PRESTICOR, INC. (NPI# 1487171245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487171245 |
Entity Type | Organization |
Organization Name | PRESTICOR, INC. |
Other Organization Name | WELCYON, FITNESS AFTER 50 |
Practice Address |
2603 Kirsten Ln S Ste 104 Fargo ND 58104-5204 |
Practice Telephone | 7014782020 |
Mailing Telephone | 7014782020 |
Enumeration Date | 2017-08-23 |
Last Update Date | 2017-11-29 |
Authorized Official Name | TROY TEIGEN (CEO/PRESIDENT) |
Authorized Official Telephone | 7012380855 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 1437103959 | ND | Dietary & Nutritional Service Providers |
Other Name | Type Code |
---|---|
Welcyon, Fitness After 50 | Doing Business As Name - Organization |
Street Address |
2603 KIRSTEN LN S STE 104 |
City | FARGO |
State | ND |
Zip Code | 58104-5204 |
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 | 133V00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003446329 | Alexis Ann Allen | Dietitian, Registered | 1749 38th St S, Fargo, ND 58103-4442 | 2020-01-26 |
1558882092 | Stephanie E Scott | Dietitian, Registered | 2701 University Dr S, Fargo, ND 58103-6027 | 2017-07-06 |
1912234071 | Mary Monica Russell | Dietitian, Registered | 1702 East Rose Creek Parkway South, Fargo, ND 58104-6834 | 2009-11-11 |
1629221395 | Joan Pietron Carlisle | Dietitian, Registered | 2121 Elm Street North, Fargo Va Medical Center, Fargo, ND 58102 | 2008-10-28 |
1619133832 | Mary F Larson | Dietitian, Registered | 306 4th Street North, Fargo, ND 58102-4820 | 2008-08-07 |
1386829844 | Jackie R Griffiths | Dietitian, Registered | 4474 23rd Ave S Ste M, Fargo, ND 58104-8795 | 2008-01-03 |
1437103959 | Robin J Sickels | Dietitian, Registered | 737 Broadway, Fargo, ND 58122-0001 | 2006-05-20 |
1881295814 | Kelsey Kincaid | Dietitian, Registered | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-11-05 |
1639786742 | Sam Lucas Scardigli | Dietitian, Registered | 1600 University Dr N, Fargo, ND 58105-2502 | 2020-09-23 |
1710507561 | Brittany Nicole Twiss | Dietitian, Registered | 820 4th St N, Fargo, ND 58102-4539 | 2020-04-22 |
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.