Active NPI
Kathryn M Cameron, CNS
- Psychiatry Physician
- Fargo, ND
National Provider Identifier
1104844844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- R19706
- Practice address
- 100 4TH St S
Fargo, ND 58103-1929 - Phone
- (701) 234-3100
- Fax
- (701) 234-3120
- NPI assigned
- Jul 18, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | R19706 | ND | Primary |
Addresses
Primary practice location
100 4TH St S
Fargo, ND 58103-1929
Mailing address
100 4TH St S
Fargo, ND 58103-1929
Phone (701) 234-3100
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)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6 | ND | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104844844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 4TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581031929",
"telephone_number": "701-234-3100",
"fax_number": "701-234-3120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 4TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581031929",
"telephone_number": "701-234-3100",
"fax_number": "701-234-3120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "KATHRYN",
"middle_name": "M",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ND",
"license": "R19706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.