Deidre Marie Kilde, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

43944 Issued in ND

Practice address

1100 13TH Ave E
West Fargo, ND 58078-3376

Phone

(701) 281-5695

NPI assigned

Sep 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• White Drug Co of Jamestown Inc

  • Community/Retail Pharmacy
  • West Fargo, ND
  • NPI 1033208640
  NPD (past)

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1164072716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 13TH AVE E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783376",
            "telephone_number": "701-281-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 13TH AVE E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783376",
            "telephone_number": "701-281-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILDE",
        "first_name": "DEIDRE",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "43944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ThriftyWhite",
            "affiliation": "N",
            "endpointDescription": "pharmacy",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "none",
            "address_1": "1100 13th Ave E",
            "city": "West Fargo",
            "state": "ND",
            "country_code": "US",
            "postal_code": "580783376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Kennelly, NP
• Sadie Ketteman
• Anne E Kidder, MD
• Samantha Kiecker, DC
• Ava Kieser
• Jodi Kilen
• Christina Lynn Kim
• Alison D Kindem, LMT
• Kinder Care, Inc.
• Robyn Lynn King, MSN, APRN, FNP-C

• Registered Nurse in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Registered Nurse in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.