Active NPI
Nancy C Dauphinais, MLT
- Medical Laboratory Technician
- Fort Totten, ND
National Provider Identifier
1154532000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Laboratory Technician
- License
- 91-501594-II
- Practice address
- 3883 74TH Avenue North East
Fort Totten, ND 58335 - Phone
- (701) 766-1600
- Fax
- (701) 766-1640
- NPI assigned
- May 24, 2007
- 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 |
|---|---|---|---|---|
| Medical Laboratory Technician | 246RM2200X | 91-501594-II | ND | Primary |
Addresses
Primary practice location
3883 74TH Avenue North East
Fort Totten, ND 58335
Mailing address
3883 74TH Avenue North East
Fort Totten, ND 58335
Phone (701) 766-1600
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91-501594-II | ND | MD | Medical Laboratory Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154532000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3883 74TH AVENUE NORTH EAST",
"city": "FORT TOTTEN",
"state": "ND",
"postal_code": "58335",
"telephone_number": "701-766-1600",
"fax_number": "701-766-1640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3883 74TH AVENUE NORTH EAST",
"city": "FORT TOTTEN",
"state": "ND",
"postal_code": "58335",
"telephone_number": "701-766-1600",
"fax_number": "701-766-1640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUPHINAIS",
"first_name": "NANCY",
"middle_name": "C",
"credential": "MLT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "246RM2200X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Medical Laboratory",
"state": "ND",
"license": "91-501594-II",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 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.