ALLISON LAURA HETLAND


Address: 2400 32nd Ave S, Fargo, ND 58103-5800
Phone: 7012348830

ALLISON LAURA HETLAND (NPI# 1336412352) 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) 1336412352
Entity Type Individual
Full Name ALLISON LAURA HETLAND
Credential DO
Practice Address 2400 32nd Ave S
Fargo
ND 58103-5800
Practice Telephone 7012348830
Mailing Telephone 7012348830
Enumeration Date 2012-02-22
Last Update Date 2019-02-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 204D00000X Neuromusculoskeletal Medicine & OMM DO2459 ME Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine 14123 ND Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine DO2459 ME Allopathic & Osteopathic Physicians

Office Location

Street Address 2400 32ND AVE S
City FARGO
State ND
Zip Code 58103-5800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982693875 Chris L Cleveland Pediatrics 2400 32nd Ave S, Fargo, ND 58103-5800 2005-10-14
1306456470 Darcy Thompson Registered Nurse 2400 32nd Ave S, Fargo, ND 58103-5800 2020-08-04
1457988636 Lisa Aipperspach Dietitian, Registered 2400 32nd Ave S, Fargo, ND 58103-5800 2020-03-26
1588298525 Adriane Maag Carney Acupuncturist 2400 32nd Ave S, Fargo, ND 58103-5800 2020-02-28
1255961090 Bailey June Hanson Physician Assistant 2400 32nd Ave S, Fargo, ND 58103-5800 2020-01-21
1013564624 Erin Marie Wilmes Nurse Practitioner 2400 32nd Ave S, Fargo, ND 58103-5800 2019-08-20
1346896016 Ashley Jobe Physical Therapist 2400 32nd Ave S, Fargo, ND 58103-5800 2019-08-17
1194371377 Casey Murphy Physical Therapist 2400 32nd Ave S, Fargo, ND 58103-5800 2019-08-14
1316507221 Evan Lee Zacharias I Physical Therapist 2400 32nd Ave S, Fargo, ND 58103-5800 2019-06-13
1801455449 Danielle Swanson Physician Assistant 2400 32nd Ave S, Fargo, ND 58103-5800 2019-06-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659924843 Amanda Hericks Dentist 1338 Gateway Drive S, Fargo, ND 58103 2019-07-17
1285298240 Ann Louise Breen Optometrist Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 2019-04-25
1245706597 Lisa Elaine Livingston Counselor 1337 14 and Half St. S., Fargo, ND 58103 2018-10-15
1528569662 Misty Lynn Hagen Counselor 901 28th St. South, Suite B, Fargo, ND 58103 2018-02-23
1083133011 Faith Homecare Professionals LLC Home Health 304 25th St S, Suite B, Fargo, ND 58103 2017-09-11
1982138749 Matthew Troyer Pharmacist 2425 13th Ave, Fargo, ND 58103 2017-04-18
1801338504 Amy Nguyen Christianson Chiropractor 1650 45th St S Ste 113, Fargo, ND 58103 2016-11-11
1245772359 Andrea Marie Hanson Nurse Practitioner 2400 32nd Ave South, Fargo, ND 58103 2016-11-07
1831647940 Abigail Carmen Burkett Vetter Nurse Practitioner 2928 University Dr S Suite 101, Fargo, ND 58103 2016-09-18
1013361302 Nancy Knowlton Speech-Language Pathologist 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 2016-04-22
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679068035 Rory Ratzlaff Family Medicine Sanford Health 737 Broadway N, Fargo, ND 58122-0001 2018-06-28
1710472725 Shabnum Gupta Family Medicine Sanford Health 801 Broadway North, Fargo, ND 58122-0170 2018-06-22
1538661384 Community Uplift Program Family Medicine 417 Main Ave Ste 401, Fargo, ND 58103-1956 2018-03-07
1841576279 Michelle Vonrueden Family Medicine 1018 18th St S, Fargo, ND 58103-2926 2011-10-31
1801174768 Vidya Vijayaraghavan Family Medicine 4689 38th Ave S, Fargo, ND 58104-8506 2011-07-26
1275762924 Sreejith Gopi Family Medicine 4110 51st Avenue South, Fargo, ND 58104 2009-07-02
1356537781 Terry L Wolff Family Medicine 2700 12th Ave Sw, Suite D, Fargo, ND 58103 2007-09-19
1144436338 Daniel Wilfred Herold Family Medicine 225 4th Ave N, Fargo Meps, Fargo, ND 58102-4841 2007-05-15
1679619860 Carl John Fedyszyn, M.d.,p.c. Family Medicine 4550 47th St S Apt 102, Fargo, ND 58104-4360 2007-01-29
1417040189 Michelle M Radke Family Medicine 1711 Gold Drive South Suite 160, Fargo, ND 58103 2006-10-02
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Competitor

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City FARGO
Zip Code 58103

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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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