MS. HEIDI LYNN GRONDAHL (NPI# 1619281987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619281987 |
| Entity Type | Individual |
| Full Name | MS. HEIDI LYNN GRONDAHL |
| Credential | WHNP-BC |
| Practice Address |
1301 15th Ave W Williston ND 58801-3821 |
| Practice Telephone | 7015727651 |
| Practice Fax Number | 7017133602 |
| Mailing Telephone | 7015727651 |
| Mailing Fax Number | 7017133602 |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2017-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R31608 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R-198574-2 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962921049 | Heidi Grondahl | Military Health Care Provider | Building 2, Del Din Clinic, Apo, AE 09606 | 2017-09-11 |
| Street Address |
1301 15TH AVE W |
| City | WILLISTON |
| State | ND |
| Zip Code | 58801-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006519 | Advanced Diagnostic Radiology PC | Radiology | 1301 15th Ave W, Williston, ND 58801-3821 | 2005-07-08 |
| 1487251930 | Elizabeth Coulson | Nurse Practitioner | 1301 15th Ave W, Williston, ND 58801-3821 | 2020-10-07 |
| 1700420288 | Heather Rose Hass | Nurse Practitioner | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-10-29 |
| 1740822584 | Anna Elizabeth Wolf | Nurse Practitioner | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-10-14 |
| 1124678297 | Janet Williams | Registered Nurse | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-09-19 |
| 1396394904 | Chelsea Nichole Smith | Advanced Practice Midwife | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-09-06 |
| 1952959868 | Kaleb Barstad | Pharmacist | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-09-04 |
| 1447819586 | Craig D White | Registered Nurse | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-06-12 |
| 1043780828 | Yesul Song | Pharmacist | 1301 15th Ave W, Williston, ND 58801-3821 | 2018-12-05 |
| 1467938399 | Melissa Sue Gilbertson | Physician Assistant | 1301 15th Ave W, Williston, ND 58801 | 2018-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952868556 | Purpose Driven Interventions | Counselor | 1502 13th Ave West, Williston, ND 58801 | 2019-03-01 |
| 1437637501 | Camille Ann Settelmeyer | Nurse Practitioner | 1213 15th Avenue West, Williston, ND 58801 | 2018-08-01 |
| 1801317417 | Shelby Laine Carlson | Physical Therapist | 1502 13th Ave W Suite 101, Williston, ND 58801 | 2017-07-05 |
| 1710418579 | Catrina Louise Lindvig | Chiropractor | 1135 2nd Ave W Ste 203, Williston, ND 58801 | 2017-03-23 |
| 1801337415 | Selah Counseling | Clinic/Center | 125 Main St, Suite #220, Williston, ND 58801 | 2017-03-15 |
| 1316485634 | Theresa E Scully | Social Worker | 125 Main St; Unit 220, Williston, ND 58801 | 2017-02-07 |
| 1346792256 | Donna Peterson | Social Worker | 1500 14th St Sw, Suite 250, Williston, ND 58801 | 2016-10-26 |
| 1730509084 | Lacey Thompson | Case Manager/Care Coordinator | 110 West Broadway, Suite 202, Williston, ND 58801 | 2014-04-24 |
| 1770904708 | Kayla Jo Rossland | Physical Therapist | 221 University Ave Ste 203, Williston, ND 58801 | 2013-12-17 |
| 1285072710 | Susan Mae Bradford | Counselor | 612 4th St. E., Williston, ND 58801 | 2013-06-06 |
| Find all providers in zip 58801 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691645 | Crystal Lynn Lesmeister | Nurse Practitioner | 110 W Broadway Ste 101, Williston, ND 58801-6056 | 2020-08-29 |
| 1902079445 | Amy M O'meara | Nurse Practitioner | 75 Talcott Rd Ste 10, Williston, VT 05495-8122 | 2008-04-04 |
| 1700420288 | Heather Rose Hass | Nurse Practitioner | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-10-29 |
| 1912149808 | Emily Macleod Garcia | Nurse Practitioner | 75 Talcott Rd Ste 10, Williston, VT 05495-8122 | 2009-03-24 |
| 1982651196 | Sheri Skalsky | Nurse Practitioner | 1700 11th St W, Williston, ND 58801-4500 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255448668 | Cheryl A. Hefta | Nurse Practitioner | 416 2nd Ave N, Fort Totten, ND 58335 | 2006-08-23 |
| 1598772345 | Renai D Ehrichs | Nurse Practitioner | 2101 Elm Street, Fargo, ND 58102 | 2006-08-02 |
| 1619939006 | Carol Sue Moen | Nurse Practitioner | 524 4th Ave Ne, Unit 9, Devils Lake, ND 58301-2490 | 2006-04-03 |
| 1154319911 | Gail Rae Halverson | Nurse Practitioner | 360 Division Ave, Suite 200, Grand Forks, ND 58201-4702 | 2005-10-06 |
| 1386280261 | Canopy Medical Clinic, Pllc | Nurse Practitioner | 100 4th St S, Fargo, ND 58103-1929 | 2019-11-26 |
| 1629533724 | Alexa Marie Volesky | Nurse Practitioner | 3000 32nd Ave S, Fargo, ND 58103 | 2019-02-04 |
| 1891265757 | Carissa Abigail Monique Lawrence | Nurse Practitioner | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2018-12-04 |
| 1730535386 | Ashley A Ruesink | Nurse Practitioner | 801 Broadway N, Fargo, ND 58102-3641 | 2016-05-12 |
| 1063822062 | Amanda Swanson | Nurse Practitioner | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2014-04-30 |
| 1679868087 | Sandra Kay Alberty | Nurse Practitioner | 512 1st Ave N, Fargo, ND 58102-4804 | 2011-06-14 |
| Find all providers with the same taxonomy | ||||
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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.