Azira Nezirevic – Attendant Care Provider

Key facts

NPI: 1154907459
Entity type: Individual (NPI type 1)
Primary specialty: Attendant Care Provider 3747A0650X
Practice address: 5210 44TH Ave S Apt 304
Fargo, ND 58104-4463
Phone: (701) 630-9148
NPI assigned: Mar 18, 2021
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Personal Care Attendant	3747P1801X
Attendant Care Provider	3747A0650X			Yes

Addresses

Primary practice location

5210 44TH Ave S Apt 304
Fargo, ND 58104-4463

Mailing address

5210 44TH Ave S Apt 304
Fargo, ND 58104-4463
Phone (701) 630-9148

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 18, 2021.

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1154907459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 44TH AVE S APT 304",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044463",
            "telephone_number": "701-630-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 44TH AVE S APT 304",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044463",
            "telephone_number": "701-630-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEZIREVIC",
        "first_name": "AZIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

All providers in Fargo, ND · Attendant Care Provider in North Dakota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.