MASON ANKENBAUER (NPI# 1013425149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013425149 |
| Entity Type | Individual |
| Full Name | MASON ANKENBAUER |
| Practice Address |
1301 Centennial Blvd Fargo ND 58108 |
| Mailing Address |
Po Box 25 Kenmare ND 58746-0025 |
| Practice Telephone | 7012318624 |
| Mailing Telephone | 7018486246 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1301 CENTENNIAL BLVD |
| City | FARGO |
| State | ND |
| Zip Code | 58108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104390764 | Nina Magdalena Robinson | Physical Medicine & Rehabilitation | 1301 Centennial Blvd, Fargo, ND 58102 | 2019-01-17 |
| 1942774559 | Noah Berg | Student in an Organized Health Care Education/Training Program | 1301 Centennial Blvd, Office 24c, Fargo, ND 58102 | 2019-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821506957 | Bradley John Conant | Specialist/Technologist | 1301 Centennial Blvd., Fargo, ND 58108 | 2018-01-10 |
| 1730697863 | Brady Och | Specialist/Technologist | 1301 Centennial Blvd., Fargo, ND 58108 | 2018-01-10 |
| 1003227380 | Shannon David | Specialist/Technologist | 1301 Centennial Blvd Bbfh # 1, Fargo, ND 58108-6050 | 2014-05-08 |
| 1043620677 | Kara Gange | Specialist/Technologist | 1301 Centennial Blvd N, Hnes Dept 2620, Fargo, ND 58108-6050 | 2014-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053124 | Jon'e Kaye Mcdaniel | Technician | 4448 Bluestem Ct S, Fargo, ND 58104-4344 | 2020-11-07 |
| 1861093536 | Yadu M Ghimire | Technician | 2220 6th Ave S Apt 61, Fargo, ND 58103-2455 | 2020-11-07 |
| 1487255295 | Myofascial Release By Katie | Physical Therapist | 3441 45th St S, Fargo, ND 58104-8970 | 2020-11-06 |
| 1497356315 | Nizhoni Healthcare Services, LLC | Home Health | 825 25th St S Ste F, Fargo, ND 58103-8724 | 2020-11-06 |
| 1235730003 | Admira Omerovic | Technician | 4365 15th Ave S Apt 313, Fargo, ND 58103-3588 | 2020-11-06 |
| 1700487758 | Sheila Jean Hagel | Technician | 1417 16th St S, Fargo, ND 58103-3932 | 2020-11-05 |
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275134538 | Elizabeth Emma Heintzman | Physical Therapist | 938 76th Ave S, Fargo, ND 58104-8029 | 2020-11-03 |
| 1407457930 | Sanju Maya Tamang | Technician | 3061 32nd St S Apt 1, Fargo, ND 58103-7865 | 2020-11-02 |
| 1124628995 | Emily Herbranson | Technician | 1007 7th Ave N Apt C, Fargo, ND 58102-4326 | 2020-10-29 |
| Find all providers in FARGO | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1396203709 | Victoria Ann Davis | Student in an Organized Health Care Education/Training Program | 1340 Administration Avenue, Fargo, ND 58105 | 2019-03-05 |
| 1598229585 | Natalie Jean Steblay | Student in an Organized Health Care Education/Training Program | 1638 9th St N, Fargo, ND 58102-2210 | 2019-01-24 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1639600174 | David Parker | Student in an Organized Health Care Education/Training Program | 408 Roberts St N Apt 214, Fargo, ND 58102-4622 | 2017-03-26 |
| 1942731807 | Heather Liebe | Student in an Organized Health Care Education/Training Program | 3807 30th Ave S Apt 208, Fargo, ND 58104-7750 | 2017-03-22 |
| 1063866796 | Jerrod Tyler Heermans | Student in an Organized Health Care Education/Training Program | 3528 30th Ave S, Fargo, ND 58103-6239 | 2016-04-19 |
| 1780025932 | Gillian Amanda Gervais Freeborn | Student in an Organized Health Care Education/Training Program | 2102 Elm Street N, Fargo, ND 58102-2498 | 2013-07-16 |
| 1871839803 | Nicholas O'rourke | Student in an Organized Health Care Education/Training Program | 2526 9th St S, Fargo, ND 58103-5708 | 2012-12-19 |
| 1881952778 | Michael A Wolfe | Student in an Organized Health Care Education/Training Program | 3113 26th Ave S, Fargo, ND 58103-5079 | 2012-04-27 |
| Find all providers in FARGO | ||||
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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.