Active NPI
Luann T Hinnenkamp
- Driver
- Fargo, ND
National Provider Identifier
1164717005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- HIN-58-6702
- Practice address
- 3018 36TH Ave S
Fargo, ND 58104-8844 - Phone
- (701) 298-8285
- NPI assigned
- Jun 17, 2011
- Last updated
- Jun 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Driver | 172A00000X | HIN-58-6702 | ND | Primary |
Addresses
Primary practice location
3018 36TH Ave S
Fargo, ND 58104-8844
Mailing address
3018 36TH Ave S
Fargo, ND 58104-8844
Phone (701) 298-8285
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 |
|---|---|---|---|
| HIN-58-6702 | ND | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308268800000",
"number": "1164717005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3018 36TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581048844",
"telephone_number": "701-298-8285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3018 36TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581048844",
"telephone_number": "701-298-8285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINNENKAMP",
"first_name": "LUANN",
"middle_name": "T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-17",
"last_updated": "2011-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "ND",
"license": "HIN-58-6702",
"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 Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.