JACKIE R GRIFFITHS (NPI# 1386829844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386829844 |
| Entity Type | Individual |
| Full Name | JACKIE R GRIFFITHS |
| Credential | RD,LN |
| Practice Address |
4474 23rd Ave S Ste M Fargo ND 58104-8795 |
| Mailing Address |
105 Evergreen Cir West Fargo ND 58078-1201 |
| Practice Telephone | 7012822635 |
| Mailing Telephone | 7018669352 |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 736 | ND | Dietary & Nutritional Service Providers |
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
736 | ND | Dietary & Nutritional Service Providers |
| Street Address |
4474 23RD AVE S STE M |
| City | FARGO |
| State | ND |
| Zip Code | 58104-8795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| Find all providers in zip 58104 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528501418 | Anita Aarestad | Dietitian, Registered | 736 Broadway N, Fargo, ND 58102-4421 | 2016-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700360799 | Kathryn Marie Steve | Dietitian, Registered | 209 N 7th St, Bismarck, ND 58501-4441 | 2018-09-17 |
| 1942711056 | Shayna Griffiths Jordan | Dietitian, Registered | 209 N 7th St, Bismarck, ND 58501-4441 | 2017-10-16 |
| 1710337092 | Amanda May Knain | Dietitian, Registered | 209 N 7th St, Bismarck, ND 58501-4441 | 2016-06-16 |
Please comment or provide details below to improve the information on JACKIE R GRIFFITHS.
| 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.