SHAUN EARL SEIBOLD


Address: 2801 University Dr S, Fargo, ND 58103-6029
Phone: 7012342000

SHAUN EARL SEIBOLD (NPI# 1508482704) 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) 1508482704
Entity Type Individual
Full Name SHAUN EARL SEIBOLD
Credential DNP
Practice Address 2801 University Dr S
Fargo
ND 58103-6029
Mailing Address Po Box 5074
Sioux Falls
SD 57117-5074
Practice Telephone 7012342000
Enumeration Date 2020-06-23
Last Update Date 2020-08-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner R33897 ND Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
R33897 ND Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2801 UNIVERSITY DR S
City FARGO
State ND
Zip Code 58103-6029

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861419723 Catherine M Garvey Physician Assistant 2801 University Dr S, Fargo, ND 58103-6029 2006-07-16
1558975680 Mackenzie Yaggie Nurse Practitioner 2801 University Dr S, Fargo, ND 58103-6029 2020-09-05
1518349372 Aubrie Hall Speech-Language Pathologist 2801 University Dr S, Fargo, ND 58103-6029 2015-06-29
1770849911 April Alisa Qualley Nurse Practitioner 2801 University Dr S, Plastic Surgery, Fargo, ND 58103-6029 2012-04-02
1033499330 Sanford Medical Center Fargo Internal Medicine 2801 University Dr S, Fargo, ND 58103-6029 2011-08-18
1902186208 Sanford Clinic North Internal Medicine 2801 University Dr S, Fargo, ND 58103-6029 2011-08-18
1104123298 Heidi L Saarinen Nurse Practitioner 2801 University Dr S, Fargo, ND 58103-6029 2011-02-25
1477878114 Sanford Healthcare Accessories, LLC Durable Medical Equipment & Medical Supplies 2801 University Dr S, Fargo, ND 58103-6029 2010-04-06
1053548107 Amy Iva Stevahn Registered Nurse 2801 University Dr S, Fargo, ND 58103-6029 2009-06-16
1255534871 Ha Chim Surgery 2801 University Dr S, Fargo, ND 58103-6029 2007-06-10
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003472317 Sadie Marie Nelson Nurse Practitioner Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 2019-05-13
1245772359 Andrea Marie Hanson Nurse Practitioner 2400 32nd Ave South, Fargo, ND 58103 2016-11-07
1437565330 Christina Dahl Nurse Practitioner 1665 43rd St S Ste 102, Fargo, ND 58103-3316 2014-07-11
1003242256 Wendy M Moore Nurse Practitioner 901 28th St S, Fargo, ND 58103 2013-09-19
1043599277 Rebecca Ann Kiecker Nurse Practitioner 1720 South University Drive, Sanford South University, Fargo, ND 58103 2011-08-05
1780832634 Sarah M Baker Nurse Practitioner 3274 51st St S, Fargo, ND 58104 2008-09-04
1932207149 Carlee N Leininger Nurse Practitioner 2301 25th St S Ste A, Fargo, ND 58103-6104 2006-09-20
1780607788 Casey M Hoover Nurse Practitioner Rejuv Medical Aesthetic Clinic, 3301 45th St S, Fargo, ND 58103 2006-07-25
1023030517 Tina M Lundeen Nurse Practitioner 600 4th St S, Fargo, ND 58103-2804 2006-07-24
1992727481 Melissa R Erdmann Nurse Practitioner 827 28th St S, Unit B, Fargo, ND 58103-8727 2006-07-24
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Competitor

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City FARGO
Zip Code 58103

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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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