Active NPI
Nicholas Edward Guetter
- Peer Specialist
- Fargo, ND
National Provider Identifier
1205586294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- DUM00000
- Practice address
- 101 8TH St S
Fargo, ND 58103-1822 - Phone
- (701) 532-0563
- NPI assigned
- Mar 24, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | DUM00000 | ND | Primary |
Addresses
Primary practice location
101 8TH St S
Fargo, ND 58103-1822
Mailing address
101 8TH St S
Fargo, ND 58103-1822
Phone (701) 532-0563
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 |
|---|---|---|---|
| DUM00000 | ND | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648080000000",
"number": "1205586294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 8TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581031822",
"telephone_number": "701-532-0563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 8TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581031822",
"telephone_number": "701-532-0563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUETTER",
"first_name": "NICHOLAS",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-24",
"last_updated": "2022-03-24",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "ND",
"license": "DUM00000",
"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 Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.