SUSAN WARDNER (NPI# 1235213695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235213695 |
| Entity Type | Individual |
| Full Name | SUSAN WARDNER |
| Credential | FNP |
| Practice Address |
416 Kundert St Turtle Lake ND 58575 |
| Mailing Address |
Po Box 535 Turtle Lake ND 58575 |
| Practice Telephone | 7014489225 |
| Practice Fax Number | 7014489224 |
| Mailing Telephone | 7014489225 |
| Mailing Fax Number | 7014489224 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R28550 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 19783 | 05 | |
| ND | BCBS | 24014 | 01 |
| ND | BCBS | 25017 | 01 |
| ND | BCBS | 25018 | 01 |
| ND | 13704 | 05 | |
| ND | 5904 | 05 | |
| ND | 5907 | 05 | |
| ND | BCBS | 24011 | 01 |
| Street Address |
416 KUNDERT ST |
| City | TURTLE LAKE |
| State | ND |
| Zip Code | 58575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326122789 | Curtis J Kroh | Physician Assistant | 416 Kundert St, Turtle Lake, ND 58575-4205 | 2006-10-24 |
| 1568843878 | Whitney Violet Bruins | Dentist | 416 Kundert St, Turtle Lake, ND 58575-4205 | 2015-06-11 |
| 1477710606 | Wilton Henry Kuehn Jr. | Dentist | 416 Kundert St, Turtle Lake, ND 58575-0576 | 2008-05-16 |
| 1457435802 | Northland Health Partners Community Health Center | Clinic/Center | 416 Kundert St, Turtle Lake, ND 58575 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154739050 | Amanda Troyna | Massage Therapist | 104 Eggert St, Turtle Lake, ND 58575 | 2014-07-24 |
| 1417090911 | Mark A Malzer | Pharmacist | 218 Main St., Turtle Lake, ND 58575 | 2007-02-14 |
| 1780699314 | Turtle Lake Rexall Drug Inc. | Pharmacy | 218 Main, Turtle Lake, ND 58575 | 2006-07-30 |
| 1285018192 | Kerri Dawn Benning | Nurse Practitioner | 104 Main Street, Turtle Lake, ND 58575 | 2015-07-10 |
| 1336421551 | Jamie L Ziebarth | Pharmacist | 218 Main Street, Turtle Lake, ND 58575 | 2011-09-14 |
| 1518023845 | Howard Carroll Anderson Jr. | Pharmacist | 218 Main Street, Turtle Lake, ND 58575-0070 | 2006-12-29 |
| 1730279720 | Turtle Lake Ambulance Service, Inc | Ambulance | 216 Putnam Street, Turtle Lake, ND 58575-0243 | 2006-10-13 |
| 1174585319 | St. Alexius Medical Center | Respite Care | 220 5th Ave, Turtle Lake, ND 58575-0280 | 2006-04-04 |
| 1710499181 | Juliana Chioma Nwachukwu | Nurse Practitioner | 104 Main St, Turtle Lake, ND 58575-4001 | 2017-10-25 |
| 1588194021 | Mitchel Leers | Physician Assistant | 104 Main St, Turtle Lake, ND 58575-4001 | 2017-06-18 |
| Find all providers in zip 58575 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304695 | Transitions Healthcare Pllc Dba Transitions Healthcare | Nurse Practitioner | 7500 Sentinel St, Bismarck, ND 58504-9615 | 2020-10-22 |
| 1922640507 | Mandy Jo Haug | Nurse Practitioner | 3280 6th St E, West Fargo, ND 58078-5459 | 2019-10-15 |
| 1730741992 | Alicia Michelle Crosby | Nurse Practitioner | 101 3rd Ave Sw Ste 201, Minot, ND 58701-3880 | 2019-07-08 |
| 1871154211 | Chelsea Vollmer | Nurse Practitioner | 4535 Northern Sky Dr Ste 1, Bismarck, ND 58503-8539 | 2019-06-26 |
| 1700446192 | Mckinzie Marie Nuss | Nurse Practitioner | 3201 Rutland Dr, Bismarck, ND 58504-7602 | 2019-06-18 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1326602897 | Madison Huff | Nurse Practitioner | 13 2nd Ave Se, Minot, ND 58701-3906 | 2019-04-30 |
| 1801357116 | Ashlyn Marie Deachin | Nurse Practitioner | 106 Indian Rock Cir Apt 1, Minot Afb, ND 58704-1159 | 2019-03-28 |
| 1497224224 | Cimberly Faye Berg | Nurse Practitioner | 310 2nd Ave East, Westhope, ND 58793-4033 | 2018-11-22 |
| 1740769595 | The Evangelical Lutheran Good Samaritan Society | Nurse Practitioner | 301 S Highway 12b, Park River, ND 58270 | 2018-08-13 |
| Find all providers with the same taxonomy | ||||
| City | TURTLE LAKE |
| Zip Code | 58575 |
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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.