MS. DEBRA K. VIVATSON (NPI# 1720355233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720355233 |
| Entity Type | Individual |
| Full Name | MS. DEBRA K. VIVATSON |
| Credential | MSN ACNP-C |
| Practice Address |
201 East 3rd Ave S Cavalier ND 58220 |
| Mailing Address |
Po Box 6002 Grand Forks ND 58206-6002 |
| Practice Telephone | 7017805000 |
| Mailing Telephone | 7017805000 |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2012-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R22555 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
201 EAST 3RD AVE S |
| City | CAVALIER |
| State | ND |
| Zip Code | 58220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831304310 | Mark James Hardy | Student in an Organized Health Care Education/Training Program | 201 East 3rd Ave S, Cavalier, ND 58220-0000 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184045908 | April Waters | Local Education Agency (LEA) | 106b Division Ave N, Cavalier, ND 58220 | 2013-12-20 |
| 1447536578 | Stevens Dental Group | Dentist | 202 East 3rd Avenue South, Cavalier, ND 58220 | 2011-11-03 |
| 1871714816 | Susan Schrader | Occupational Therapist | 106b Division Avenue North, Cavalier, ND 58220 | 2007-05-01 |
| 1023238508 | Brenda Sue Brumbaugh | Speech-Language Pathologist | 300 Main St. East, Cavalier, ND 58220 | 2007-04-26 |
| 1508982547 | Chris Houska | Speech-Language Pathologist | 106b Division Ave. N., Cavalier, ND 58220 | 2007-03-21 |
| 1285771303 | Pembina Special Education Cooperative | Physical Therapist | 106b Division Ave., Cavalier, ND 58220 | 2007-01-30 |
| 1689722308 | Rehab Products Inc | Durable Medical Equipment & Medical Supplies | 708 Division Avenue South, Cavalier, ND 58220 | 2007-01-08 |
| 1760542500 | Pembina County Memorial Hospital Association | General Acute Care Hospital | 301 Mountain St E, Cavalier, ND 58220 | 2006-12-11 |
| 1366523482 | Rehab Products, Inc | Durable Medical Equipment & Medical Supplies | 708 Division Street South, Rehab Products Inc, Cavalier, ND 58220 | 2006-10-17 |
| 1265525299 | Judy A Pegg | Physician Assistant | 301 Mountain St E; Ste A, Cavalier, ND 58220 | 2006-10-02 |
| Find all providers in zip 58220 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639724099 | Ashley Lynn Bostyan | Nurse Practitioner | 1000 Highway 12, Hettinger, ND 58639-7530 | 2019-08-02 |
| 1487208526 | Melanie Fylling | Nurse Practitioner | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2019-07-26 |
| 1730532805 | Allison Tamm | Nurse Practitioner | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2016-07-13 |
| 1194175422 | Jessica Anne Silveri | Nurse Practitioner | 801 Broadway N, Fargo, ND 58102-3641 | 2016-06-17 |
| 1922475854 | Lisa N Brandt | Nurse Practitioner | 400 Burdick Expy E, Minot, ND 58701-4768 | 2015-08-26 |
| 1902220296 | Jade Lindberg | Nurse Practitioner | 300 N 7th St, Bismarck, ND 58501-4439 | 2014-02-07 |
| 1528218625 | Martha G Shelver | Nurse Practitioner | 101 3rd Ave. S.w., Minot, ND 58701-3380 | 2008-09-25 |
| 1932140050 | Robert Volk | Nurse Practitioner | 510 8th Ave Ne, Hazen, ND 58545-4637 | 2006-06-09 |
| 1881640522 | Karla Arlene French Baker | Nurse Practitioner | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2006-05-25 |
Please comment or provide details below to improve the information on MS. DEBRA K. VIVATSON.
| 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.