VICKIE K WEATHERS (NPI# 1649215070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649215070 |
Entity Type | Individual |
Full Name | VICKIE K WEATHERS |
Credential | CNS |
Practice Address |
307 5th Ave Se Suite 502 Minot ND 58701-4784 |
Practice Telephone | 7018572199 |
Practice Fax Number | 7018572199 |
Mailing Telephone | 7018572199 |
Mailing Fax Number | 7018572199 |
Enumeration Date | 2006-06-19 |
Last Update Date | 2012-10-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | R28599 | ND | Nursing Service Providers |
N | 164X00000X | Licensed Vocational Nurse | L9274 | ND | Nursing Service Providers |
Y | 364S00000X | Clinical Nurse Specialist | 0388003-02 | ND | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ND | 70009 | 05 | |
ND | RR MEDICARE | P00659747 | 01 |
ND | MEDICARE RMHC | N71107 | 01 |
ND | MEDICAID RMHC | 10711 | 01 |
ND | RR MEDICARE | P00160106 | 01 |
ND | BCBS OF ND PIN | 025500 | 01 |
Street Address |
307 5TH AVE SE SUITE 502 |
City | MINOT |
State | ND |
Zip Code | 58701-4784 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598791618 | Zane N Zuleger | Clinical Nurse Specialist | 307 5th Ave Se, Suite 502, Minot, ND 58701-4784 | 2006-06-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538767926 | Minot Commission On Aging, Inc | In Home Supportive Care | 21 1st Avenue Se, Minot, ND 58701 | 2020-10-16 |
1780207647 | Growing Together Inc | Counselor | 515 19 Ave Sw, Minot, ND 58701 | 2020-05-26 |
1144867847 | Sarah Howard | Registered Nurse | 1015 South Broadway, Ste. 2, Minot, ND 58701 | 2019-12-02 |
1962973453 | Julia Irene Lakoduk | Speech-Language Pathologist | Bell Elementary, 5901 Us-52, Minot, ND 58701 | 2018-12-10 |
1073000469 | Goodman Addiction Services | Counselor | 1809 South Broadway Suite S., Minot, ND 58701 | 2018-04-20 |
1811405988 | Mackenzie J Jones Pllc | Chiropractor | 1407 S Broadway Ste 123, Minot, ND 58701 | 2018-01-11 |
1265957617 | Cassandra Czerwonka | Behavioral Analyst | 1408 20th Ave Sw, Suite 7, Minot, ND 58701 | 2017-08-07 |
1689197493 | Rem North Dakota | Intermediate Care Facility, Mentally Retarded | 1905 2nd Street Se, Suite 1a, Minot, ND 58701 | 2017-07-24 |
1558890236 | Timothy J Corrigan | Chiropractor | 1418 S Broadway Ste C, Minot, ND 58701 | 2017-06-07 |
1265826036 | Premier Physical Therapy of North Dakota Pllc | Physical Therapist | 1715 South Broadway, Minot, ND 58701 | 2015-03-19 |
Find all providers in zip 58701 |
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 |
---|---|---|---|---|
1598072035 | Kiley R Andreas | Clinical Nurse Specialist | 407 3rd St Se, Minot, ND 58701-4470 | 2010-09-03 |
1477627867 | Deborah Townsend | Clinical Nurse Specialist | 1900-8th Ave. Se, Minot, ND 58701 | 2006-11-20 |
1598791618 | Zane N Zuleger | Clinical Nurse Specialist | 307 5th Ave Se, Suite 502, Minot, ND 58701-4784 | 2006-06-23 |
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 |
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 |
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 |
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 |
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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.