Individual provider Active NPI

Wendy Rae Digre

  • Foster Care Agency
  • Fergus Falls, MN
National Provider Identifier
1336495902
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
1063786-1-AFC Issued in MN
Practice address
228 W Adolphus Ave
Fergus Falls, MN 56537-3405
Phone
(218) 770-4958
NPI assigned
Aug 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 1063786-1-AFC MN Primary

Addresses

Primary practice location

228 W Adolphus Ave
Fergus Falls, MN 56537-3405

Mailing address

228 W Adolphus Ave
Fergus Falls, MN 56537-3405
Phone (218) 770-4958

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
1063786-1-AFCMNMDFoster Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1336495902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W ADOLPHUS AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565373405",
            "telephone_number": "218-770-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W ADOLPHUS AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565373405",
            "telephone_number": "218-770-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGRE",
        "first_name": "WENDY",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MN",
            "license": "1063786-1-AFC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.