NICOLE A KIEWEL (NPI# 1437521366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437521366 |
| Entity Type | Individual |
| Full Name | NICOLE A KIEWEL |
| Other Name | NICOLE A VIGEN |
| Credential | PHD |
| Practice Address |
100 4th St S Fargo ND 58103-1929 |
| Mailing Address |
Po Box 2168 Fargo ND 58107-2168 |
| Practice Telephone | 7012344021 |
| Practice Fax Number | 7012343199 |
| Mailing Telephone | 7012342119 |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 517 | ND | Behavioral Health & Social Service Providers |
| Street Address |
100 4TH ST S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-1929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720078405 | Mark Allan Schaffer | Dentist | 100 4th St S, Suite 312, Fargo, ND 58103-1929 | 2005-10-25 |
| 1386280261 | Canopy Medical Clinic, Pllc | Nurse Practitioner | 100 4th St S, Fargo, ND 58103-1929 | 2019-11-26 |
| 1437715166 | Diana Rose Slivensky | Psychologist | 100 4th St S, Fargo, ND 58103-1929 | 2019-05-17 |
| 1861945784 | Resolve Behavioral Health, LLC | Community/Behavioral Health | 100 4th St S, Fargo, ND 58103-1929 | 2016-07-27 |
| 1578927315 | Jason Cossette | Pharmacist | 100 4th St S, Fargo, ND 58103-1929 | 2016-04-07 |
| 1821472143 | Angela M Lee | Nurse Practitioner | 100 4th St S, Fargo, ND 58103-1929 | 2015-07-16 |
| 1104231992 | Mustafa Abdulhusein | Psychiatry & Neurology | 100 4th St S, Fargo, ND 58103 | 2014-06-30 |
| 1609205988 | Robyn Maley | Psychologist | 100 4th St S, Fargo, ND 58103-1929 | 2013-11-06 |
| 1699102897 | Lindsey Marie Sloan Peterson | Nurse Practitioner | 100 4th St S, Fargo, ND 58103-1929 | 2013-10-02 |
| 1609116037 | Monica R Schneider | Social Worker | 100 4th St S, Fargo, ND 58103-1929 | 2013-02-21 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992056410 | Katherine Klipfel | Clinical Neuropsychologist | 100 4th St S, Fargo, ND 58103-1929 | 2012-09-24 |
| 1568759868 | Lindsay J Hines | Clinical Neuropsychologist | 700 1st Ave S, Fargo, ND 58103-1802 | 2011-07-07 |
| 1669777561 | Susan Mccullough Wood | Clinical Neuropsychologist | 700 1st Ave S, Fargo, ND 58103-1802 | 2011-01-24 |
| 1841413507 | Rodney A Swenson | Clinical Neuropsychologist | 1220 Main Ave, Suite 100, Fargo, ND 58103-8201 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912335852 | Helen M Achilleoudes | Clinical Neuropsychologist | 2808 17th Ave S, Grand Forks, ND 58201-4010 | 2013-10-30 |
| 1699078626 | Midwest Neuropsychology, Pllc | Clinical Neuropsychologist | 3301 30th Ave S Ste 101, Grand Forks, ND 58201-6009 | 2010-12-14 |
| 1396968061 | Susan J Thompson | Clinical Neuropsychologist | 3301 30th Ave S Ste 101, Suite 100, Grand Forks, ND 58201-6009 | 2007-04-11 |
| 1790839934 | David A Brooks | Clinical Neuropsychologist | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2007-01-23 |
| 1598831562 | Thora R Anderson | Clinical Neuropsychologist | 1900 8th Ave. Se, Minot, ND 58701 | 2006-11-28 |
| 1578633020 | Marland C Brown | Clinical Neuropsychologist | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-11-09 |
| 1124128756 | Margo Adams Larsen | Clinical Neuropsychologist | 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201 | 2006-09-24 |
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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.