MEREDITH K KELSEN (NPI# 1417932823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417932823 |
| Entity Type | Individual |
| Full Name | MEREDITH K KELSEN |
| Other Name | MEREDITH K CLINE |
| Credential | NP |
| Practice Address |
10 9th Ave E Lisbon ND 58054 |
| Practice Telephone | 7016834711 |
| Practice Fax Number | 7016833205 |
| Mailing Telephone | 7016834711 |
| Mailing Fax Number | 7016833205 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R27855 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 05171 | 05 | |
| ND | 19709 | 05 | |
| ND | NDBS | 022192 | 01 |
| Street Address |
10 9TH AVE E |
| City | LISBON |
| State | ND |
| Zip Code | 58054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750943783 | Sarah Frauenberg | Nurse Practitioner | 10 9th Ave E, Lisbon, ND 58054-4738 | 2019-06-29 |
| 1558701615 | Kelli Lynn Pfaff | Nurse Practitioner | 10 9th Ave E, Lisbon, ND 58054-4738 | 2013-07-03 |
| 1952331159 | Family Medical Clinic PC | Family Medicine | 10 9th Ave E, Lisbon, ND 58054 | 2006-07-04 |
| 1801868062 | Stacey Maria Walton | Physician Assistant | 10 9th Ave E, Lisbon, ND 58054-4738 | 2006-02-02 |
| 1477538775 | Barbara Sheets Olson | Family Medicine | 10 9th Ave E, Lisbon, ND 58054 | 2005-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275944407 | Dr Duane Krivarchka, Dds, PC | Clinic/Center | 11 11th Ave W, Lisbon, ND 58054 | 2014-05-09 |
| 1407999022 | Jodi Kae Sandness-rieger | Chiropractor | 15 - 11th Ave W, Lisbon, ND 58054 | 2007-02-14 |
| 1588724553 | First Medic Ambulance Service of Ransom County Inc | Ambulance | 1100 Oak St, Lisbon, ND 58054 | 2006-12-11 |
| 1558433227 | Tricia Ann Roesler | Dietitian, Registered | 403 Elm Street, Lisbon, ND 58054 | 2006-11-15 |
| 1760021745 | Mobilityplus Rehabilitation, Ltd | Occupational Therapist | 802 Main St, Lisbon, ND 58054 | 2019-12-23 |
| 1811168958 | Lisbon Area Health Services | Emergency Medicine | 905 Main Street, Lisbon, ND 58054 | 2008-03-17 |
| 1992815294 | Ryan M Nelson | Dentist | 420 Main Street, Lisbon, ND 58054 | 2006-08-30 |
| 1558562975 | County of Ransom | Public Health or Welfare | 403 Elm Street, Lisbon, ND 58054-0089 | 2007-05-31 |
| 1083833644 | Dennis John Buchholz | Pharmacist | 404 Main St, Lisbon, ND 58054-0113 | 2007-04-24 |
| 1487658324 | Parkside Home | Skilled Nursing Facility | 501 - 3rd Ave West, Lisbon, ND 58054-0153 | 2005-06-09 |
| Find all providers in zip 58054 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245719806 | Deanna Rae Lyder | Nurse Practitioner | 6168 Low Rd, Lisbon, OH 44432-9347 | 2018-08-14 |
| 1326671561 | Jessica Whippo | Nurse Practitioner | 38506 Saltwell Rd, Lisbon, OH 44432-9326 | 2020-02-17 |
| 1316583792 | Jamie Lynn Elenz | Nurse Practitioner | 7360 State Route 45, Lisbon, OH 44432 | 2019-11-21 |
| 1750943783 | Sarah Frauenberg | Nurse Practitioner | 10 9th Ave E, Lisbon, ND 58054-4738 | 2019-06-29 |
| 1871063701 | Brooke Loren Boyd | Nurse Practitioner | 7880 Lincole Pl, Lisbon, OH 44432-8322 | 2018-12-04 |
| 1407341977 | Kaley Nicole Day | Nurse Practitioner | 7880 Lincole Pl, Lisbon, OH 44432-8322 | 2018-06-27 |
| 1659868644 | Lacey Ellyson | Nurse Practitioner | 400 N Market St, Lisbon, OH 44432-1146 | 2018-04-16 |
| 1093131468 | Loren Jason Louk | Nurse Practitioner | 7880 Lincole Pl, Lisbon, OH 44432-8322 | 2014-03-10 |
| 1902247752 | Diane L Weaver | Nurse Practitioner | 7880 Lincole Pl, Lisbon, OH 44432-8322 | 2013-07-09 |
| 1558701615 | Kelli Lynn Pfaff | Nurse Practitioner | 10 9th Ave E, Lisbon, ND 58054-4738 | 2013-07-03 |
| Find all providers in LISBON | ||||
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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.