AMY FOSSUM (NPI# 1356835151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356835151 |
| Entity Type | Individual |
| Full Name | AMY FOSSUM |
| Practice Address |
1126 Westrac Dr S Fargo ND 58103-2473 |
| Mailing Address |
891 Belsly Blvd Moorhead MN 56560-5055 |
| Practice Telephone | 7014122973 |
| Mailing Telephone | 2182874338 |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689950404 | Amy Fossum | Pharmacist | 2015 Tower Ave, Superior, WI 54880-2538 | 2011-10-25 |
| Street Address |
1126 WESTRAC DR S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-2473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679873525 | Jessica Ann Hurdelbrink Jones | Psychologist | 1126 Westrac Dr S, Fargo, ND 58103-2473 | 2010-10-26 |
| 1578161154 | Madison Krupke | Specialist | 1126 Westrac Dr S, Fargo, ND 58103-2473 | 2020-10-15 |
| 1689271371 | Derek Wallenstein | Specialist | 1126 Westrac Dr S, Fargo, ND 58103-2473 | 2020-10-06 |
| 1336746056 | Kayla Thielmann | Specialist | 1126 Westrac Dr S, Fargo, ND 58103-2473 | 2020-10-06 |
| 1932716305 | Lydia Bedgood | Specialist | 1126 Westrac Dr S, Fargo, ND 58103-2473 | 2020-09-29 |
| 1093322554 | Molly Hansen | Specialist | 1126 Westrac Dr S, Fargo, ND 58103-2473 | 2020-09-29 |
| 1467068874 | Gloria Albert | Specialist | 1126 Westrac Dr S, Fargo, ND 58103-2473 | 2020-09-21 |
| 1053929554 | Madeline Dixon | Specialist | 1126 Westrac Dr S, Fargo, ND 58103-2473 | 2020-07-21 |
| 1922625557 | Hodan Ahmed | Specialist | 1126 Westrac Dr S, Fargo, ND 58103-2473 | 2020-06-30 |
| 1649896309 | Kaleb Mogard | Specialist | 1126 Westrac Dr S, Fargo, ND 58103-2473 | 2020-06-18 |
| 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 | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881045169 | Karla Jean Hoffner | Technician, Other | 1122 1st Ave N, Fargo, ND 58102-4604 | 2016-06-28 |
| 1083257737 | Patrick Koroma | Technician, Other | 2624 9th Ave S, Fargo, ND 58103-2350 | 2019-10-25 |
| 1750947404 | Amanda Johnson | Technician, Other | 2624 9th Ave S, Fargo, ND 58103-2350 | 2019-05-17 |
| 1912462813 | Wendy Johnson-oscarson | Technician, Other | 2624 9th Ave S, Fargo, ND 58103-2350 | 2019-02-05 |
| 1053893453 | Emma Dunham | Technician, Other | 3401 45th St S, Fargo, ND 58104-8970 | 2018-08-31 |
| 1952880908 | Kaitlyn Suppa | Technician, Other | 2624 9th Ave S, Fargo, ND 58103-2350 | 2018-08-10 |
| 1891289120 | Stephanie Stellmach | Technician, Other | 1126 Westrac Dr S, Fargo, ND 58103-2473 | 2018-06-20 |
| 1942794441 | Komivi T Avegnon | Technician, Other | 2624 9th Ave S, Fargo, ND 58103-2350 | 2018-06-18 |
| 1336633825 | Autumn Mazzulla | Technician, Other | 2624 9th Ave S, Fargo, ND 58103 | 2018-06-18 |
| 1093203721 | Tyrza Hoines | Technician, Other | 1126 Westrac Dr S, Fargo, ND 58103-2473 | 2018-04-27 |
| 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.