BRENDA A OTTO (NPI# 1760664163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760664163 |
| Entity Type | Individual |
| Full Name | BRENDA A OTTO |
| Credential | RN |
| Practice Address |
2624 9th Ave S Fargo ND 58103 |
| Mailing Address |
2624 9th Ave S Fargo ND 58103-2350 |
| Practice Telephone | 7012984500 |
| Practice Fax Number | 7012984400 |
| Mailing Telephone | 7012984500 |
| Mailing Fax Number | 7012984400 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2019-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R27504 | ND | Nursing Service Providers |
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
R27504 | ND | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Hospital Rd, Belcourt, ND 583160160 | 7014776111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265582340 | Brenda Joy Otto | Psychologist | 2116 Se Campus Drive, Olmsted County Community Services, Rochester, MN 55904 | 2007-01-11 |
| Street Address |
2624 9TH AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245284850 | Southeast Human Service Center | Clinic/Center | 2624 9th Ave S, Fargo, ND 58103-2350 | 2006-05-19 |
| 1750982120 | Lena Fogel | Counselor | 2624 9th Ave S, Fargo, ND 58103-2350 | 2020-11-03 |
| 1356956247 | Carmen Berg | Case Manager/Care Coordinator | 2624 9th Ave S, Fargo, ND 58103-2350 | 2020-09-09 |
| 1225643125 | Heidi Ottmar | Case Manager/Care Coordinator | 2624 9th Ave S, Fargo, ND 58103-2350 | 2020-09-09 |
| 1962011239 | Tayler Wilson | Registered Nurse | 2624 9th Ave S, Fargo, ND 58103-2350 | 2020-07-23 |
| 1023626595 | Jordan Solheim | Case Manager/Care Coordinator | 2624 9th Ave S, Fargo, ND 58103-2350 | 2020-07-21 |
| 1710595954 | Carissa Bertsch | Registered Nurse | 2624 9th Ave S, Fargo, ND 58103-2350 | 2020-07-14 |
| 1740898923 | Madeline Swanson | Social Worker | 2624 9th Ave S, Fargo, ND 58103-2350 | 2020-07-14 |
| 1821615394 | Tanner Valnes | Case Manager/Care Coordinator | 2624 9th Ave S, Fargo, ND 58103-2350 | 2020-07-01 |
| 1447876446 | Rachael Steinke | Case Manager/Care Coordinator | 2624 9th Ave S, Fargo, ND 58103-2350 | 2020-06-25 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538636881 | Jessica Ann Leitch | Registered Nurse | 1240 25th St S, Fargo, ND 58103-2367 | 2018-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972156685 | Aimee Kurle | Registered Nurse | 117 N 5th St, Bismarck, ND 58501-4087 | 2019-07-22 |
| 1952825952 | Christina Mae Morin | Registered Nurse | 1300 Hospital Loop, Belcourt, ND 58316 | 2017-08-01 |
| 1700328564 | Beverly Ann Voller | Registered Nurse | 118 E Spruce Ave, Linton, ND 58552-7104 | 2016-11-10 |
| 1063766681 | Cheryl D Loiland | Registered Nurse | 718 Oak St, Grand Forks, ND 58201-4460 | 2012-11-05 |
| 1891049672 | Kathleen Rude Hertel | Registered Nurse | 718 Oak St, Grand Forks, ND 58201-4460 | 2012-11-01 |
| 1235483256 | Judith Ann Schumacher | Registered Nurse | 718 Oak St, Grand Forks, ND 58201-4460 | 2012-10-29 |
| 1588916357 | Ann Louise Grossbauer | Registered Nurse | 718 Oak St, Grand Forks, ND 58201-4460 | 2012-10-03 |
| 1952586844 | Vay Slinkey | Registered Nurse | 1 Hospital Rd, Belcourt, ND 58316-0160 | 2008-01-09 |
| 1487836888 | Michelle R Loing | Registered Nurse | 1 Hospital Rd, Belcourt, ND 58316-0160 | 2007-11-28 |
| 1649452053 | Georgia M Artz | Registered Nurse | 1 Hospital Rd, Belcourt, ND 58316-0160 | 2007-11-28 |
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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.