Active NPI
Halimo Harbi Dirie
- Nurse's Aide
- Fargo, ND
National Provider Identifier
1225624778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 62704
- Practice address
- 717 28TH St N # 107
Fargo, ND 58102-3140 - Phone
- (952) 217-6039
- Fax
- (952) 217-6039
- NPI assigned
- Dec 18, 2020
- Last updated
- Dec 18, 2020
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 62704 | ND | Primary |
Addresses
Primary practice location
717 28TH St N # 107
Fargo, ND 58102-3140
Mailing address
717 28TH St N # 107
Fargo, ND 58102-3140
Phone (952) 217-6039
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1466336 | Medicaid | ND |
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 |
|---|---|---|---|
| 62704 | ND | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1225624778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 28TH ST N # 107",
"city": "FARGO",
"state": "ND",
"postal_code": "581023140",
"telephone_number": "952-217-6039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 28TH ST N # 107",
"city": "FARGO",
"state": "ND",
"postal_code": "581023140",
"telephone_number": "952-217-6039",
"fax_number": "952-217-6039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIRIE",
"first_name": "HALIMO",
"middle_name": "HARBI",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-18",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "ND",
"license": "62704",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1466336",
"state": "ND"
}
],
"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 Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.