DESIREE JOANNE GAGNER-TJELLESEN (NPI# 1518906437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518906437 |
| Entity Type | Individual |
| Full Name | DESIREE JOANNE GAGNER-TJELLESEN |
| Credential | RNCS,APRN,BC |
| Practice Address |
151 S 4th St Suite 401 Grand Forks ND 58201-4715 |
| Practice Telephone | 7017953000 |
| Practice Fax Number | 7017953050 |
| Mailing Telephone | 7017953000 |
| Mailing Fax Number | 7017953050 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | R24745 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS MN PROVIDER NUMBER | 638R1GA | 01 |
| ND | 054519 | 05 | |
| DEA NUMBER | MG0660527 | 01 | |
| ND | BCBS ND PROVIDER NUMBER | 020043 | 01 |
| Street Address |
151 S 4TH ST SUITE 401 |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-4715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366496341 | Northeast Human Service Center | Clinic/Center | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2006-05-22 |
| 1336752443 | Garett C Wiltse | Counselor | 151 S 4th St, Grand Forks, ND 58201-4715 | 2020-08-28 |
| 1700496775 | Caylee Ellingson | Psychologist | 151 S 4th St, Grand Forks, ND 58201-4715 | 2020-08-05 |
| 1134647530 | Cynthia Severinson | Registered Nurse | 151 S 4th St, Ste 401, Grand Forks, ND 58201 | 2017-09-06 |
| 1194255026 | George C. Jirout | Social Worker | 151 S 4th St, Grand Forks, ND 58201-4715 | 2017-06-13 |
| 1568998391 | Casey Davidson | Social Worker | 151 S 4th St, Suite 201, Grand Forks, ND 58201-4715 | 2017-05-11 |
| 1043745763 | Michelle Marie Tupa | Social Worker | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2017-05-01 |
| 1740713239 | Sara Bondy | Social Worker | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2017-04-11 |
| 1184157349 | Erin West | Counselor | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2017-04-05 |
| 1215471362 | Sara K. Munson | Counselor | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2016-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093835472 | Mary Louise Riske | Clinical Nurse Specialist | 501 Columbia Rd., Stop 9037, Grand Forks, ND 58202-9037 | 2007-03-30 |
| 1427070002 | Nancy Joyner | Clinical Nurse Specialist | 702 Belmont Rd, Grand Forks, ND 58201-4910 | 2006-07-24 |
| 1346417508 | Kris Elaine Stellon | Clinical Nurse Specialist | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2008-05-15 |
| 1386811842 | Jeanine Louise Senti | Clinical Nurse Specialist | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2008-05-14 |
| 1760659833 | Cheryl Ann Stauffenecker | Clinical Nurse Specialist | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2008-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487022885 | John Roll | Clinical Nurse Specialist | 820 4th St N, Fargo, ND 58102-4539 | 2015-09-02 |
| 1598072035 | Kiley R Andreas | Clinical Nurse Specialist | 407 3rd St Se, Minot, ND 58701-4470 | 2010-09-03 |
| 1730413238 | Beth R Ashmore | Clinical Nurse Specialist | 801 Broadway N, Fargo, ND 58102-3641 | 2009-09-30 |
| 1477627867 | Deborah Townsend | Clinical Nurse Specialist | 1900-8th Ave. Se, Minot, ND 58701 | 2006-11-20 |
| 1346262912 | Deborah B Roerig | Clinical Nurse Specialist | 1717 University Dr S, Fargo, ND 58103-4939 | 2006-07-24 |
| 1578584819 | Gail L Waagen | Clinical Nurse Specialist | 801 Broadway N, Fargo, ND 58102-3641 | 2006-07-22 |
| 1184642753 | Lucy M Johnson | Clinical Nurse Specialist | 100 4th St S, Fargo, ND 58103-1929 | 2006-07-18 |
| 1861429870 | C. Judith Birger | Clinical Nurse Specialist | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2006-06-26 |
| 1598791618 | Zane N Zuleger | Clinical Nurse Specialist | 307 5th Ave Se, Suite 502, Minot, ND 58701-4784 | 2006-06-23 |
| 1265473482 | Patricia Kay Freitag | Clinical Nurse Specialist | 2101 Elm St N, Fargo, ND 58102-2417 | 2006-06-09 |
| Find all providers with the same taxonomy | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
Please comment or provide details below to improve the information on DESIREE JOANNE GAGNER-TJELLESEN.
| 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.