DR. JODI LEIGH TANGEN (NPI# 1376848440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376848440 |
| Entity Type | Individual |
| Full Name | DR. JODI LEIGH TANGEN |
| Credential | DOCTORATE |
| Practice Address |
1919 University Dr N North Dakota State University Fargo ND 58102-1843 |
| Mailing Address |
Po Box 6050 North Dakota State University Fargo ND 58108-6050 |
| Practice Telephone | 7012319750 |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2015-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1919 UNIVERSITY DR N NORTH DAKOTA STATE UNIVERSITY |
| City | FARGO |
| State | ND |
| Zip Code | 58102-1843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437416609 | Robert Carol Nielsen | Counselor | 1919 University Dr N, Sgc C119, Fargo, ND 58102-1843 | 2012-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
| Find all providers in zip 58102 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861003089 | Jdl Counseling LLC | Counselor | 1128 Westrac Dr S, Fargo, ND 58103-8729 | 2020-08-11 |
| 1336613728 | Eddie Burl LLC | Counselor | 1351 Page Dr S Ste 203, Fargo, ND 58103-3536 | 2019-01-18 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1609354141 | Jamie Moe | Counselor | 100 4th St S Ste 112, Fargo, ND 58103-1929 | 2018-08-06 |
| 1518465178 | Natalie Reiter | Counselor | 4733 Amber Valley Pkwy S Ste W, Fargo, ND 58104-8647 | 2018-01-30 |
| 1386042513 | Jana Battagler | Counselor | 317 8th St N, Fargo, ND 58102-4725 | 2014-12-22 |
| 1376863647 | Debberlee Fetting | Counselor | 4357 13th Ave S Ste 206c, Fargo, ND 58103-7505 | 2010-06-09 |
| 1043541675 | Danielle Rose Ficek | Counselor | 1323 23rd St S Ste H, Fargo, ND 58103-3759 | 2010-01-21 |
| 1114251063 | Doreen Mae Vosburg | Counselor | 2913 12th St S, Fargo, ND 58103-6044 | 2009-09-24 |
| 1427235563 | Jaimee M Doll | Counselor | 4227 9th Avenue South, Fargo, ND 58103 | 2008-01-30 |
| Find all providers in FARGO | ||||
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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.