KRISTEN M LIEBL (NPI# 1164567970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164567970 |
Entity Type | Individual |
Full Name | KRISTEN M LIEBL |
Other Name | KRISTEN M SPAETH |
Credential | LRD |
Practice Address |
737 Broadway Fargo ND 58122-0001 |
Practice Telephone | 7012342245 |
Practice Fax Number | 7012343838 |
Mailing Telephone | 7012342245 |
Mailing Fax Number | 7012343838 |
Enumeration Date | 2007-02-20 |
Last Update Date | 2007-12-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 132700000X | Dietary Manager | 674 | ND | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ND | 51556 | 05 |
Street Address |
737 BROADWAY |
City | FARGO |
State | ND |
Zip Code | 58122-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437103959 | Robin J Sickels | Dietitian, Registered | 737 Broadway, Fargo, ND 58122-0001 | 2006-05-20 |
1679883680 | Summer Schauer | Nurse Anesthetist, Certified Registered | 737 Broadway, Fargo, ND 58122-0001 | 2010-10-13 |
1588974596 | Melissa Vanmatre | Nurse Anesthetist, Certified Registered | 737 Broadway, Fargo, ND 58122-0001 | 2010-10-13 |
1164652640 | Sanford Clinic North | Clinical Medical Laboratory | 737 Broadway, Fargo, ND 58122-0045 | 2009-07-20 |
1710138375 | Kent C Moser | Nurse Anesthetist, Certified Registered | 737 Broadway, Fargo, ND 58122-0001 | 2008-10-01 |
1023268711 | Katie C Busker | Nurse Anesthetist, Certified Registered | 737 Broadway, Fargo, ND 58122 | 2008-09-30 |
1770731473 | Andrea B Peterson | Nurse Practitioner | 737 Broadway, Fargo, ND 58122-0001 | 2008-09-05 |
1801091384 | Vijay Korimilli | Internal Medicine | 737 Broadway, Fargo, ND 58122-0001 | 2007-06-15 |
1437362571 | Heidi J Lako-adamson | Emergency Medicine | 737 Broadway, Fargo, ND 58122-0001 | 2007-05-07 |
1063565802 | Bruce I Errett | Anesthesiology | 737 Broadway, Fargo, ND 58122-0001 | 2007-01-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184142747 | Kayla Estepp | Internal Medicine | 737 Broadway North, Fargo, ND 58122 | 2017-09-05 |
1376091793 | Paul Mckay | Physical Therapist | 801 Broadway N., Fargo, ND 58122 | 2016-09-14 |
1801290150 | Mark Noah | Physical Therapist | 1720 South University, Fargo, ND 58122 | 2014-10-15 |
1245633486 | Diana Palm | Physical Therapist | 1720 University Drive South, Fargo, ND 58122 | 2014-10-02 |
1447696406 | Mohamad Imam | Internal Medicine | 801 Broadway North, Fargo, ND 58122 | 2013-05-17 |
1457615155 | Chantee Seung Gruenhagen | Nurse Practitioner | 737 North Broadway, Sanford Urology Clinic, Fargo, ND 58122 | 2012-06-27 |
1457594079 | Manisha Balhara | Specialist | 2400 32nd Avenue S, Fargo, ND 58122 | 2009-04-13 |
1578536728 | Shelby A Terstriep | Internal Medicine | 820 4 Street North, Fargo, NC 58122 | 2006-02-08 |
1295229946 | Christopher Hinh | Student in an Organized Health Care Education/Training Program | 801 Broadway North, Fargo, ND 58122 | 2018-06-17 |
1558854539 | Suchita Kotnala | Family Medicine | 737 Broadway North, Fargo, ND 58122 | 2018-06-13 |
Find all providers in zip 58122 |
Taxonomy Code | 132700000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietary Manager |
A dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316305402 | Sarah Maack | Dietary Manager | 801 Broadway N, Fargo, ND 58102-3641 | 2016-02-03 |
1124484050 | Jennifer Richtsmeier | Dietary Manager | 801 Broadway N, Fargo, ND 58102-3641 | 2016-01-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477919397 | Kimberly Hamburger | Dietary Manager | 2615 Fairway St, Dickinson, ND 58601-2590 | 2016-01-07 |
1962797902 | Wendy L Hager | Dietary Manager | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2011-06-17 |
1497770861 | Deborah R Baker | Dietary Manager | 332 2nd Ave N, Wahpeton, ND 58075-4528 | 2006-07-13 |
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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.