DR. TERRA L PROVOST (NPI# 1558793034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558793034 |
| Entity Type | Individual |
| Full Name | DR. TERRA L PROVOST |
| Other Name | DR. TERRA DALLMANN |
| Credential | N.D. |
| Practice Address |
1203 28th St S Fargo ND 58103-8711 |
| Mailing Address |
206 Sheyenne Dr Horace ND 58047-4418 |
| Practice Telephone | 2183039003 |
| Practice Fax Number | 8886514713 |
| Mailing Telephone | 2183039003 |
| Mailing Fax Number | 8886514713 |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 2017-02 | ND | Other Service Providers |
| N | 175F00000X | Naturopath | ND774 | CA | Other Service Providers |
| N | 175F00000X | Naturopath | 13-1372 | AZ | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4251 S Higuera St Ste 300, San Luis Obispo, CA 934017741 | 8054103869 | 8888561925 |
| Street Address |
1203 28TH ST S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-8711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033163001 | Brook Ann Townley | Chiropractor | 1203 28th St S, Suite A, Fargo, ND 58103-8711 | 2006-05-22 |
| 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 | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356788277 | Andrea Hillstad | Naturopath | 3523 45th St S, Suite 100, Fargo, ND 58104-8962 | 2013-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417406711 | Tonya Lee Loken | Naturopath | 1234 5th Street Cir Nw, West Fargo, ND 58078-3823 | 2016-09-27 |
| 1619330446 | Vanessa Mclaughlin | Naturopath | 1205 3rd St N, Carrington, ND 58421-1149 | 2016-03-30 |
| 1720397003 | Stephanie J Nishek | Naturopath | 705 E Main Ave, Bismarck, ND 58501-4525 | 2010-10-04 |
| 1801122437 | Lezlie Link | Naturopath | 311 N Mandan St, Suite 1, Bismarck, ND 58501-3859 | 2009-11-02 |
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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.