KEVIN KURT AXTMAN (NPI# 1063955532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063955532 |
| Entity Type | Individual |
| Full Name | KEVIN KURT AXTMAN |
| Practice Address |
1115 Westport Beach Way Unit B West Fargo ND 58078-8848 |
| Practice Telephone | 7012401758 |
| Mailing Telephone | 7012401758 |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
R35002 | ND | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649298555 | Kevin C Axtman | Physical Therapist | 310 N 9th St, Bismarck, ND 58501-4508 | 2006-07-18 |
| Street Address |
1115 WESTPORT BEACH WAY UNIT B |
| City | WEST FARGO |
| State | ND |
| Zip Code | 58078-8848 |
| 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 | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829805 | Kristine Beth Johnson | Registered Nurse | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2020-10-22 |
| 1548801228 | Amanda Ellingson | Registered Nurse | 2701 12th Ave S, Fargo, ND 58103-8753 | 2019-10-03 |
| 1780234377 | Lisa Amundgaard | Registered Nurse | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-09-16 |
| 1134687874 | Melissa Faye Meigs | Registered Nurse | 1015 S Broadway Ste 18, Minot, ND 58701-4667 | 2019-03-12 |
| 1811489990 | Esther Mae Hylden | Registered Nurse | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2018-06-04 |
| 1356846422 | Angela Mathson | Registered Nurse | 316 2nd Ave W, Williston, ND 58801-5218 | 2018-03-29 |
| 1750750709 | Lisa Marie Nelson-beauchamp | Registered Nurse | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2015-09-21 |
| 1336525997 | Krista Marie Larum | Registered Nurse | 316 2nd Ave W, Williston, ND 58801-5218 | 2015-08-06 |
| 1225445380 | Andrea Anthony | Registered Nurse | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2014-07-21 |
| 1396152468 | Sheila M Moe | Registered Nurse | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2014-07-21 |
| Find all providers with the same taxonomy | ||||
| City | WEST FARGO |
| Zip Code | 58078 |
Please comment or provide details below to improve the information on KEVIN KURT AXTMAN.
| 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.