AMY GOTVASLEE (NPI# 1396157830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396157830 |
| Entity Type | Individual |
| Full Name | AMY GOTVASLEE |
| Practice Address |
1040 Tacoma Ave Bismarck ND 58504-7452 |
| Mailing Address |
Po Box 2010 Fargo ND 58122-2484 |
| Practice Telephone | 7013236990 |
| Practice Fax Number | 7013236950 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2019-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | R31841 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R31841 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1040 TACOMA AVE |
| City | BISMARCK |
| State | ND |
| Zip Code | 58504-7452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881739977 | Medcenter One Inc | Family Medicine | 1040 Tacoma Ave, Bismarck, ND 58504 | 2007-02-20 |
| 1548600679 | Ashley Lynn Wetsch | Nurse Practitioner | 1040 Tacoma Ave, Bismarck, ND 58504-7452 | 2013-07-03 |
| 1609215151 | Lindsey Lee Henderson Drevecky | Family Medicine | 1040 Tacoma Ave, Bismarck, ND 58504-7452 | 2013-06-18 |
| 1912285578 | Elizabeth Scheurer | Nurse Practitioner | 1040 Tacoma Ave, Bismarck, ND 58504-7452 | 2011-08-01 |
| 1417257635 | Karlee J Kristensen | Physician Assistant | 1040 Tacoma Ave, Bismarck, ND 58504-7452 | 2010-10-22 |
| 1013220508 | Jana Rakowski | Nurse Practitioner | 1040 Tacoma Ave, Bismarck, ND 58504-7452 | 2010-07-26 |
| 1205088515 | Krissondra Leigh Klop | Family Medicine | 1040 Tacoma Ave, Bismarck, ND 58504-7452 | 2008-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578077 | Hit Inc. | Community/Behavioral Health | 1517/1519 S Washington St, Bismarck, ND 58504 | 2020-11-03 |
| 1518568963 | Hit Inc. | Community/Behavioral Health | 1509/1511 S Washington St., Bismarck, ND 58504 | 2020-11-03 |
| 1366926594 | Lisa Elizabeth Morgan | Counselor | 2600 Manchester St, Bismarck, ND 58504 | 2018-09-24 |
| 1528557006 | Mees Physical Therapy LLC | Physical Therapist | 109 Mcdougall Dr., Suite 4, Lincoln, ND 58504 | 2018-05-09 |
| 1437666856 | Katy Thomas | Social Worker | 3315 University Drive, Bismasrck, ND 58504 | 2018-01-08 |
| 1407396864 | Allison Bitz | Social Worker | 600 S. Second St., Suite 220, Bismarck, ND 58504 | 2017-03-06 |
| 1306397831 | Evan Morehead | Specialist/Technologist | 5160 Lincoln Road, Lincoln, ND 58504 | 2016-10-19 |
| 1902262520 | Stacey S Haugen, Pllc | Counselor | 6221 University Drive, Bismarck, ND 58504 | 2016-01-12 |
| 1881060630 | Brittany N Kudrna | Nurse Practitioner | 914 S 12th St Ste 101, Bismarck, ND 58504 | 2015-08-17 |
| 1154727873 | William J Kucera | Physical Therapist | 324 Marietta Dr, Bismarck, ND 58504 | 2014-11-06 |
| Find all providers in zip 58504 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736376 | Joshua James Hadsell | Nurse Practitioner | 124 Independence Ave, Bismarck, ND 58503-0463 | 2020-07-02 |
| 1447804679 | Sonia Takacs | Nurse Practitioner | 4023 State St Ste 60, Bismarck, ND 58503-0690 | 2019-07-25 |
| 1912498593 | Cynthia Lynn Wald | Nurse Practitioner | 2792 E Broadway Ave, Bismarck, ND 58501-5177 | 2018-05-19 |
| 1306292842 | Margaret Williams | Nurse Practitioner | 4315 Ottawa St, Bismarck, ND 58503 | 2016-05-13 |
| 1881060630 | Brittany N Kudrna | Nurse Practitioner | 914 S 12th St Ste 101, Bismarck, ND 58504 | 2015-08-17 |
| 1699024588 | Bladder Care Inc | Nurse Practitioner | 2315 Jackson Ave, Bismarck, ND 58501-2274 | 2012-09-06 |
| 1306155726 | Christine Marie Aman | Nurse Practitioner | 3100 Moonstone Ln, Bismarck, ND 58503-6308 | 2010-10-04 |
| 1316259294 | Carrie Gerving | Nurse Practitioner | 222 North 7th Street, Bismarck, ND 58506-5505 | 2010-07-08 |
| 1619108420 | Ashley Murrey | Nurse Practitioner | 3000 N 14th St, Bismarck, ND 58503-0697 | 2009-07-29 |
| 1841406337 | Darleen Ruth Bartz | Nurse Practitioner | 600 E Boulevard Ave, Bismarck, ND 58505-0660 | 2007-05-14 |
| Find all providers in BISMARCK | ||||
Please comment or provide details below to improve the information on AMY GOTVASLEE.
| 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.