DIABETES CARE CLINIC PLLC (NPI# 1447896170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447896170 |
| Entity Type | Organization |
| Organization Name | DIABETES CARE CLINIC PLLC |
| Other Organization Name | DIABETES CARE CLINIC |
| Practice Address |
1665 43rd St S Ste 102 Fargo ND 58103-3316 |
| Mailing Address |
3453 Interstate Blvd S Ste B Fargo ND 58103-2257 |
| Practice Telephone | 7012895469 |
| Practice Fax Number | 7015409824 |
| Mailing Telephone | 7012895469 |
| Mailing Fax Number | 7012054593 |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | CHRISTINA A DAHL (OWNER) |
| Authorized Official Telephone | 7012895469 |
| Authorized Official Credential | FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Diabetes Care Clinic | Doing Business As Name - Organization |
| Street Address |
1665 43RD ST S STE 102 |
| City | FARGO |
| State | ND |
| Zip Code | 58103-3316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437565330 | Christina Dahl | Nurse Practitioner | 1665 43rd St S Ste 102, Fargo, ND 58103-3316 | 2014-07-11 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| 1912512419 | Naslund Counseling Services, PC | Clinic/Center | 3523 45th St S Ste 100, Fargo, ND 58104-8962 | 2020-09-10 |
| 1033751870 | Forde Counseling Services PC | Clinic/Center | 3523 45th St S Ste 100, Fargo, ND 58104-8962 | 2019-10-14 |
| 1730721796 | Pfeifer Counseling Services PC | Clinic/Center | 3523 45th St S Ste 100, Fargo, ND 58104-8962 | 2019-10-11 |
| 1437707692 | New Story Counseling Services, Pllc | Clinic/Center | 1330 Page Dr S Ste 101, Fargo, ND 58103-3551 | 2019-08-30 |
| 1285196303 | Becoming Balanced PC | Clinic/Center | 3125 41st St S, Fargo, ND 58104-8666 | 2019-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184181091 | Destiny Med Spa Pllc | Clinic/Center | 1415 W Dakota Pkwy Ste 3b, Williston, ND 58801-3885 | 2019-02-27 |
| 1972952034 | H.i.p.p Kids Therapy Plc | Clinic/Center | 2497 Mustang Dr S, Mandan, ND 58554-5910 | 2016-06-09 |
| 1588929004 | Northern Plains Family Medicine and Behavioral Health,p.c. | Clinic/Center | 6400 158th St Se, Menoken, ND 58558-9790 | 2012-07-10 |
| 1689852683 | Three Affiliated Tribes Parshall Health Care Center | Clinic/Center | 107 3rd St Se, Parshall, ND 58770 | 2008-02-01 |
| 1851579858 | Three Affiliated Tribes Mandaree Health Care Center | Clinic/Center | 445 #2 School Street, Mandaree, ND 58757-0000 | 2008-02-01 |
| 1558548909 | Three Affiliated Tribes White Shield Health Care Center | Clinic/Center | 2 Main Street B, Roseglen, ND 58775-0000 | 2008-01-29 |
| 1588841738 | Three Affiliated Tribes Twin Buttes Health Care Center | Clinic/Center | 726 80th Ave Nw, Halliday, ND 58636-4001 | 2008-01-29 |
| 1740473800 | Riverview Healthcare Association | Clinic/Center | 115 Vivian St, Park River, ND 58270 | 2007-08-22 |
| 1306850706 | P R Health Corporation | Clinic/Center | 115 Vivian St., Park River, ND 58270-4540 | 2006-07-28 |
| 1649226671 | Trinity Kenmare Hospital | Clinic/Center | 307 1st Ave Nw, Kenmare, ND 58746-7104 | 2006-05-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DIABETES CARE CLINIC PLLC.
| 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.