LACIE WINDSOR (NPI# 1174068373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174068373 |
| Entity Type | Individual |
| Full Name | LACIE WINDSOR |
| Practice Address |
1200 S Columbia Rd Grand Forks ND 58201-4036 |
| Mailing Address |
491 Pacoman Rd Evington VA 24550-3667 |
| Practice Telephone | 7017805243 |
| Enumeration Date | 2016-12-23 |
| Last Update Date | 2017-05-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
10443 | MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUECROSS BLUESHIELD | JZKXZ9581251 | 01 |
| Street Address |
1200 S COLUMBIA RD |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-4036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740252220 | Michael Stanley Schlegel | Emergency Medicine | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2006-02-07 |
| 1326669805 | Midwest Gastroenterology PC | Internal Medicine | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2020-05-06 |
| 1225660756 | Tyler Sand | Nurse Anesthetist, Certified Registered | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2020-02-12 |
| 1174155774 | Carissa Ashlee Grabanski | Nurse Anesthetist, Certified Registered | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2020-02-11 |
| 1215569652 | Casey Laine Pesch | Nurse Anesthetist, Certified Registered | 1200 S Columbia Rd, Grand Forks, ND 58201-4044 | 2020-02-04 |
| 1023648557 | Lindsey K Holter | Nurse Anesthetist, Certified Registered | 1200 S Columbia Rd, Grand Forks, ND 58201-4044 | 2020-01-23 |
| 1740822899 | Bio-medical Applications of Minnesota Inc | Clinic/Center | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2019-10-10 |
| 1790347268 | Courtney Naastad | Nurse Practitioner | 1200 S Columbia Rd, Grand Forks, ND 58201 | 2019-07-03 |
| 1679035182 | Dillon Meyer | Pharmacist | 1200 S Columbia Rd, Grand Forks, ND 58201-4044 | 2019-04-03 |
| 1114485315 | Altru 2018 LLC | Ambulance | 1200 S Columbia Rd, Grand Forks, ND 58201-4044 | 2019-03-06 |
| Find all providers in the same location | ||||
| 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 | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477112027 | Run Your Life LLC | Clinic/Center | 1751 36th Ave S Apt 105, Grand Forks, ND 58201-7347 | 2019-06-07 |
| 1497216246 | Elevate Physical Therapy and Performance, LLC | Clinic/Center | 3935 Dakota Dr, Grand Forks, ND 58201-3544 | 2019-03-26 |
| 1215080437 | University of North Dakota | Clinic/Center | 2751 2nd Ave N Stop 9013, Hyslop Sports Center Room 115, Grand Forks, ND 58202-9013 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996924 | Encompass Therapy LLC | Clinic/Center | 600 2nd Ave N, Hettinger, ND 58639-7448 | 2020-06-12 |
| 1639650393 | Backstrom Physical Therapy LLC | Clinic/Center | 215 Highway 2 Sw Ste 103, Rugby, ND 58368-2407 | 2018-08-22 |
| 1144666934 | Rehab Visions | Clinic/Center | 2710 Chokecherry St, Williston, ND 58801-2926 | 2013-05-20 |
| 1225289341 | Jones Physical Therapy | Clinic/Center | 1415 Border Ln, Washburn, ND 58577-4153 | 2008-10-07 |
| 1275542268 | Southeast Therapy Services Inc | Clinic/Center | 100 1st Avenue Southwest, Omega City Plaza, Lamoure, ND 58458-0686 | 2006-08-07 |
| 1447200373 | Dsj Enterprises, LLC | Clinic/Center | 2945 N 11th St, Bismarck, ND 58503-0514 | 2006-05-11 |
| 1285194324 | Living Life Physical Therapy | Clinic/Center | 2311 Elk Dr, Minot, ND 58701-5633 | 2019-03-24 |
| 1649736422 | Kids In Motion Inc | Clinic/Center | 1702 E Main St # 103, Mandan, ND 58554-3818 | 2019-02-16 |
| 1487127825 | Countryside Physical Therapy, Pllc | Clinic/Center | 42 Central Ave S, Killdeer, ND 58640-4000 | 2019-01-08 |
| 1306319389 | Recharge Physical Therapy and Wellness, Pllc | Clinic/Center | 3491 University Dr S, Fargo, ND 58104-6225 | 2019-01-02 |
| Find all providers with the same taxonomy | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
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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.