CARMEN MITTLEIDER


Address: 2430 20th St Sw, Jamestown, ND 58401-6201
Phone: 7012535300

CARMEN MITTLEIDER (NPI# 1487023180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487023180
Entity Type Individual
Full Name CARMEN MITTLEIDER
Credential APRN,CNP
Practice Address 2430 20th St Sw
Jamestown
ND 58401-6201
Mailing Address Po Box 6001
Fargo
ND 58108-6001
Practice Telephone 7012535300
Practice Fax Number 7012535402
Mailing Telephone 7012535300
Mailing Fax Number 7012535402
Enumeration Date 2015-09-23
Last Update Date 2015-12-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R27769 ND Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2430 20TH ST SW
City JAMESTOWN
State ND
Zip Code 58401-6201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588620728 Patricia A Kline Family Medicine 2430 20th St Sw, Jamestown, ND 58401-6201 2006-04-25
1740887207 Sheila Kinzler Nurse Practitioner 2430 20th St Sw, Jamestown, ND 58401-6201 2020-10-07
1225648736 Teresa D Formo Nurse Practitioner 2430 20th St Sw, Jamestown, ND 58401-6201 2020-08-10
1659841542 Jessica Whitney Ingemansen Physician Assistant 2430 20th St Sw, Jamestown, ND 58401-6201 2018-12-04
1902382260 Joann Delane Trader Nurse Practitioner 2430 20th St Sw, Jamestown, ND 58401-6201 2018-07-19
1205350808 Kilby P Osborn Iv Family Medicine 2430 20th St Sw, Jamestown, ND 58401-6201 2017-07-26
1457872640 Holli L Marquart Nurse Practitioner 2430 20th St Sw, Jamestown, ND 58401-6201 2017-06-28
1124478417 Lisa A Clemens Registered Nurse 2430 20th St Sw, Jamestown, ND 58401-6201 2016-06-16
1225445463 Fargo Vamc Clinic/Center 2430 20th St Sw, Suite 8, Jamestown, ND 58401-6201 2014-07-21
1356618870 Jill Catherine Kang Podiatrist 2430 20th St Sw, Jamestown, ND 58401 2011-11-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396343737 Face and Jaw Surgeons PC Dentist 1517 12 Ave Ne, Jamestown, ND 58401 2020-10-16
1194216481 Richard Yonick Case Manager/Care Coordinator South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 2018-05-23
1831607910 Creative Journey, LLC Clinic/Center 429 2nd St Sw Ste 205, Jamestown, ND 58401 2018-01-11
1619399334 Stutsman County Social Services Case Manager/Care Coordinator 116 1st Street East, Jamestown, ND 58401 2014-01-15
1073945176 Sarah Walker Pharmacist 410 10th Street Se, Suite 8, Jamestown, ND 58401 2013-07-31
1811339369 Yvette D Patrick Occupational Therapist 207 2nd Avenue Se, Jamestown, ND 58401 2013-07-25
1144582933 Anne Carlsen Center Intermediate Care Facility, Mentally Retarded 701 3rd Steeet Nw, Jamestown, ND 58401 2012-06-08
1407008360 Jacob Dale Reinarts Counselor 2504 Circle Dr # 58401, Jamestown, ND 58401 2008-10-22
1548426430 Shipley Basic Care Alzheimer Center (Dementia Center) 1505 3 St Se, Jamestown, ND 58401 2008-07-31
1831384445 Drake Counseling Services Clinic/Center 1210 13th Ave Sw, Jamestown, ND 58401 2007-09-07
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265997175 Micah Sellew Nurse Practitioner 321 E Central Ave, Jamestown, TN 38556-4103 2019-02-05
1487148466 Heather Sue Mendell Nurse Practitioner 2111 Buffalo Street Ext, Jamestown, NY 14701-9259 2018-06-21
1831620152 Elizabeth Gattman Nurse Practitioner 36 Vinnie St, Jamestown, NY 14701-7327 2017-03-27
1154763134 Hometown Family Medical Clinic Nurse Practitioner 418 B West Central Avenue, Jamestown, TN 38556 2013-07-19
1295072536 Christopher Davis Nurse Practitioner 221 Gaskin Road, Jamestown, KY 42629-0000 2013-01-07
1578812087 Jamestown Family Care Clinic, LLC Nurse Practitioner 1010 Old Highway 127 South, Jamestown, TN 38556-0068 2012-08-30
1215239231 Connie S. Lee Nurse Practitioner 418 B West Central Ave, Jamestown, TN 38556 2010-11-23
1720302185 Laquita Lynne Sandman Nurse Practitioner 100 Duncan Street, Jamestown, TN 38556-0098 2010-03-15
1033350152 Jocelyn Rebeccah Chermak Nurse Practitioner 418b Central Ave W, Jamestown, TN 38556-3031 2009-03-19
1740445519 Lisa A Walter Nurse Practitioner 117 Foote Avenue, Suite 100, Jamestown, NY 14701 2008-07-22
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Competitor

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City JAMESTOWN
Zip Code 58401

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Dataset Information

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.

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