Naomi Hass, LRD
Individual provider Active NPI Registered Dietitian · Fargo, ND
NPI 1467775924 · NPPES record last updated Jul 6, 2010
Key facts
- NPI
- 1467775924
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 593 (ND)
- Practice address
- 737 Broadway N
Fargo, ND 58102-4421 - Phone
- (701) 461-5319
- NPI assigned
- Mar 11, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100611000572 | ND | Practitioner - Registered Dietitian Or Nutrition Professional | 7113057456 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 593 | ND | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network North | Current |
Accepting new patients | |
| Sanford Health Network North | Current |
Accepting new patients | |
| Sanford Health Network North | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Past | Accepting new patients |
Locations
407 Washington Ave E
Finley, ND 58230
Phone (701) 524-1005
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 593 | ND | Yes |
Addresses
Primary practice location
737 Broadway N
Fargo, ND 58102-4421
Mailing address
737 Broadway N
Fargo, ND 58102-4421
Phone (701) 461-5319
Other names
- Naomi Willprecht
Other providers in Fargo, ND
- Justin Robert Hashbarger
- Ato Hashi
- Zahra Hashim
- Brian D Hass
- Jonathan Paul Hass
- Abdiaziz Ahmed Hassan
- Abdirahman Mohamed Hassan
- Fadumo Ahmed Hassan
- Farah Isaack Hassan
- Muktar Hassan
All providers in Fargo, ND · Registered Dietitian in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.