LISA AMUNDGAARD (NPI# 1780234377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780234377 |
| Entity Type | Individual |
| Full Name | LISA AMUNDGAARD |
| Credential | RN |
| Practice Address |
151 S 4th St Ste 401 Grand Forks ND 58201-4715 |
| Practice Telephone | 7017953000 |
| Practice Fax Number | 7017953050 |
| Mailing Telephone | 7017953000 |
| Mailing Fax Number | 7017953050 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
R32263 | ND | Nursing Service Providers |
| Street Address |
151 S 4TH ST STE 401 |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-4715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891808978 | Northeast Human Service Center | Residential Treatment Facility, Emotionally Disturbed Children | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2006-08-16 |
| 1144829805 | Kristine Beth Johnson | Registered Nurse | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2020-10-22 |
| 1578100483 | Zachary Krieg | Social Worker | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-12-10 |
| 1134766561 | Angela Kaiser | Counselor | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-12-04 |
| 1649828583 | Moire C Dunn | Counselor | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-09-03 |
| 1982266029 | George Patrick Guimont | Counselor | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-06-28 |
| 1770148371 | Elizabeth I Meyer | Counselor | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-05-08 |
| 1386108579 | Abby J. Samson | Counselor | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-01-22 |
| 1013486166 | Kayla J. Norton | Social Worker | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2018-11-19 |
| 1811474182 | Janean Nichole Skajem | Case Manager/Care Coordinator | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2018-07-19 |
| 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 | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829805 | Kristine Beth Johnson | Registered Nurse | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2020-10-22 |
| 1811489990 | Esther Mae Hylden | Registered Nurse | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2018-06-04 |
| 1750750709 | Lisa Marie Nelson-beauchamp | Registered Nurse | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2015-09-21 |
| 1225445380 | Andrea Anthony | Registered Nurse | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2014-07-21 |
| 1396152468 | Sheila M Moe | Registered Nurse | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2014-07-21 |
| 1477997443 | Elaine Mary Gunville | Registered Nurse | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2013-04-22 |
| 1346592466 | Amanda Hanson | Registered Nurse | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2012-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063955532 | Kevin Kurt Axtman | Registered Nurse | 1115 Westport Beach Way Unit B, West Fargo, ND 58078-8848 | 2016-11-30 |
| 1548801228 | Amanda Ellingson | Registered Nurse | 2701 12th Ave S, Fargo, ND 58103-8753 | 2019-10-03 |
| 1134687874 | Melissa Faye Meigs | Registered Nurse | 1015 S Broadway Ste 18, Minot, ND 58701-4667 | 2019-03-12 |
| 1356846422 | Angela Mathson | Registered Nurse | 316 2nd Ave W, Williston, ND 58801-5218 | 2018-03-29 |
| 1336525997 | Krista Marie Larum | Registered Nurse | 316 2nd Ave W, Williston, ND 58801-5218 | 2015-08-06 |
| 1720498868 | Joanna Johnson | Registered Nurse | 1720 University Dr S, Fargo, ND 58103-4940 | 2014-04-29 |
| 1285055913 | Mary Angela Perius | Registered Nurse | 316 2nd Ave W, Williston, ND 58801-5218 | 2013-12-24 |
| 1477987493 | Danielle Scarlett Schmitt | Registered Nurse | 316 2nd Ave W, Williston, ND 58801-5218 | 2013-08-27 |
| 1801220058 | Jacqueline D Schwan | Registered Nurse | 316 2nd Ave W, Williston, ND 58801-5218 | 2013-08-23 |
| 1760777031 | Jessica Graham Steinhauer | Registered Nurse | 1316 23rd St S, Fargo, ND 58103-3707 | 2011-06-15 |
| Find all providers with the same taxonomy | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
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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.