KRISTEN M LIEBL


Address: 737 Broadway, Fargo, ND 58122-0001
Phone: 7012342245

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 132700000X Dietary Manager 674 ND Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ND 51556 05

Office Location

Street Address 737 BROADWAY
City FARGO
State ND
Zip Code 58122-0001

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 132700000X
Grouping Dietary & Nutritional Service Providers
Classification Dietary Manager

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City FARGO
Zip Code 58122

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Dataset Information

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.

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