DESTINY MED SPA PLLC (NPI# 1184181091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184181091 |
| Entity Type | Organization |
| Organization Name | DESTINY MED SPA PLLC |
| Practice Address |
1415 W Dakota Pkwy Ste 3b Williston ND 58801-3885 |
| Practice Telephone | 7013549200 |
| Mailing Telephone | 7013549200 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |
| Authorized Official Name | VICTORIA CLAIR (DIRECTOR/PRACTICE MANAGER) |
| Authorized Official Telephone | 7013549200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
1415 W DAKOTA PKWY STE 3B |
| City | WILLISTON |
| State | ND |
| Zip Code | 58801-3885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952868556 | Purpose Driven Interventions | Counselor | 1502 13th Ave West, Williston, ND 58801 | 2019-03-01 |
| 1437637501 | Camille Ann Settelmeyer | Nurse Practitioner | 1213 15th Avenue West, Williston, ND 58801 | 2018-08-01 |
| 1801317417 | Shelby Laine Carlson | Physical Therapist | 1502 13th Ave W Suite 101, Williston, ND 58801 | 2017-07-05 |
| 1710418579 | Catrina Louise Lindvig | Chiropractor | 1135 2nd Ave W Ste 203, Williston, ND 58801 | 2017-03-23 |
| 1801337415 | Selah Counseling | Clinic/Center | 125 Main St, Suite #220, Williston, ND 58801 | 2017-03-15 |
| 1316485634 | Theresa E Scully | Social Worker | 125 Main St; Unit 220, Williston, ND 58801 | 2017-02-07 |
| 1346792256 | Donna Peterson | Social Worker | 1500 14th St Sw, Suite 250, Williston, ND 58801 | 2016-10-26 |
| 1730509084 | Lacey Thompson | Case Manager/Care Coordinator | 110 West Broadway, Suite 202, Williston, ND 58801 | 2014-04-24 |
| 1770904708 | Kayla Jo Rossland | Physical Therapist | 221 University Ave Ste 203, Williston, ND 58801 | 2013-12-17 |
| 1285072710 | Susan Mae Bradford | Counselor | 612 4th St. E., Williston, ND 58801 | 2013-06-06 |
| Find all providers in zip 58801 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356971972 | Vermont Center for Regenerative Medicine | Clinic/Center | 71 Knight Ln Ste 20, Williston, VT 05495-4514 | 2020-01-23 |
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| 1588929004 | Northern Plains Family Medicine and Behavioral Health,p.c. | Clinic/Center | 6400 158th St Se, Menoken, ND 58558-9790 | 2012-07-10 |
| 1689852683 | Three Affiliated Tribes Parshall Health Care Center | Clinic/Center | 107 3rd St Se, Parshall, ND 58770 | 2008-02-01 |
| 1851579858 | Three Affiliated Tribes Mandaree Health Care Center | Clinic/Center | 445 #2 School Street, Mandaree, ND 58757-0000 | 2008-02-01 |
| 1558548909 | Three Affiliated Tribes White Shield Health Care Center | Clinic/Center | 2 Main Street B, Roseglen, ND 58775-0000 | 2008-01-29 |
| 1588841738 | Three Affiliated Tribes Twin Buttes Health Care Center | Clinic/Center | 726 80th Ave Nw, Halliday, ND 58636-4001 | 2008-01-29 |
| 1740473800 | Riverview Healthcare Association | Clinic/Center | 115 Vivian St, Park River, ND 58270 | 2007-08-22 |
| 1306850706 | P R Health Corporation | Clinic/Center | 115 Vivian St., Park River, ND 58270-4540 | 2006-07-28 |
| 1649226671 | Trinity Kenmare Hospital | Clinic/Center | 307 1st Ave Nw, Kenmare, ND 58746-7104 | 2006-05-25 |
| Find all providers with the same taxonomy | ||||
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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.