NICOLE MORD (NPI# 1821402512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821402512 |
| Entity Type | Individual |
| Full Name | NICOLE MORD |
| Practice Address |
817 17th St S Fargo ND 58103-2557 |
| Practice Telephone | 2187905433 |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2014-06-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | L12052 | ND | Agencies |
| Street Address |
817 17TH ST S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-2557 |
| 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 | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255824256 | Omega Home Care Services LLC | Nursing Care | 42 Sims St Ste 15, Dickinson, ND 58601-5116 | 2018-06-13 |
| 1568851657 | Angels Hands Healthcare | Nursing Care | 3701 10th St Ne, Minot, ND 58703-3505 | 2015-01-13 |
| 1144636051 | Sheridan Memorial Home | Nursing Care | 610 South Main, Mcclusky, ND 58463-0350 | 2014-07-11 |
| 1316352669 | Corrie Tivis | Nursing Care | 1929 N 11th St Apt 5, Bismarck, ND 58501-1916 | 2014-06-25 |
| 1720492366 | Easter Seals Goodwill Nd, Inc. | Nursing Care | 211 Collins Ave, Mandan, ND 58554-3106 | 2014-06-11 |
| 1013326461 | United Tribes Technical College | Nursing Care | 3315 University Dr, Bismarck, ND 58504-7565 | 2014-08-11 |
| 1770778748 | Western Horizons Living Centers | Nursing Care | 1104 Highway 12, Hettinger, ND 58639-7533 | 2007-09-12 |
| 1740391853 | Pride Wilton Inc. | Nursing Care | 1200 Missouri Ave, Bismarck, ND 58504-5264 | 2006-08-31 |
Please comment or provide details below to improve the information on NICOLE MORD.
| 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.