Peace Albert

Primary specialty

Social WorkerTaxonomy code 104100000X

License

5063 Issued in ND

Practice address

1111 Prairie Pkwy
West Fargo, ND 58078-3132

Phone

(701) 532-0754

NPI assigned

Nov 5, 2018

Last updated

Nov 5, 2018By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Serenity Christian Homes

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • West Fargo, ND
  • NPI 1306395538
  NPD (past)
• Serenity Christian Homes Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • West Fargo, ND
  • NPI 1346732773
  NPD (past)

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1396213690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 PRAIRIE PKWY",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783132",
            "telephone_number": "701-532-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 PRAIRIE PKWY",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783132",
            "telephone_number": "701-532-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERT",
        "first_name": "PEACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "5063",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": "5063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adaptive Life Therapy
• Affinitas Psychiatric Care, PC (Affinitas Psychiatric Care)
• Ehi Agbashi, BA IN PSYCHOLOGY
• Michelle Vanessa Ahmeti, APRN, CRNA
• Gloria Albert
• Sara Ann Bogardus Alferness
• Sheila Allen Klosterman, OTR/L
• Lucky Kolleh Allen, CNA
• Alliance Therapy, LLP
• Mariah Almklov

• Social Worker in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.