LISA LYNN FROEMKE (NPI# 1861801763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861801763 |
Entity Type | Individual |
Full Name | LISA LYNN FROEMKE |
Credential | PA-C |
Practice Address |
3838 12th Ave N Fargo ND 58102-2931 |
Practice Telephone | 7012344700 |
Mailing Telephone | 7012344700 |
Enumeration Date | 2014-08-05 |
Last Update Date | 2014-08-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PAC0566 | ND | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3838 12TH AVE N |
City | FARGO |
State | ND |
Zip Code | 58102-2931 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952336265 | Suzanne R Sandsmark | Physical Therapist | 3838 12th Ave N, Fargo, ND 58102-2931 | 2006-07-12 |
1245633460 | Karon Joyce Garrett | Nurse Practitioner | 3838 12th Ave N, Fargo, ND 58102 | 2014-10-01 |
1255749024 | Bryce Nelson | Occupational Therapist | 3838 12th Ave N, Fargo, ND 58102-2931 | 2014-07-24 |
1619318847 | Nichole Sherry Palmer-george | Physical Therapist | 3838 12th Ave N, Fargo, ND 58102-2931 | 2013-07-16 |
1336417484 | Heather Rae Bennington | Physical Therapist | 3838 12th Ave N, Fargo, ND 58102-2931 | 2011-12-05 |
1669600185 | Chantel Marie Frappier | Physical Therapist | 3838 12th Ave N, Fargo, ND 58102-2931 | 2009-06-23 |
1649300450 | Katie Margaret Layfield | Physical Therapist | 3838 12th Ave N, Fargo, ND 58102-2931 | 2007-03-07 |
1982747713 | Ann Margaret Burd | Physical Therapist | 3838 12th Ave N, Fargo, ND 58102-2931 | 2007-02-14 |
1952323974 | Sanford Clinic North | Clinic/Center | 3838 12th Ave N, Fargo, ND 58102-2931 | 2006-07-25 |
1255353744 | Jennifer L Dejong | Nurse Practitioner | 3838 12th Ave N, Fargo, ND 58102-2931 | 2006-07-24 |
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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 | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205015633 | Jamie M Brown | Physician Assistant | 1711 Gold Dr S, Suite 170, Fargo, ND 58103-6416 | 2007-11-02 |
1790703353 | Mary Jane Kadry | Physician Assistant | 1121 Westrac Dr S Ste 204, Fargo, ND 58103-2385 | 2006-07-18 |
1861419723 | Catherine M Garvey | Physician Assistant | 2801 University Dr S, Fargo, ND 58103-6029 | 2006-07-16 |
1881148005 | Kali Luecke | Physician Assistant | 301 Np Ave N, Fargo, ND 58102-4835 | 2016-08-04 |
1215480009 | Jason Byrne Smith | Physician Assistant | 801 Broadway N, Fargo, ND 58102-3641 | 2016-07-27 |
1659758381 | Sarah Winter | Physician Assistant | 1702 University Dr S, Fargo, ND 58103-4940 | 2015-05-01 |
1033525365 | Kathryn Gray | Physician Assistant | 301 Np Ave N, Fargo, ND 58102-4835 | 2014-07-08 |
1326462490 | Shannon Lynn Gullingsrud | Physician Assistant | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2014-02-10 |
1467722702 | Yan Tesch | Physician Assistant | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2012-01-04 |
1881980415 | Jennifer L Fisher | Physician Assistant | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2011-06-22 |
Find all providers in FARGO |
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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.