GAIL L WAAGEN (NPI# 1578584819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578584819 |
| Entity Type | Individual |
| Full Name | GAIL L WAAGEN |
| Credential | CNS |
| Practice Address |
801 Broadway N Fargo ND 58102-3641 |
| Mailing Address |
Po Box 2168 Fargo ND 58107-2168 |
| Practice Telephone | 7012345015 |
| Practice Fax Number | 7012347481 |
| Mailing Telephone | 7012342110 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2012-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | R13529 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 70019 | 05 |
| Street Address |
801 BROADWAY N |
| City | FARGO |
| State | ND |
| Zip Code | 58102-3641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528062924 | Mark F Fisher | Radiology | 801 Broadway N, Fargo, ND 58102-3641 | 2005-06-13 |
| 1942809652 | Morgan Margaret Borud | Nurse Practitioner | 801 Broadway N, Fargo, ND 58102-3641 | 2020-10-22 |
| 1790392462 | Katie Thielges | Nurse Practitioner | 801 Broadway N, Fargo, ND 58102-3641 | 2020-09-28 |
| 1063022432 | Lindsey Schmidt | Genetic Counselor, MS | 801 Broadway N, Fargo, ND 58102-3641 | 2020-07-31 |
| 1336766161 | Yesha Shukla | Family Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2020-06-27 |
| 1891310850 | Samantha Mimi Chang | Family Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2020-06-15 |
| 1528683224 | Briana Lee Gebert-oberle | Student in an Organized Health Care Education/Training Program | 801 Broadway N, Fargo, ND 58102-3641 | 2020-06-09 |
| 1689296931 | Jillian Virginia Schommer | Student in an Organized Health Care Education/Training Program | 801 Broadway N, Fargo, ND 58102-3641 | 2020-05-09 |
| 1194344036 | Sarah Rose Carpenter | Genetic Counselor, MS | 801 Broadway N, Fargo, ND 58102-3641 | 2020-04-10 |
| 1346871258 | Randall Hagemeister | Nurse Anesthetist, Certified Registered | 801 Broadway N, Fargo, ND 58102-3641 | 2020-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
| Find all providers in zip 58102 | ||||
| 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 |
|---|---|---|---|---|
| 1487022885 | John Roll | Clinical Nurse Specialist | 820 4th St N, Fargo, ND 58102-4539 | 2015-09-02 |
| 1730413238 | Beth R Ashmore | Clinical Nurse Specialist | 801 Broadway N, Fargo, ND 58102-3641 | 2009-09-30 |
| 1346262912 | Deborah B Roerig | Clinical Nurse Specialist | 1717 University Dr S, Fargo, ND 58103-4939 | 2006-07-24 |
| 1184642753 | Lucy M Johnson | Clinical Nurse Specialist | 100 4th St S, Fargo, ND 58103-1929 | 2006-07-18 |
| 1265473482 | Patricia Kay Freitag | Clinical Nurse Specialist | 2101 Elm St N, Fargo, ND 58102-2417 | 2006-06-09 |
| 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 |
| 1598072035 | Kiley R Andreas | Clinical Nurse Specialist | 407 3rd St Se, Minot, ND 58701-4470 | 2010-09-03 |
| 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 |
| 1477627867 | Deborah Townsend | Clinical Nurse Specialist | 1900-8th Ave. Se, Minot, ND 58701 | 2006-11-20 |
| 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 |
| 1518906437 | Desiree Joanne Gagner-tjellesen | Clinical Nurse Specialist | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2006-06-06 |
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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.