MS. ANNE GEORGINA CUSHING (NPI# 1265475305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265475305 |
| Entity Type | Individual |
| Full Name | MS. ANNE GEORGINA CUSHING |
| Credential | ANP-C |
| Practice Address |
100 4th St S Fargo ND 58103-1929 |
| Practice Telephone | 7012343100 |
| Mailing Telephone | 7012343100 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2012-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R14045 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 054519 | 05 | |
| ND | RR MEDICARE PROV NUMBER | 500019396 | 01 |
| ND | BCBS ND PROVIDER NUMBER | 018311 | 01 |
| MN | BCBS MN PROVIDER NUMBER | 48B84CU | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407367063 | Anne Cushing | Counselor | 2007 Old Lafayette Rd, Fort Oglethorpe, GA 30742-3510 | 2017-10-23 |
| Street Address |
100 4TH ST S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-1929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720078405 | Mark Allan Schaffer | Dentist | 100 4th St S, Suite 312, Fargo, ND 58103-1929 | 2005-10-25 |
| 1386280261 | Canopy Medical Clinic, Pllc | Nurse Practitioner | 100 4th St S, Fargo, ND 58103-1929 | 2019-11-26 |
| 1437715166 | Diana Rose Slivensky | Psychologist | 100 4th St S, Fargo, ND 58103-1929 | 2019-05-17 |
| 1861945784 | Resolve Behavioral Health, LLC | Community/Behavioral Health | 100 4th St S, Fargo, ND 58103-1929 | 2016-07-27 |
| 1578927315 | Jason Cossette | Pharmacist | 100 4th St S, Fargo, ND 58103-1929 | 2016-04-07 |
| 1437521366 | Nicole A Kiewel | Clinical Neuropsychologist | 100 4th St S, Fargo, ND 58103-1929 | 2015-10-30 |
| 1821472143 | Angela M Lee | Nurse Practitioner | 100 4th St S, Fargo, ND 58103-1929 | 2015-07-16 |
| 1104231992 | Mustafa Abdulhusein | Psychiatry & Neurology | 100 4th St S, Fargo, ND 58103 | 2014-06-30 |
| 1609205988 | Robyn Maley | Psychologist | 100 4th St S, Fargo, ND 58103-1929 | 2013-11-06 |
| 1699102897 | Lindsey Marie Sloan Peterson | Nurse Practitioner | 100 4th St S, Fargo, ND 58103-1929 | 2013-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336481803 | Jacqualine Kay Gervais | Nurse Practitioner | 510. 4th St S, Prairie St. John's, Fargo, ND 58103 | 2013-03-22 |
| 1699325191 | Whitney Renae Fear | Nurse Practitioner | 301 Np Ave N, Fargo, ND 58102-4835 | 2019-09-17 |
| 1043763220 | Ashley Bishop | Nurse Practitioner | 510 4th St S, Fargo, ND 58103-1914 | 2016-07-25 |
| 1699102897 | Lindsey Marie Sloan Peterson | Nurse Practitioner | 100 4th St S, Fargo, ND 58103-1929 | 2013-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346860541 | Inspired Healthcare, Pllc | Nurse Practitioner | 1301 6th Ave Sw, Jamestown, ND 58401-5220 | 2020-04-17 |
| 1447735030 | Lisa Marie Clinkscales | Nurse Practitioner | 521 S 6th St, Grand Forks, ND 58201-4617 | 2018-09-28 |
| 1881138238 | Ashley A Beeter, Pmh-dnp | Nurse Practitioner | 24 North Main Street, Suite K, Minot, ND 58703 | 2016-12-05 |
| 1346792561 | Heather Counts | Nurse Practitioner | 11 Main Street East, Dunseith, ND 58329 | 2016-11-04 |
| 1831431949 | Ashley Ann Thiel | Nurse Practitioner | 24 Main St N, Suite K, Minot, ND 58703-3104 | 2013-03-27 |
| 1366782609 | Wanda Ann Sprenger | Nurse Practitioner | 407 3rd St. S.e., Minot, ND 58701-4470 | 2013-02-24 |
| 1275845547 | Nicole Olivia Wilson | Nurse Practitioner | 914 1st Ave Se, Minot, ND 58701-4008 | 2010-07-02 |
| 1841443025 | Lisa Karen Watkins | Nurse Practitioner | 1850 Billings Dr, Bismarck, ND 58504-7251 | 2008-10-31 |
| 1275715682 | Jennifer L Keplin | Nurse Practitioner | 1015 Hospital Rd. Suite A, Belcourt, ND 58316 | 2007-11-28 |
| 1740887207 | Sheila Kinzler | Nurse Practitioner | 2430 20th St Sw, Jamestown, ND 58401-6201 | 2020-10-07 |
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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.