Sara Froelich

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L15091 Issued in ND

Practice address

N 10 River Rd
Fort Yates, ND 58538

Phone

(701) 854-3831

Fax

(701) 854-8380

NPI assigned

Oct 19, 2016

Last updated

Oct 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fort Yates IHS Hospital

  • General Acute Care Hospital
  • Fort Yates, ND
  • NPI 1841407418
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1003367665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N 10 RIVER RD",
            "city": "FORT YATES",
            "state": "ND",
            "postal_code": "58538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N 10 RIVER RD",
            "city": "FORT YATES",
            "state": "ND",
            "postal_code": "58538",
            "telephone_number": "701-854-3831",
            "fax_number": "701-854-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROELICH",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "ND",
            "license": "L15091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Yates Indian Health Service Hospital
• Fort Yates Indian Health Service Hospital
• Fort Yates Indian Health Service Hospital
• Fort Yates Indian Health Service Hospital
• Fort Yates Indian Hosp Pharmacy (Fort Yates Indian Hospital Pharmacy)
• Ciara Lillian Arlena Gates
• Havannah Gates
• Omar Aaron Gates
• Chenoa R Gipp, RN
• Karen Gullickson

• Licensed Practical Nurse in Fort Yates, ND
• Providers in Fort Yates, ND by specialty
• Licensed Practical Nurse in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.