Kelsey Leigh O'Harris, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

R46825 Issued in ND

Practice address

301 NP Ave N
Fargo, ND 58102-4835

Phone

(701) 271-3344

NPI assigned

Sep 30, 2018

Last updated

Sep 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kelsey Leigh Sour Former name

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Health Care CenterGroup PAC ID 1658283650, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Health Care Center

  • Federally Qualified Health Center (FQHC)
  • Fargo, ND
  • NPI 1710066352
  Medicare reassignment Care Compare group NPD
• Family Health Care Center

  • Federally Qualified Health Center (FQHC)
  • Lamoure, ND
  • NPI 1689350415
  NPD
• Family Health Care Center

  dba Family HealthCare

  • Federally Qualified Health Center (FQHC)
  • Moorhead, MN
  • NPI 1992559645
  NPD

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

{
    "created_epoch": "1538265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1346725900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7416 W 104TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554382115",
            "telephone_number": "952-456-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NP AVE N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024835",
            "telephone_number": "701-271-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARRIS",
        "first_name": "KELSEY",
        "middle_name": "LEIGH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-30",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "ND",
            "license": "R46825",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R46825",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "SOUR",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah O'Brien
• Brian Thomas O'Connell, MD
• Christine Hanish O'Donnell, MD
• Greta M O'Donnell, CTRS
• Molly O'Donnell
• Kari O'Keeffe, LPCC
• Leiza O'Keeffe, LAT, ATC
• Barbara Meyer O'Neal, M.D.
• Amy Rebecca O'Neil, OTR
• Kaitlyn O'Neill, PSYD

• Advanced Practice Midwife in Fargo, ND
• Providers in Fargo, ND by specialty
• Advanced Practice Midwife in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.