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JACKIE KNUDSON
NPI 1245002468
Case Manager/Care Coordinator in Devils Lake, ND

Active since October 23, 2023
414 4TH AVE NE, DEVILS LAKE, ND 58301(701) 662-6767 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie Knudson NPPES

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

JACKIE KNUDSON (NPI 1245002468) is an individual case manager/care coordinator provider in Devils Lake, North Dakota and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1245002468
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameJACKIE KNUDSON
Location Address414 4TH AVE NEDevils Lake, ND 58301-2458
Mailing Address414 4th Ave NeDevils Lake, ND 58301-2458 · (701) 662-6767
Phone(701) 662-6767
Sole ProprietorYes
Enumeration DateOctober 23, 2023
NPPES CertifiedOctober 23, 2023
✔ NPI 1245002468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
414 4TH AVE NE, Devils Lake, ND 58301
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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.

SHAYNA MARIE GLASER
Peer Specialist
414 4TH AVE NE
DEVILS LAKE, ND 58301
Ramsey County (701) 215-6855
AMANDA DELVO
Peer Specialist
414 4TH AVE NE
DEVILS LAKE, ND 58301
Ramsey County (701) 662-6767
LADENE GLADUE
Peer Specialist
414 4TH AVE NE
DEVILS LAKE, ND 58301
Ramsey County (701) 662-6767
DYLAN MEDRUD
Case Manager/Care Coordinator
414 4TH AVE NE
DEVILS LAKE, ND 58301
Ramsey County (701) 662-6767
JAMES SHAW
Peer Specialist
414 4TH AVE NE
DEVILS LAKE, ND 58301
Ramsey County (701) 662-6767
JAMIE ENNO
Peer Specialist
414 4TH AVE NE
DEVILS LAKE, ND 58301
Ramsey County (701) 662-6767
AMACHI MENTORING
Substance Abuse Rehabilitation Facility
414 4TH AVE NE
DEVILS LAKE, ND 58301
Ramsey County (701) 662-6767
CLIFFORD AZURE
Peer Specialist
414 4TH AVE NE
DEVILS LAKE, ND 58301
Ramsey County (701) 662-6767

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 Jackie Knudson's NPI number?

The NPI number for Jackie Knudson is 1245002468. It was assigned to this individual provider in the NPPES registry on October 23, 2023.

Where is Jackie Knudson located?

Jackie Knudson practices at 414 4th Ave NE, Devils Lake, ND 58301. The listed phone number is (701) 662-6767.

What is Jackie Knudson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jackie Knudson was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.