Individual provider Active NPI

Tessa Diana Hilscher Evenson, LBSW

  • Case Manager/Care Coordinator
  • Fargo, ND
National Provider Identifier
1225659659
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
4077 Issued in ND
Practice address
1010 2ND Ave S
Fargo, ND 58103-8226
Phone
(701) 241-5765
Fax
(701) 241-5775
NPI assigned
Apr 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 4077 ND Primary

Addresses

Primary practice location

1010 2ND Ave S
Fargo, ND 58103-8226

Mailing address

1010 2ND Ave S
Fargo, ND 58103-8226
Phone (701) 241-5765

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL evensont@casscountynd.gov Other

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

LicenseStateTypeSpecialty
4077NDMDNutrition Support Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cass County Social Services PastSince May 3, 2020 Accepting new patients
Cass County Social Services PastSince May 3, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1225659659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 2ND AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038226",
            "telephone_number": "701-241-5765",
            "fax_number": "701-241-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 2ND AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038226",
            "telephone_number": "701-241-5765",
            "fax_number": "701-241-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILSCHER EVENSON",
        "first_name": "TESSA",
        "middle_name": "DIANA",
        "credential": "LBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "ND",
            "license": "4077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "evensont@casscountynd.gov",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Fargo",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fargo",
            "address_1": "1010 2nd Ave S",
            "city": "Fargo",
            "state": "ND",
            "country_code": "US",
            "postal_code": "581038226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 27, 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.

Verify at the official NPI Registry.