NORTH DAKOTA STATE UNIVERSITY (NPI# 1427152115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427152115 |
| Entity Type | Organization |
| Organization Name | NORTH DAKOTA STATE UNIVERSITY |
| Practice Address |
1707 Centennial Boulevard Fargo ND 58102 |
| Mailing Address |
Po Box 6050 Ndsu Dept. 5150 Ndsu Student Health Service Fargo ND 58108-6050 |
| Practice Telephone | 7012317331 |
| Practice Fax Number | 7012316132 |
| Mailing Telephone | 7012317331 |
| Mailing Fax Number | 7012316132 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2018-10-23 |
| Authorized Official Name | TERI LYNN SHEPHERD (INSURANCE COORDINATOR) |
| Authorized Official Telephone | 7012315239 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 168 | ND | Pharmacy Service Providers |
| N | 291U00000X | Clinical Medical Laboratory | 95503681 | ND | Laboratories |
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 13139 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194805796 | North Dakota State University | Pharmacy | 301 Np Avenue, Fargo, ND 58102 | 2006-10-17 |
| 1811939416 | North Dakota State University | Pharmacy | 1707 Centennial Blvd, Fargo, ND 58102 | 2006-06-11 |
| 1972000768 | North Dakota State University | Pharmacy | 4025 9th Ave S, Fargo, ND 58103-2101 | 2018-04-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTH DAKOTA STATE UNIVERSITY | 1919 University Dr N, Ste 102, Fargo, ND 58102-1843 |
| Street Address |
1707 CENTENNIAL BOULEVARD |
| City | FARGO |
| State | ND |
| Zip Code | 58102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124418199 | Vicky L Pizzey | Nurse Practitioner | 1707 Centennial Boulevard, Fargo, ND 58102 | 2015-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
| Find all providers in zip 58102 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083089312 | Heartsprings | Clinic/Center | 2010 Elm St N, Fargo, ND 58102-2425 | 2015-12-11 |
| 1932453404 | Smith Sisters Inc | Clinic/Center | 3175 Sienna Dr S Ste 103, Fargo, ND 58104-8910 | 2012-11-05 |
| 1144487893 | Core Health Chiro Pa | Clinic/Center | 4955 17th Ave S, Suite 108, Fargo, ND 58103 | 2008-05-20 |
| 1386281475 | Northern Neurosurgery and Spine Plc | Clinic/Center | 2829 University Dr S Ste 202, Fargo, ND 58103-6050 | 2019-12-08 |
| 1891295242 | Ideal Option, Pllc | Clinic/Center | 3345 39th St S Ste 1, Fargo, ND 58104-7539 | 2018-02-12 |
| 1538617642 | Access Independent Health Services, Inc. | Clinic/Center | 512 1st Ave N, Fargo, ND 58102-4804 | 2016-09-18 |
| 1780043257 | Innovis Health LLC | Clinic/Center | 4110 51st Ave S, Fargo, ND 58104-7776 | 2016-02-12 |
| 1437558608 | Slenderlite, LLC | Clinic/Center | 4344 20th Ave S, Fargo, ND 58103-7436 | 2014-08-14 |
| 1922350636 | 20-20 Vision Express LLC | Clinic/Center | 1300 Gateway Dr S, Fargo, ND 58103-3509 | 2012-10-04 |
| 1134445794 | Midwest Hypnosis Clinics/nwcc | Clinic/Center | 118 Broadway N, Suite 205, Fargo, ND 58102-4950 | 2010-04-07 |
| 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.