Individual provider Active NPI

Tonya Lee Loken, ND, FNP-C

  • Family Nurse Practitioner
  • Fargo, ND
National Provider Identifier
1417406711
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R47140 Issued in ND
Practice address
3441 45TH St S
Fargo, ND 58104-8970
Phone
(017) 552-6573
NPI assigned
Sep 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 2016-02 ND
Family Nurse Practitioner 363LF0000X 8378 MN
Family Nurse Practitioner 363LF0000X R47140 ND Primary

Addresses

Primary practice location

3441 45TH St S
Fargo, ND 58104-8970

Mailing address

3441 45TH St S Ste B
Fargo, ND 58104-8970
Phone (701) 552-6573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2016-02NDMDNaturopath
8378MNMDFamily Nurse Practitioner
R47140NDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations Natural Medicine PLLC Dba Lagom Wellness Clinic Family CurrentSince Nov 12, 2023 Accepting new patients

Locations

3441 45th St S
#B
Fargo, ND 58104
Phone (701) 367-8242

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1417406711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 45TH ST S STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048970",
            "telephone_number": "701-552-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 45TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048970",
            "telephone_number": "017-552-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOKEN",
        "first_name": "TONYA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "ND, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "ND",
            "license": "2016-02",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "8378",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R47140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.