Diabetes Care Clinic PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DIABETES CARE CLINIC PLLC

Practice address

1665 43Rd St S Ste 102
Fargo, ND 58103-3316

Phone

(701) 540-9822

Fax

(701) 540-9824

NPI assigned

Nov 18, 2019

Organization subpart

No

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

Authorized official

Name

Christina A Dahl, FNP-CNPI 1437565330

Title

Owner

Phone

(701) 540-9822

Specialties & licenses 1

Addresses

Other names 1

• Diabetes Care Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christina Dahl, FNP-C

  • Family Nurse Practitioner
  • Fargo, ND
  • NPI 1437565330

  Family, ND

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1447896170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3453 INTERSTATE BLVD S STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032257",
            "telephone_number": "701-289-5469",
            "fax_number": "701-205-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 43RD ST S STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033316",
            "telephone_number": "701-540-9822",
            "fax_number": "701-540-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES CARE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-540-9822",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetes Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diabetes Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Rae Deutsch, CRNA
• Rebekah J Devasahayam, MD
• Ashley Devier
• Jacob Rodney Devine, MD
• Phillip Andrew Dewey, PA
• Amanda Diamond
• Diane R Schmidt-Krings MD PC
• Erin Lee Diciolla, RN, APRN, PMHNP-BC
• Mikaela Joy Dick, DPT
• Daniel Dicken

• Family Nurse Practitioner in Fargo, ND
• Providers in Fargo, ND by specialty
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.

Verify at the official NPI Registry.