Active NPI
Jaydee Unruh, DNP, FNP
- Nurse Practitioner
- Fargo, ND
National Provider Identifier
1457872889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R38172
- Practice address
- 700 1St Ave S
Fargo, ND 58103-1802 - Phone
- (701) 234-2000
- NPI assigned
- Jul 6, 2017
- Last updated
- Jan 15, 2020
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R38172 | ND | Primary |
Addresses
Primary practice location
700 1St Ave S
Fargo, ND 58103-1802
Mailing address
1026 NP Ave N Apt 410
Fargo, ND 58102-4699
Phone (701) 653-5271
Other practice location 1
3233 45th St S
Fargo, ND 58104-7928
Phone (701) 232-9383
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1457872889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1026 NP AVE N APT 410",
"city": "FARGO",
"state": "ND",
"postal_code": "581024699",
"telephone_number": "701-653-5271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 1ST AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581031802",
"telephone_number": "701-234-2000"
}
],
"practiceLocations": [
{
"address_1": "3233 45th St S",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581047928",
"country_code": "US",
"telephone_number": "701-232-9383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UNRUH",
"first_name": "JAYDEE",
"credential": "DNP, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-06",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ND",
"license": "R38172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
- Sarah Kay Underhill, CRNA
- Unfiltered Counseling and Wellness, PLLC (Unfiltered Counseling and Wellness)
- Lexie Unhjem
- United Health Chiropractic and Wellness
- United Seating and Mobility, LLC (Numotion)
- Mary K Uong-Kaale
- Up North Home Care Services LLC
- Uplift Community LLC
- Upper Midwest TMS LLC
- Upstream Enterprises, LLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.