Stephanie Jill Wellnitz

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4342 15TH Ave S Ste 105
Fargo, ND 58103-1125

Phone

(605) 695-1713

NPI assigned

Jun 4, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1508607581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 11TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565603628",
            "telephone_number": "605-695-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4342 15TH AVE S STE 105",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031125",
            "telephone_number": "605-695-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLNITZ",
        "first_name": "STEPHANIE",
        "middle_name": "JILL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Lynn Welle, PA-C
• Patrick J Welle, MD
• Maria L Weller, MD
• Wellness Solutions PC (Fargo Spine and Rehabilitation)
• Wellnite Medical Group PA
• David Donald Wells, DDS
• Nicole M Welsch, LRD
• Jerry Wendel Daub
• Susan Wendelbo
• Jamie L Wendt Barnett, LPCC

• Behavior Technician in Fargo, ND
• Providers in Fargo, ND by specialty
• Behavior Technician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.