MRS. KANDY M HARTSON (NPI# 1679669709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679669709 |
| Entity Type | Individual |
| Full Name | MRS. KANDY M HARTSON |
| Credential | LICSW |
| Practice Address |
510 4th Street South Prairie St Johns Hospital Fargo ND 58107-2027 |
| Mailing Address |
Po Box 2027 510 4th St S Prairie St Johns Hospital Fargo ND 58107-2027 |
| Practice Telephone | 7014767200 |
| Practice Fax Number | 7014767263 |
| Mailing Telephone | 7014767200 |
| Mailing Fax Number | 7014767263 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
09579 | MN | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
849 | ND | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 19121 | 05 |
| Street Address |
510 4TH STREET SOUTH PRAIRIE ST JOHNS HOSPITAL |
| City | FARGO |
| State | ND |
| Zip Code | 58107-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093807182 | Fetih Akgul | Psychiatry & Neurology | 510 4th St South, Prairie St Johns LLC, Fargo, ND 58107 | 2006-09-28 |
| 1023111606 | Charlotte Marie Andersen | Psychiatry & Neurology | 510 4th Street S, Fargo, ND 58107 | 2006-09-07 |
| 1225459027 | Lutheran Social Services of Nd | Clinic/Center | 3911 20th Ave S, Fargo, ND 58107 | 2013-12-20 |
| 1396831509 | William Arthur Metcalfe | Social Worker | 510 4th St South, Fargo, ND 58107-0070 | 2006-10-05 |
| 1841377264 | Natalya U Bronson | Psychiatry & Neurology | 510 4th Street S, Fargo, ND 58107-2027 | 2006-11-01 |
| 1013120880 | Vicki L Brodsho | Pharmacist | Mc Box #366, Fargo, ND 58107-9983 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053124 | Jon'e Kaye Mcdaniel | Technician | 4448 Bluestem Ct S, Fargo, ND 58104-4344 | 2020-11-07 |
| 1861093536 | Yadu M Ghimire | Technician | 2220 6th Ave S Apt 61, Fargo, ND 58103-2455 | 2020-11-07 |
| 1487255295 | Myofascial Release By Katie | Physical Therapist | 3441 45th St S, Fargo, ND 58104-8970 | 2020-11-06 |
| 1497356315 | Nizhoni Healthcare Services, LLC | Home Health | 825 25th St S Ste F, Fargo, ND 58103-8724 | 2020-11-06 |
| 1235730003 | Admira Omerovic | Technician | 4365 15th Ave S Apt 313, Fargo, ND 58103-3588 | 2020-11-06 |
| 1700487758 | Sheila Jean Hagel | Technician | 1417 16th St S, Fargo, ND 58103-3932 | 2020-11-05 |
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275134538 | Elizabeth Emma Heintzman | Physical Therapist | 938 76th Ave S, Fargo, ND 58104-8029 | 2020-11-03 |
| 1407457930 | Sanju Maya Tamang | Technician | 3061 32nd St S Apt 1, Fargo, ND 58103-7865 | 2020-11-02 |
| 1124628995 | Emily Herbranson | Technician | 1007 7th Ave N Apt C, Fargo, ND 58102-4326 | 2020-10-29 |
| Find all providers in FARGO | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861003089 | Jdl Counseling LLC | Counselor | 1128 Westrac Dr S, Fargo, ND 58103-8729 | 2020-08-11 |
| 1336613728 | Eddie Burl LLC | Counselor | 1351 Page Dr S Ste 203, Fargo, ND 58103-3536 | 2019-01-18 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1609354141 | Jamie Moe | Counselor | 100 4th St S Ste 112, Fargo, ND 58103-1929 | 2018-08-06 |
| 1518465178 | Natalie Reiter | Counselor | 4733 Amber Valley Pkwy S Ste W, Fargo, ND 58104-8647 | 2018-01-30 |
| 1386042513 | Jana Battagler | Counselor | 317 8th St N, Fargo, ND 58102-4725 | 2014-12-22 |
| 1376848440 | Jodi Leigh Tangen | Counselor | 1919 University Dr N, North Dakota State University, Fargo, ND 58102-1843 | 2011-01-20 |
| 1376863647 | Debberlee Fetting | Counselor | 4357 13th Ave S Ste 206c, Fargo, ND 58103-7505 | 2010-06-09 |
| 1043541675 | Danielle Rose Ficek | Counselor | 1323 23rd St S Ste H, Fargo, ND 58103-3759 | 2010-01-21 |
| 1114251063 | Doreen Mae Vosburg | Counselor | 2913 12th St S, Fargo, ND 58103-6044 | 2009-09-24 |
| Find all providers in FARGO | ||||
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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.