PAIGE DECK (NPI# 1174009955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174009955 |
| Entity Type | Individual |
| Full Name | PAIGE DECK |
| Credential | SLP-LA |
| Practice Address |
2600 Demers Ave Ste 106 Grand Forks ND 58201-4100 |
| Practice Telephone | 7017395437 |
| Practice Fax Number | 7017469198 |
| Mailing Telephone | 7017395437 |
| Mailing Fax Number | 7017469198 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
1670 | ND | Speech, Language and Hearing Service Providers |
| Street Address |
2600 DEMERS AVE STE 106 |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912483793 | Sarah Johnson | Specialist/Technologist | 2600 Demers Ave Ste 106, Grand Forks, ND 58201-4100 | 2018-07-16 |
| 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 | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912483793 | Sarah Johnson | Specialist/Technologist | 2600 Demers Ave Ste 106, Grand Forks, ND 58201-4100 | 2018-07-16 |
| 1346847050 | Alyssa Gourde | Specialist/Technologist | 2600 Demers Ave Ste 101, Grand Forks, ND 58201-4100 | 2020-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619479169 | Haley J Schmoll | Specialist/Technologist | 1411 32nd St Sw, Fargo, ND 58103-6304 | 2018-03-01 |
| 1518564848 | Marissa Michelle Odens | Specialist/Technologist | 207 Main Ave W, West Fargo, ND 58078-1725 | 2020-10-09 |
| 1962017855 | Samantha Jo Schreiner | Specialist/Technologist | 102 6th St Se, Hankinson, ND 58041-4200 | 2020-09-09 |
| 1679119887 | Shelley Ann Fossen | Specialist/Technologist | 207 2nd Ave Se, Jamestown, ND 58401-4272 | 2019-11-22 |
| 1205483245 | Kelli Marie Stumpf | Specialist/Technologist | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2019-08-23 |
| 1386203198 | Summer Peterick | Specialist/Technologist | 3401 45th St S Ste A, Fargo, ND 58104-8970 | 2019-06-06 |
| 1528532538 | Jay Laporte | Specialist/Technologist | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2019-01-14 |
| 1982704144 | Carey Lamoureaux | Specialist/Technologist | 2301 25th St S Ste B, Fargo, ND 58103-6104 | 2006-09-25 |
| City | GRAND FORKS |
| Zip Code | 58201 |
Please comment or provide details below to improve the information on PAIGE DECK.
| 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.