MR. NICHOLAS HENRY FREDERIKSEN (NPI# 1013319334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013319334 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS HENRY FREDERIKSEN |
| Credential | APRN,CNP |
| Practice Address |
3000 32nd Ave S Fargo ND 58103-6132 |
| Mailing Address |
Po Box 6001 Fargo ND 58108-6001 |
| Practice Telephone | 7013648000 |
| Practice Fax Number | 7013648078 |
| Mailing Telephone | 7013648000 |
| Mailing Fax Number | 7013648078 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2015-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R41352 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
R41352 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1463647 | 05 |
| Street Address |
3000 32ND AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-6132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073506648 | Randy K Metcalf | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2005-08-29 |
| 1861006504 | Hallie M Tiffany | Nurse Practitioner | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2020-09-01 |
| 1144846452 | Andrea Patrice Solberg | Nurse Practitioner | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2020-06-23 |
| 1669098976 | Nathaniel James Piersol | Nurse Anesthetist, Certified Registered | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2020-06-23 |
| 1710503545 | Emily Olivia Miranda | Nurse Practitioner | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2020-06-17 |
| 1619500642 | Collin Docter | Physical Therapist | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2020-02-18 |
| 1386276863 | Corey David Bos | Nurse Anesthetist, Certified Registered | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2020-02-12 |
| 1619508587 | Stephanie Lee Piirainen | Student in an Organized Health Care Education/Training Program | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2020-01-30 |
| 1386274918 | Melissa Ann Knopik | Nurse Practitioner | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2020-01-23 |
| 1205475126 | Jerika A Decker | Physician Assistant | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2019-12-23 |
| 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 | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518511799 | Morgan A Schmitz | Nurse Practitioner | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-07-26 |
| 1811470438 | Jennifer L Henry | Nurse Practitioner | 4110 51st Ave S, Fargo, ND 58104-7776 | 2018-09-10 |
| 1184102329 | Kayla Lynn Bachand | Nurse Practitioner | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2018-07-31 |
| 1821583873 | Amanda Leigh Roberts | Nurse Practitioner | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2018-06-22 |
| 1144747114 | Kayla Marie Stremick | Nurse Practitioner | 1702 University Dr S, Fargo, ND 58103-4940 | 2017-08-29 |
| 1770849911 | April Alisa Qualley | Nurse Practitioner | 2801 University Dr S, Plastic Surgery, Fargo, ND 58103-6029 | 2012-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013534270 | Carley Marie Dawson | Nurse Practitioner | 3412 Eagle Run Dr, West Fargo, ND 58078-7750 | 2020-07-02 |
| 1467701847 | Andrea Lynn Stahl | Nurse Practitioner | 800 Main Ave S, Rugby, ND 58368-2118 | 2012-08-31 |
| 1679521181 | Dan Dailey | Nurse Practitioner | 10 N River Road, Ft Yates, ND 58538 | 2006-05-05 |
| 1003388638 | Sarah Miller | Nurse Practitioner | 222 N 7th St, Bismarck, ND 58501-4436 | 2018-12-20 |
| 1770089120 | Andrea Sebelius | Nurse Practitioner | 800 16th Ave Se, Minot, ND 58701-6781 | 2018-04-04 |
| 1417465444 | Natasha Shipman | Nurse Practitioner | 400 Burdick Expy E, Minot, ND 58701-4768 | 2018-01-11 |
| 1891213328 | Christy Zinck | Nurse Practitioner | 114 3rd St Ne, Rolla, ND 58367-7137 | 2017-09-05 |
| 1457703852 | Alison Lynch | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2016-07-08 |
| 1275984635 | Carla Aberle | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2016-06-28 |
| 1407174279 | Sharon A Wright | Nurse Practitioner | 2111 Landmark Cir, Minot, ND 58703-1967 | 2010-05-04 |
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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.