Women's Vitality & Fertility PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WOMEN'S VITALITY & FERTILITY PLLC

Practice address

125 Saint Andrews CT Ste 221
Mankato, MN 56001-8600

Phone

(507) 519-0370

NPI assigned

Jun 28, 2024

Last updated

Aug 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley Dahline, PA-CNPI 1750713608

Title

Owner

Phone

(507) 456-9279

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashley Mae Dahline, PA-C

  • Physician Assistant
  • Mankato, MN
  • NPI 1750713608
  NPD Authorized official

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1073358172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NIGHTHAWK LN",
            "city": "MADISON LAKE",
            "state": "MN",
            "postal_code": "560635001",
            "telephone_number": "507-456-9279",
            "fax_number": "949-695-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SAINT ANDREWS CT STE 221",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018600",
            "telephone_number": "507-519-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S VITALITY & FERTILITY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "DAHLINE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-456-9279",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Wolf, L.I.C.S.W.
• Michael J Wolf, MD
• Shelby Marie Wolf
• Amanda Hope Wolff, MA, LPCC
• Amanda Marie Wolske, LPN
• Thea Elizabeth Wondra, MS. CCC-SLP
• Andrew Joshua Wong, D.D.S.
• Melanie Imker Wong
• Bryan T Wood, MD
• Jackie Marie Wood, LPCC

• Primary Care Clinic/Center in Mankato, MN
• Providers in Mankato, MN by specialty
• Primary Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.