DEBORAH B ROERIG


Address: 1717 University Dr S, Fargo, ND 58103-4939
Phone: 7012342000

DEBORAH B ROERIG (NPI# 1346262912) 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) 1346262912
Entity Type Individual
Full Name DEBORAH B ROERIG
Credential CNS
Practice Address 1717 University Dr S
Fargo
ND 58103-4939
Mailing Address Po Box 2168
Fargo
ND 58107-2168
Practice Telephone 7012342000
Mailing Telephone 7012344111
Mailing Fax Number 7012344130
Enumeration Date 2006-07-24
Last Update Date 2012-11-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364S00000X Clinical Nurse Specialist R29007 ND Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
ND 70018 05
MN 278555200 05

Office Location

Street Address 1717 UNIVERSITY DR S
City FARGO
State ND
Zip Code 58103-4939

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659373876 Jennifer R. Olbum Ophthalmology 1717 University Dr S, Fargo, ND 58103-4939 2005-06-01
1750949855 Chelsea Marie Norman Physician Assistant 1717 University Dr S, Fargo, ND 58103-4939 2019-06-03
1245726363 Anna Pauline Wilson Nurse Practitioner 1717 University Dr S, Fargo, ND 58103-4939 2018-07-02
1598262545 Leann Elizabeth Czapiewski Dietitian, Registered 1717 University Dr S, Fargo, ND 58103-4939 2018-04-06
1881063006 Meagen Anderson Physician Assistant 1717 University Dr S, Fargo, ND 58103-4939 2015-09-17
1972938843 Amber D Strobel Nurse Practitioner 1717 University Dr S, Fargo, ND 58103-4939 2013-09-10
1750632352 Brianna Srnsky Dietitian, Registered 1717 University Dr S, Fargo, ND 58103-4939 2012-09-24
1790060846 Alison Rae Moses Optometrist 1717 University Dr S, Fargo, ND 58103-4939 2011-10-19
1215211750 Kelsey R Herrick Dietitian, Registered 1717 University Dr S, Fargo, ND 58103-4939 2011-10-03
1891075198 Sanford Medical Center Fargo Eyewear Supplier (Equipment, not the service) 1717 University Dr S, Fargo, ND 58103-4939 2011-08-18
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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 364S00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist

Taxonomy Definition

A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487022885 John Roll Clinical Nurse Specialist 820 4th St N, Fargo, ND 58102-4539 2015-09-02
1730413238 Beth R Ashmore Clinical Nurse Specialist 801 Broadway N, Fargo, ND 58102-3641 2009-09-30
1578584819 Gail L Waagen Clinical Nurse Specialist 801 Broadway N, Fargo, ND 58102-3641 2006-07-22
1184642753 Lucy M Johnson Clinical Nurse Specialist 100 4th St S, Fargo, ND 58103-1929 2006-07-18
1265473482 Patricia Kay Freitag Clinical Nurse Specialist 2101 Elm St N, Fargo, ND 58102-2417 2006-06-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093835472 Mary Louise Riske Clinical Nurse Specialist 501 Columbia Rd., Stop 9037, Grand Forks, ND 58202-9037 2007-03-30
1427070002 Nancy Joyner Clinical Nurse Specialist 702 Belmont Rd, Grand Forks, ND 58201-4910 2006-07-24
1598072035 Kiley R Andreas Clinical Nurse Specialist 407 3rd St Se, Minot, ND 58701-4470 2010-09-03
1346417508 Kris Elaine Stellon Clinical Nurse Specialist 1000 S Columbia Rd, Grand Forks, ND 58201-4032 2008-05-15
1386811842 Jeanine Louise Senti Clinical Nurse Specialist 1200 S Columbia Rd, Grand Forks, ND 58201-4036 2008-05-14
1760659833 Cheryl Ann Stauffenecker Clinical Nurse Specialist 1000 S Columbia Rd, Grand Forks, ND 58201-4032 2008-05-08
1477627867 Deborah Townsend Clinical Nurse Specialist 1900-8th Ave. Se, Minot, ND 58701 2006-11-20
1861429870 C. Judith Birger Clinical Nurse Specialist 520 3rd St Nw, Jamestown, ND 58401-2968 2006-06-26
1598791618 Zane N Zuleger Clinical Nurse Specialist 307 5th Ave Se, Suite 502, Minot, ND 58701-4784 2006-06-23
1518906437 Desiree Joanne Gagner-tjellesen Clinical Nurse Specialist 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 2006-06-06
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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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