MS. GAIL RAE HALVERSON (NPI# 1154319911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154319911 |
| Entity Type | Individual |
| Full Name | MS. GAIL RAE HALVERSON |
| Credential | N.P. |
| Practice Address |
360 Division Ave Suite 200 Grand Forks ND 58201-4702 |
| Mailing Address |
18408 430th Swave East Grand Forks MN 56721-9257 |
| Practice Telephone | 7017754251 |
| Practice Fax Number | 7017753691 |
| Mailing Telephone | 7017391820 |
| Mailing Fax Number | 2187731560 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2015-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R29615 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
R118302-3 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 53595 | 05 |
| Street Address |
360 DIVISION AVE SUITE 200 |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-4702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003275348 | Inspire Pharmacy Inc | Pharmacy | 360 Division Ave, Suite 100, Grand Forks, ND 58201-4702 | 2016-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801007844 | Cindy M Anderson | Nurse Practitioner | 1551 28th Ave S, Grand Forks, ND 58201-6782 | 2007-05-24 |
| 1619054327 | Laura Joy Spicer | Nurse Practitioner | 1000 South Columbia Road, Grand Forks, ND 58206-6002 | 2006-11-01 |
| 1578654372 | Cora-len Hutton | Nurse Practitioner | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2006-09-27 |
| 1720034622 | Kathy Detke | Nurse Practitioner | 1451 44th Ave S, Grand Forks, ND 58201-3434 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691645 | Crystal Lynn Lesmeister | Nurse Practitioner | 110 W Broadway Ste 101, Williston, ND 58801-6056 | 2020-08-29 |
| 1255448668 | Cheryl A. Hefta | Nurse Practitioner | 416 2nd Ave N, Fort Totten, ND 58335 | 2006-08-23 |
| 1598772345 | Renai D Ehrichs | Nurse Practitioner | 2101 Elm Street, Fargo, ND 58102 | 2006-08-02 |
| 1619939006 | Carol Sue Moen | Nurse Practitioner | 524 4th Ave Ne, Unit 9, Devils Lake, ND 58301-2490 | 2006-04-03 |
| 1386280261 | Canopy Medical Clinic, Pllc | Nurse Practitioner | 100 4th St S, Fargo, ND 58103-1929 | 2019-11-26 |
| 1700420288 | Heather Rose Hass | Nurse Practitioner | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-10-29 |
| 1629533724 | Alexa Marie Volesky | Nurse Practitioner | 3000 32nd Ave S, Fargo, ND 58103 | 2019-02-04 |
| 1891265757 | Carissa Abigail Monique Lawrence | Nurse Practitioner | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2018-12-04 |
| 1730535386 | Ashley A Ruesink | Nurse Practitioner | 801 Broadway N, Fargo, ND 58102-3641 | 2016-05-12 |
| 1063822062 | Amanda Swanson | Nurse Practitioner | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2014-04-30 |
| Find all providers with the same taxonomy | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
Please comment or provide details below to improve the information on MS. GAIL RAE HALVERSON.
| 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.