Active NPI
Arlene G Hampton, RN
- Diabetes Educator Registered Nurse
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- R22599
- Practice address
- 725 Hamline St - Altru Family Medicine Residency
Grand Forks, ND 58203 - Phone
- (701) 780-6400
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | R22599 | ND | Primary |
Addresses
Primary practice location
725 Hamline St - Altru Family Medicine Residency
Grand Forks, ND 58203
Mailing address
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041006000823 | ND | Practitioner - Registered Dietitian Or Nutrition Professional | 5294794426 | Reassigns benefits to 1 organization |
| I20200810002792 | MN | Practitioner - Registered Dietitian Or Nutrition Professional | 5294794426 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R22599 | ND | MD | Diabetes Educator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altru Health System | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Clinic Pharmacy Inc | Past | Accepting new patients |
Locations
400 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9100
201 E 3rd Ave S
Cavalier, ND 58220
Phone (701) 265-8338
1001 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2157
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
725 Hamline St
Grand Forks, ND 58203
Phone (701) 777-6800
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
Organizations & group practices 4
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.
-
- Ambulance
- Grand Forks, ND
- NPI 1114485315
-
- Community/Retail Pharmacy
- Devils Lake, ND
- NPI 1184718876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1407075708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 DEMERS AVE",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "58201",
"telephone_number": "701-780-1891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 HAMLINE ST - ALTRU FAMILY MEDICINE RESIDENCY",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "58203",
"telephone_number": "701-780-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMPTON",
"first_name": "ARLENE",
"middle_name": "G",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "ND",
"license": "R22599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.