Kaitlin Hazel, MHT
Individual provider Active NPI Other Technician · Grand Forks, ND
NPI 1376201228 · NPPES record last updated Dec 7, 2021
Key facts
- NPI
- 1376201228
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- License
- 10597
- Practice address
- 930 N 3Rd St
Grand Forks, ND 58203-2408 - Phone
- (701) 795-9143
- NPI assigned
- Dec 7, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Harvest Mental Health | Current |
Accepting new patients |
Locations
930 N 3rd St
Grand Forks, ND 58203
Phone (701) 795-9143
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | 10597 | Yes |
Addresses
Primary practice location
930 N 3Rd St
Grand Forks, ND 58203-2408
Mailing address
930 N 3Rd St
Grand Forks, ND 58203-2408
Other providers in Grand Forks, ND
- Isabelle Hawkins
- Jennifer Hayes
- Kirk Jacquine Hayes
- Melissa Jeannette Hayes
- Judith Ann Haynes
- Healingtree Integrative Health Clinic, PLLC
- Healthy Weighs Nutrition Center, LLC
- Heart Institute of North Dakota LTD
- Heartland Clinic Chiropractic PC
- Katie Deborah Heazlett Carl
All providers in Grand Forks, ND · Other Technician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.