HEARTLAND HEARING PROFESSIONALS PLLC (NPI# 1922542919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922542919 |
| Entity Type | Organization |
| Organization Name | HEARTLAND HEARING PROFESSIONALS PLLC |
| Practice Address |
3139 Blue Stem Dr Ste 108 West Fargo ND 58078-8060 |
| Practice Telephone | 7016394595 |
| Mailing Telephone | 7016394595 |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-28 |
| Authorized Official Name | ROSE BRAKKE (AUDIOLOGIST) |
| Authorized Official Telephone | 7014301017 |
| Authorized Official Credential | AUD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231HA2400X |
Audiologist Specialization: Assistive Technology Practitioner |
989 | ND | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1458557 | 05 | |
| MN | 1023297348 | 05 |
| Street Address |
3139 BLUE STEM DR STE 108 |
| City | WEST FARGO |
| State | ND |
| Zip Code | 58078-8060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023297348 | Rose I Brakke | Audiologist | 3139 Blue Stem Dr Ste 108, West Fargo, ND 58078-8060 | 2007-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205068 | Ashley Kasson Therapy | Counselor | 3220 4th St E, West Fargo, ND 58078 | 2020-11-04 |
| 1427658624 | Deedee (dorin) Ngwe | Technician | 3240 9th S West Apt. 204, West Fargo, ND 58078 | 2020-10-27 |
| 1053879734 | Mpnd,inc | Pharmacy | 2050 Sheyenne Street, West Fargo, ND 58078 | 2019-03-12 |
| 1396239216 | Luke Gable | Behavior Technician | 647 13th Avenue South, West Fargo, ND 58078 | 2018-06-15 |
| 1629597919 | Cody Freng | Specialist/Technologist | 3276 9th St W Apt C, West Fargo, ND 58078 | 2017-09-18 |
| 1831613942 | Lauren Phyllis Loe | Physical Therapist | 1401 13th Avenue East, Essentia Health West Fargo Clinic, West Fargo, ND 58078 | 2017-07-31 |
| 1851746226 | Jodi Kilen | Occupational Therapy Assistant | 631 4th Ave East, West Fargo, ND 58078 | 2016-05-04 |
| 1922490101 | Betty Ann Helmer | Social Worker | 2355 Meadow Ridge Parkway, West Fargo, ND 58078 | 2015-02-25 |
| 1477972784 | Tessa Nicole Larson | Occupational Therapist | 3139 Bluestem Dr Ste 108, West Fargo, ND 58078 | 2014-04-15 |
| 1023432010 | Kaylyn Kortes | Licensed Practical Nurse | 1302 Sheyenne St, West Fargo, ND 58078 | 2014-02-11 |
| Find all providers in zip 58078 | ||||
| Taxonomy Code | 231HA2400X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| Specialization | Assistive Technology Practitioner |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528238599 | Heidi Marie Matejka | Audiologist | 2930 8th St N, Fargo, ND 58102-1417 | 2008-03-06 |
| City | WEST FARGO |
| Zip Code | 58078 |
Please comment or provide details below to improve the information on HEARTLAND HEARING PROFESSIONALS PLLC.
| 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.