JUDITH ROSARIO-RAYBURN (NPI# 1134382278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134382278 |
Entity Type | Individual |
Full Name | JUDITH ROSARIO-RAYBURN |
Credential | FNP |
Practice Address |
1 Hospital Road Belcourt ND 58316-0160 |
Mailing Address |
Po Box 160 Belcourt ND 58316-0160 |
Practice Telephone | 7014776111 |
Practice Fax Number | 7014778401 |
Mailing Telephone | 7014776111 |
Mailing Fax Number | 7014778401 |
Enumeration Date | 2008-07-09 |
Last Update Date | 2008-07-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN112961 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1 HOSPITAL ROAD |
City | BELCOURT |
State | ND |
Zip Code | 58316-0160 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245754548 | Quentin N Burdick Comprehensive Health Care Facility | Pharmacist | 1 Hospital Road, Belcourt, ND 58316-0160 | 2017-07-28 |
1902230600 | Kenneth M Knutson | Pharmacist | 1 Hospital Road, Belcourt, ND 58316 | 2013-08-29 |
1316268212 | Elaine K Richter | Pharmacist | 1 Hospital Road, Belcourt, ND 58316 | 2010-06-15 |
1043467301 | Kimberly A Hiatt | Respiratory Therapist, Certified | 1 Hospital Road, Belcourt, ND 58316-0160 | 2008-08-19 |
1073708426 | Joseph Wayne Collins | Dentist | 1 Hospital Road, Belcourt, ND 58316-0160 | 2007-09-10 |
1164642377 | Sandra M Poitra | Dietitian, Registered | 1 Hospital Road, Belcourt, ND 58316 | 2007-04-27 |
1063632792 | Jody Marie Rosendahl | Dietitian, Registered | 1 Hospital Road, Belcourt, ND 58316 | 2007-04-26 |
1619008919 | Burton Clarence Norris | Dentist | 1 Hospital Road, Belcourt, ND 58316 | 2007-03-08 |
1093844383 | Emmanuel A Gaid | Family Medicine | 1 Hospital Road, Belcourt, ND 58316-0160 | 2007-03-05 |
1689727018 | Marma Wilkie-pepion | Social Worker | 1 Hospital Road, Belcourt, ND 58316-0160 | 2007-01-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063012656 | Ryan Wickerham | Technician | 9862 46th Ave Ne 1191 Kent Addition, 1191, Belcourt, ND 58316 | 2020-10-31 |
1396345146 | Melinda Marie Desjarlais | Technician | 9826 46th Ave Ne, Belcourt, ND 58316 | 2020-10-30 |
1417591140 | Molly Sue Beyer | Nurse Practitioner | 1300 Hospital Loop Road, Belcourt, ND 58316 | 2019-11-06 |
1114430519 | John Robert Kerr | Dentist | Quentin N. Burdick Memorial Hospital 1300 Hospital Loop, Belcourt, ND 58316 | 2017-11-08 |
1174979694 | Jan Birkland | Case Manager/Care Coordinator | 4051 Highway 281, Belcourt, ND 58316 | 2016-05-13 |
1841644291 | Berry James Poitra | Pharmacist | Moonlight Drive Highway 5, Belcourt, ND 58316 | 2016-04-21 |
1114380748 | Bernice Delorme | Social Worker | Bldg 152, John Norquay Street, Belcourt, ND 58316 | 2016-03-31 |
1326425943 | Turtle Mountain Band of Chippewa | Private Vehicle | 1023 Chief Little Shell Street Ne, Belcourt, ND 58316 | 2015-05-04 |
1336535038 | Turlte Mountain Maternal Child Health Program | Case Management | Building 150 John Norquay Street, Belcourt, ND 58316 | 2015-04-09 |
1982006672 | Eugene Monette | Physical Therapist | 4278 Bia Road 8, Belcourt, ND 58316 | 2014-09-24 |
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Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417591140 | Molly Sue Beyer | Nurse Practitioner | 1300 Hospital Loop Road, Belcourt, ND 58316 | 2019-11-06 |
1699099812 | Cheryll N. Simmons | Nurse Practitioner | 1 Hospital Road North, Belcourt, ND 58316 | 2010-03-17 |
1871735738 | Latoria M Williams | Nurse Practitioner | 1 Hospital Rd, Belcourt, ND 58316 | 2009-03-24 |
1093954661 | Patricia Skelly Lutes | Nurse Practitioner | 1 Hospital Rd, Belcourt, ND 58316-0160 | 2009-02-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962000901 | Rochelle Rieck | Nurse Practitioner | 4183 153rd Ave Se, Mapleton, ND 58059-9625 | 2020-10-12 |
1811500226 | Dan Lee Beach | Nurse Practitioner | 314 3rd Ave Ne, Ashley, ND 58413-7225 | 2020-08-25 |
1477163335 | Tabitha Elizabeth Clare Solc | Nurse Practitioner | 5770 Orchid Cir, Grand Forks, ND 58201-3232 | 2020-08-05 |
1811505241 | Breann Owen | Nurse Practitioner | 14974 27th St Se, Amenia, ND 58004-9756 | 2020-07-22 |
1033736376 | Joshua James Hadsell | Nurse Practitioner | 124 Independence Ave, Bismarck, ND 58503-0463 | 2020-07-02 |
1447872163 | Gina Marie Kinzler | Nurse Practitioner | 4840 23rd Ave S, Fargo, ND 58104-9136 | 2020-05-15 |
1700405685 | Brandi Peterson | Nurse Practitioner | 831 S Broadway Ste 113, Minot, ND 58701-4636 | 2020-04-10 |
1497384184 | Rosanne Clare Lohman | Nurse Practitioner | 336 Main St S, Forman, ND 58032-4001 | 2020-04-04 |
1114558830 | Tisha Kamrowski | Nurse Practitioner | 1932 7th St Nw, Minot, ND 58703-1317 | 2020-01-31 |
1669017265 | Haley Faye Wahl | Nurse Practitioner | 761 48th St S, Fargo, ND 58103-7216 | 2019-11-07 |
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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.