MIKKEL ELIZABETH BUCKMIER (NPI# 1205453172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205453172 |
Entity Type | Individual |
Full Name | MIKKEL ELIZABETH BUCKMIER |
Credential | NP |
Practice Address |
3883 74th Ave Ne Fort Totten ND 58335 |
Mailing Address |
Po Box 323 Maddock ND 58348-0323 |
Practice Telephone | 7017661600 |
Mailing Telephone | 7018668650 |
Enumeration Date | 2020-06-26 |
Last Update Date | 2020-06-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R45084 | ND | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3883 74TH AVE NE |
City | FORT TOTTEN |
State | ND |
Zip Code | 58335 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124646146 | Liza A Ystaas | Nurse Practitioner | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2020-07-07 |
1821622010 | Spirit Lake Tribe | Non-emergency Medical Transport (VAN) | 3883 74th Ave Ne, Fort Totten, ND 58335-0309 | 2020-02-26 |
1144874108 | Sarah Ruth Cavanaugh | Dentist | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2019-07-29 |
1629508452 | Jacqueline Patrice Schroeder | Registered Nurse | 3883 74th Ave Ne, Fort Totten, ND 58335-5833 | 2017-06-14 |
1831629732 | Ashley Storbakken | Registered Nurse | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2017-06-14 |
1740710649 | Kyla Sarah Delorme | Registered Nurse | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2017-06-14 |
1386174316 | Chelsea Rose Young | Licensed Practical Nurse | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2017-06-13 |
1518496207 | Angela I Cross | Licensed Practical Nurse | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2017-06-07 |
1225576341 | Spirit Lake Tribe | Internal Medicine | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2017-02-09 |
1417408907 | Spirit Lake Tribe | Optometrist | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2016-10-19 |
Find all providers in the same location |
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 |
1184744518 | Tammy Delaine Lawrence | Registered Nurse | 3883 74th Avenue Ne, Fort Totten, ND 58335 | 2007-03-30 |
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 |
1740387059 | Spirit Lake Tribe | Ambulance | 7686 Ephriam Hill Road, Fort Totten, ND 58335 | 2006-09-20 |
Find all providers in zip 58335 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285293472 | Kristen Renae Gourneau | Nurse Practitioner | 3883 74th Avenue, Fort Totten, ND 58335-5833 | 2019-06-11 |
1124646146 | Liza A Ystaas | Nurse Practitioner | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2020-07-07 |
1568894681 | Kimberly Ann Brown | Nurse Practitioner | 3883 74th Ave Ne, Fort Totten, ND 58335-0309 | 2013-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962000901 | Rochelle Rieck | Nurse Practitioner | 4183 153rd Ave Se, Mapleton, ND 58059-9625 | 2020-10-12 |
1811500226 | Dan Lee Beach | Nurse Practitioner | 314 3rd Ave Ne, Ashley, ND 58413-7225 | 2020-08-25 |
1477163335 | Tabitha Elizabeth Clare Solc | Nurse Practitioner | 5770 Orchid Cir, Grand Forks, ND 58201-3232 | 2020-08-05 |
1811505241 | Breann Owen | Nurse Practitioner | 14974 27th St Se, Amenia, ND 58004-9756 | 2020-07-22 |
1033736376 | Joshua James Hadsell | Nurse Practitioner | 124 Independence Ave, Bismarck, ND 58503-0463 | 2020-07-02 |
1447872163 | Gina Marie Kinzler | Nurse Practitioner | 4840 23rd Ave S, Fargo, ND 58104-9136 | 2020-05-15 |
1700405685 | Brandi Peterson | Nurse Practitioner | 831 S Broadway Ste 113, Minot, ND 58701-4636 | 2020-04-10 |
1497384184 | Rosanne Clare Lohman | Nurse Practitioner | 336 Main St S, Forman, ND 58032-4001 | 2020-04-04 |
1114558830 | Tisha Kamrowski | Nurse Practitioner | 1932 7th St Nw, Minot, ND 58703-1317 | 2020-01-31 |
1669017265 | Haley Faye Wahl | Nurse Practitioner | 761 48th St S, Fargo, ND 58103-7216 | 2019-11-07 |
Find all providers with the same taxonomy |
City | FORT TOTTEN |
Zip Code | 58335 |
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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.