MISTI BREITBACH (NPI# 1639627979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639627979 |
| Entity Type | Individual |
| Full Name | MISTI BREITBACH |
| Practice Address |
301 12th St Se Watford City ND 58854-6722 |
| Mailing Address |
Po Box 2479 Watford City ND 58854-6000 |
| Practice Telephone | 7018426400 |
| Mailing Telephone | 7018426400 |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R29786 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
301 12TH ST SE |
| City | WATFORD CITY |
| State | ND |
| Zip Code | 58854-6722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891073185 | Claudia H Low | Clinical Nurse Specialist | 301 12th St Se, Watford City, ND 58854-6722 | 2011-08-03 |
| 1043824501 | Christina Jean Shockley | Family Medicine | 301 12th St Se, Watford City, ND 58854-6722 | 2020-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306308101 | Summit Silver Creek, LLC | Substance Abuse Rehabilitation Facility | 2046 125th Ave, Watford City, ND 58854 | 2019-04-02 |
| 1548716285 | Mckenzie County Social Services | Case Management | 201 5th St. Nw, Ste. 790, Watford City, MS 58854 | 2016-09-01 |
| 1275923450 | Jennifer Fleck | Nurse Practitioner | 118 8th Street Ne, Watford City, ND 58854 | 2015-01-27 |
| 1437497625 | Aaron Burke Patchen | Chiropractor | 105 9th Ave Se, Ste 3, Watford City, ND 58854 | 2013-01-22 |
| 1164703559 | Narek Ovsepian | Dentist | 324 3rd St Nw, Watford City, ND 58854 | 2011-08-30 |
| 1861614489 | Marilyn Beth Pierce | Physical Therapist | 3272 127th Avenue Nw, Watford City, ND 58854 | 2007-05-03 |
| 1710063771 | Gary L Trauger | Chiropractor | 105 2nd Ave Ne, Watford City, ND 58854 | 2006-10-31 |
| 1518056142 | Mckenzie County Ambulance Service | Ambulance | 204 3rd Ave Ne, Watford City, ND 58854 | 2006-10-12 |
| 1427079854 | Mckenzie County Healthcare Systems Inc | Medicare Defined Swing Bed Unit | 516 North Main Street, Watford City, ND 58854 | 2006-07-21 |
| 1184645533 | Gary W Ramage | General Practice | 525 North Main Street, Watford City, ND 58854 | 2006-07-21 |
| Find all providers in zip 58854 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275923450 | Jennifer Fleck | Nurse Practitioner | 118 8th Street Ne, Watford City, ND 58854 | 2015-01-27 |
| 1730465568 | Cassie J Haak | Nurse Practitioner | 116 8th St Ne, Watford City, ND 58854-7541 | 2011-10-25 |
| 1255964698 | Amanda Marie Mitchell | Nurse Practitioner | 709 4th Ave Ne, Watford City, ND 58854-7628 | 2020-02-13 |
| 1902440449 | Christy Marie Moe | Nurse Practitioner | 709 4th Ave Ne, Watford City, ND 58854-7628 | 2019-10-28 |
| 1073917480 | Jessica Marie Heggen | Nurse Practitioner | 525 N Main St, Watford City, ND 58854-7313 | 2014-10-14 |
| 1659705507 | Kirsten Vetterkind | Nurse Practitioner | 525 N Main St, Attn: Tucker Petersen, Coo, Watford City, ND 58854-7313 | 2013-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000901 | Rochelle Rieck | Nurse Practitioner | 4183 153rd Ave Se, Mapleton, ND 58059-9625 | 2020-10-12 |
| 1811500226 | Dan Lee Beach | Nurse Practitioner | 314 3rd Ave Ne, Ashley, ND 58413-7225 | 2020-08-25 |
| 1477163335 | Tabitha Elizabeth Clare Solc | Nurse Practitioner | 5770 Orchid Cir, Grand Forks, ND 58201-3232 | 2020-08-05 |
| 1811505241 | Breann Owen | Nurse Practitioner | 14974 27th St Se, Amenia, ND 58004-9756 | 2020-07-22 |
| 1033736376 | Joshua James Hadsell | Nurse Practitioner | 124 Independence Ave, Bismarck, ND 58503-0463 | 2020-07-02 |
| 1447872163 | Gina Marie Kinzler | Nurse Practitioner | 4840 23rd Ave S, Fargo, ND 58104-9136 | 2020-05-15 |
| 1700405685 | Brandi Peterson | Nurse Practitioner | 831 S Broadway Ste 113, Minot, ND 58701-4636 | 2020-04-10 |
| 1497384184 | Rosanne Clare Lohman | Nurse Practitioner | 336 Main St S, Forman, ND 58032-4001 | 2020-04-04 |
| 1114558830 | Tisha Kamrowski | Nurse Practitioner | 1932 7th St Nw, Minot, ND 58703-1317 | 2020-01-31 |
| 1669017265 | Haley Faye Wahl | Nurse Practitioner | 761 48th St S, Fargo, ND 58103-7216 | 2019-11-07 |
| Find all providers with the same taxonomy | ||||
| City | WATFORD CITY |
| Zip Code | 58854 |
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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.