MS. SHERRIE R. LANDSEM WALFORD (NPI# 1174749501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174749501 |
| Entity Type | Individual |
| Full Name | MS. SHERRIE R. LANDSEM WALFORD |
| Credential | MT |
| Practice Address |
3883 74th Avenue Ne Box 309 Fort Totten ND 58335-0309 |
| Mailing Address |
1100 Avenue A Devils Lake ND 58301-6002 |
| Practice Telephone | 7017661600 |
| Practice Fax Number | 7017661640 |
| Mailing Telephone | 7016620213 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
ND | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3883 74TH AVENUE NE BOX 309 |
| City | FORT TOTTEN |
| State | ND |
| Zip Code | 58335-0309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184744518 | Tammy Delaine Lawrence | Registered Nurse | 3883 74th Avenue Ne, Fort Totten, ND 58335 | 2007-03-30 |
| 1093201840 | Shelby Marie Gillett | Pharmacist | 3883 74th Avenue Ne, Fort Totten, ND 58335 | 2018-07-05 |
| 1992248967 | Necito L Montaniel | General Practice | 3883 74th Avenue Ne, Fort Totten, ND 58335 | 2016-11-23 |
| 1841619798 | Spirit Lake Tribe | Case Manager/Care Coordinator | 3883 74th Avenue Ne, Fort Totten, ND 58335 | 2014-04-08 |
| 1770804387 | Tiffani D. Showalter | Physician Assistant | 3883 74th Avenue Ne, Fort Totten, ND 58335 | 2010-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941116 | Sherry Yvonne Longie | Technician | 213 Dakotah Dr. #53, Fort Totten, ND 58335 | 2020-10-29 |
| 1235650250 | Tiffaney Anne Two Eagle | Registered Nurse | 3883 74th Avenue Northeast, Fort Totten, ND 58335 | 2017-06-29 |
| 1093015265 | Spirit Lake Head Start | Clinic/Center | 816 3rd Ave North, Fort Totten, ND 58335 | 2010-10-22 |
| 1154532000 | Nancy C Dauphinais | Technician, Pathology | 3883 74th Avenue North East, Fort Totten, ND 58335 | 2007-05-24 |
| 1467575159 | Jeanette Lucille Rosenheim | Registered Nurse | Spirit Lake Health Center, 3883 74th Ave Ne Box 309, Fort Totten, ND 58335 | 2007-04-09 |
| 1821127036 | Evangeline S. Gaid | Family Medicine | 3883 74th Ave.ne, Ft. Totten, ND 58335 | 2007-03-05 |
| 1538296199 | Cheri J Schaffer | Registered Nurse | 3883 74th Ave North East, Fort Totten, ND 58335 | 2007-02-28 |
| 1720152457 | Spirit Lake Tribe | Case Management | 416 2nd Avenue North, Fort Totten, ND 58335 | 2006-11-17 |
| 1689762171 | Cynthia Anne Gunderson | Pharmacist | 3883 74th Ave Ne, Ft Totten, ND 58335 | 2006-10-10 |
| 1740387059 | Spirit Lake Tribe | Ambulance | 7686 Ephriam Hill Road, Fort Totten, ND 58335 | 2006-09-20 |
| Find all providers in zip 58335 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| City | FORT TOTTEN |
| Zip Code | 58335 |
Please comment or provide details below to improve the information on MS. SHERRIE R. LANDSEM WALFORD.
| 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.