Active NPI
Nancy Lynn Nordenstrom
- Marriage & Family Therapist
- West Fargo, ND
National Provider Identifier
1245988427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3211
- Practice address
- 3220 4TH St E Ste 102
West Fargo, ND 58078-3082 - Phone
- (701) 501-7449
- NPI assigned
- Mar 16, 2022
- Last updated
- Mar 16, 2022
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3211 | ND | Primary |
Addresses
Primary practice location
3220 4TH St E Ste 102
West Fargo, ND 58078-3082
Mailing address
2535 26TH Ave S
Fargo, ND 58103-5026
Phone (701) 730-2796
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3211 | ND | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1245988427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2535 26TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581035026",
"telephone_number": "701-730-2796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 4TH ST E STE 102",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "580783082",
"telephone_number": "701-501-7449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORDENSTROM",
"first_name": "NANCY",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-16",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ND",
"license": "3211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.