Kyra Diede, AGNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R44656 Issued in ND

Practice address

201 1St Ave N
Jamestown, ND 58401-3165

Phone

(701) 269-2505

NPI assigned

Nov 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clarity Brain Center LLC

  • Chiropractor
  • Fargo, ND
  • NPI 1508329053
  NPD (past)
• Reviv PLLC

  • General Practice Physician
  • Fargo, ND
  • NPI 1114595824
  NPD (past)

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

{
    "created_epoch": "1700784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1366217978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 1ST AVE S",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584014172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 1ST AVE N",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584013165",
            "telephone_number": "701-269-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEDE",
        "first_name": "KYRA",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-24",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ND",
            "license": "R44656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristine Deaver, BCBA
• Debra I.Peterson PC
• Alysha Deese
• Dentistryone of North Dakota PC
• Rachel B Didier, LCAC, LPC-LPCC
• Dylann Diegel
• Jeffrey J. Dieter, D.D.S.
• Brandon L Dobson
• John Nicholas Dodson
• Downtown Dental GP

• Adult Health Nurse Practitioner in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Adult Health Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.