STEPHANIE NILLES (NPI# 1598997199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598997199 |
| Entity Type | Individual |
| Full Name | STEPHANIE NILLES |
| Credential | NP |
| Practice Address |
737 Broadway N Fargo ND 58102-4421 |
| Practice Telephone | 7012345997 |
| Practice Fax Number | 7012347194 |
| Mailing Telephone | 7012345997 |
| Mailing Fax Number | 7012347194 |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2009-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
R30561 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
737 BROADWAY N |
| City | FARGO |
| State | ND |
| Zip Code | 58102-4421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023040219 | Jerome I Thompson | Surgery | 737 Broadway N, Fargo, ND 58122-0001 | 2006-07-07 |
| 1376160184 | Michael Andrew Kerr | Family Medicine | 737 Broadway N, Fargo, ND 58102-4421 | 2020-06-26 |
| 1124645064 | Shelby Rae Bucholz | Family Medicine | 737 Broadway N, Fargo, ND 58102-4421 | 2020-06-26 |
| 1700431756 | Joshua Jacob Fisher | Family Medicine | 737 Broadway N, Fargo, ND 58102-4421 | 2019-08-06 |
| 1689229122 | Michael Seaman | Family Medicine | 737 Broadway N, Fargo, ND 58102-4421 | 2019-08-01 |
| 1467004838 | Fiona Lillian Axelsson | Family Medicine | 737 Broadway N, Fargo, ND 58102-4421 | 2019-07-15 |
| 1477115145 | Anuj Mogla | Family Medicine | 737 Broadway N, Fargo, ND 58102-4421 | 2019-07-02 |
| 1376105304 | Erika Singh | Family Medicine | 737 Broadway N, Fargo, ND 58102-4421 | 2019-06-29 |
| 1467947564 | Katrina Lee Foster | Family Medicine | 737 Broadway N, Fargo, ND 58102-4421 | 2018-06-30 |
| 1629590104 | Evelyn Fuentes-dondoneau | Family Medicine | 737 Broadway N, Fargo, ND 58102-4421 | 2017-07-17 |
| Find all providers in the same location | ||||
| 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 | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284671 | Lindsay Raye Busse | Nurse Practitioner | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-08-04 |
| 1750866935 | Tracy Hinrichs | Nurse Practitioner | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2018-10-03 |
| 1891179701 | Stephanie Nelson | Nurse Practitioner | 801 Broadway N, Fargo, ND 58102-3641 | 2015-07-10 |
| 1598148918 | Rachael Niemeyer | Nurse Practitioner | 801 Broadway N, Fargo, ND 58102-3641 | 2015-07-02 |
| 1922496975 | Erica Mccray | Nurse Practitioner | 801 Broadway N, Fargo, ND 58102-3641 | 2014-12-29 |
| 1649606609 | Brittany J Keller | Nurse Practitioner | 801 Broadway N, Fargo, ND 58102-3641 | 2013-09-23 |
| 1619238078 | Melanie A Noonan | Nurse Practitioner | 801 Broadway N, Fargo, ND 58102-3641 | 2012-06-01 |
| 1538291422 | Theresa Lynn Strong | Nurse Practitioner | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702485 | Brandi Nichole Ozbun | Nurse Practitioner | 300 N 7th St, Bismarck, ND 58501-4439 | 2019-10-23 |
| 1306299375 | Breanna J Wheeler | Nurse Practitioner | 1 Burdick Expy W, Minot, ND 58701-4406 | 2016-07-14 |
| 1104225580 | Stacy Wallin | Nurse Practitioner | 1 Burdick Expy W, Minot, ND 58701-4406 | 2014-08-21 |
| 1912347949 | Julie Ann Loiland | Nurse Practitioner | 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 | 2013-07-05 |
Please comment or provide details below to improve the information on STEPHANIE NILLES.
| 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.