE, Grand Rapids, MI 49506. The listed phone number is (616) 940-0040.

What is Audrey Jagt's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

When was this NPI record last updated?

The NPPES record for Audrey Jagt was last updated on August 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.