TRISHA J FENNERN (NPI# 1013220490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013220490 |
| Entity Type | Individual |
| Full Name | TRISHA J FENNERN |
| Credential | NP-C |
| Practice Address |
1418 S Broadway Ste B Minot ND 58701-6109 |
| Practice Telephone | 7018371551 |
| Practice Fax Number | 7018371540 |
| Mailing Telephone | 7018371551 |
| Mailing Fax Number | 7018371540 |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R30827 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 84427 | 05 |
| Street Address |
1418 S BROADWAY STE B |
| City | MINOT |
| State | ND |
| Zip Code | 58701-6109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942749247 | Brittany Haugtvedt | Nurse Practitioner | 1418 S Broadway Ste B, Minot, ND 58701-6109 | 2017-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767926 | Minot Commission On Aging, Inc | In Home Supportive Care | 21 1st Avenue Se, Minot, ND 58701 | 2020-10-16 |
| 1780207647 | Growing Together Inc | Counselor | 515 19 Ave Sw, Minot, ND 58701 | 2020-05-26 |
| 1144867847 | Sarah Howard | Registered Nurse | 1015 South Broadway, Ste. 2, Minot, ND 58701 | 2019-12-02 |
| 1962973453 | Julia Irene Lakoduk | Speech-Language Pathologist | Bell Elementary, 5901 Us-52, Minot, ND 58701 | 2018-12-10 |
| 1073000469 | Goodman Addiction Services | Counselor | 1809 South Broadway Suite S., Minot, ND 58701 | 2018-04-20 |
| 1811405988 | Mackenzie J Jones Pllc | Chiropractor | 1407 S Broadway Ste 123, Minot, ND 58701 | 2018-01-11 |
| 1265957617 | Cassandra Czerwonka | Behavioral Analyst | 1408 20th Ave Sw, Suite 7, Minot, ND 58701 | 2017-08-07 |
| 1689197493 | Rem North Dakota | Intermediate Care Facility, Mentally Retarded | 1905 2nd Street Se, Suite 1a, Minot, ND 58701 | 2017-07-24 |
| 1558890236 | Timothy J Corrigan | Chiropractor | 1418 S Broadway Ste C, Minot, ND 58701 | 2017-06-07 |
| 1265826036 | Premier Physical Therapy of North Dakota Pllc | Physical Therapist | 1715 South Broadway, Minot, ND 58701 | 2015-03-19 |
| Find all providers in zip 58701 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700405685 | Brandi Peterson | Nurse Practitioner | 831 S Broadway Ste 113, Minot, ND 58701-4636 | 2020-04-10 |
| 1114558830 | Tisha Kamrowski | Nurse Practitioner | 1932 7th St Nw, Minot, ND 58703-1317 | 2020-01-31 |
| 1417364126 | Sandra Jean Storey | Nurse Practitioner | 1 Burdick Expy E, Minot, ND 58701-4404 | 2014-07-14 |
| 1740696483 | Lynette Vondal | Nurse Practitioner | One Burdick Expy, Minot, ND 58701 | 2014-07-02 |
| 1093028334 | Kristy J Leier | Nurse Practitioner | 801 21st Ave Se, Minot, ND 58701-6064 | 2010-07-15 |
| 1982853776 | April Elizabeth Warren | Nurse Practitioner | 315 Main St S Ste 301, Minot, ND 58701-3956 | 2008-09-16 |
| 1003422478 | Pamela Lacey Leuschen | Nurse Practitioner | 2050 36th Ave Sw Ste 201, Minot, ND 58701-7595 | 2020-09-21 |
| 1295352029 | Patti Jo Hagerott | Nurse Practitioner | 400 Burdick Expy E, Minot, ND 58701-4768 | 2020-06-27 |
| 1013533520 | Katelyn Jeanne Richter | Nurse Practitioner | 2111 Landmark Cir Nw, Minot, ND 58703-1967 | 2020-06-20 |
| 1194369009 | Kayla Lee Bubach | Nurse Practitioner | 400 Burdick Expy E, Minot, ND 58701-4768 | 2019-11-04 |
| Find all providers in MINOT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.