Active NPI
Jessica Tweeton, RN
- Registered Nurse
- Fort Totten, ND
National Provider Identifier
1043855539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R44730
- Practice address
- 816 3Rd Ave N
Fort Totten, ND 58335-9998 - Phone
- (701) 766-4236
- Fax
- (701) 766-4878
- NPI assigned
- Nov 8, 2019
- Last updated
- Nov 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R44730 | ND | Primary |
Addresses
Primary practice location
816 3Rd Ave N
Fort Totten, ND 58335-9998
Mailing address
PO Box 480
Fort Totten, ND 58335-0480
Phone (701) 766-4236
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ftc@ftc.directihs.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R44730 | ND | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spirit Lake Tribe | Registered Nurse | Past | Accepting new patients |
| Spirit Lake Tribe | Past | Accepting new patients |
Interoperability endpoints
- ftc@ftc.directihs.net
Organizations & group practices 2
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.
-
dba Public Health Nursing
- State or Local Public Health Clinic/Center
- Fort Totten, ND
- NPI 1710545231
Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573171200000",
"number": "1043855539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 480",
"city": "FORT TOTTEN",
"state": "ND",
"postal_code": "583350480",
"telephone_number": "701-766-4236",
"fax_number": "701-766-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 3RD AVE N",
"city": "FORT TOTTEN",
"state": "ND",
"postal_code": "583359998",
"telephone_number": "701-766-4236",
"fax_number": "701-766-4878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TWEETON",
"first_name": "JESSICA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-08",
"last_updated": "2019-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ND",
"license": "R44730",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ftc@ftc.directihs.net",
"affiliation": "N",
"address_1": "816 3rd Ave N",
"city": "Fort Totten",
"state": "ND",
"country_code": "US",
"postal_code": "583359998",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fort Totten, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.