Organization Active NPI

Tru Aesthetic and Wellness, PLLC

  • Nurse Practitioner
  • Oakes, ND
National Provider Identifier
1568076909
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
TRU AESTHETIC AND WELLNESS, PLLC
Practice address
9 N 5TH St
Oakes, ND 58474-1208
Phone
(701) 742-3386
NPI assigned
Sep 2, 2020
Last updated
Sep 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Sierra Devries
Title
Owner
Phone
(701) 742-3386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

9 N 5TH St
Oakes, ND 58474-1208

Mailing address

9 N 5TH St
Oakes, ND 58474-1208
Phone (701) 742-3386

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1568076909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N 5TH ST",
            "city": "OAKES",
            "state": "ND",
            "postal_code": "584741208",
            "telephone_number": "701-742-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N 5TH ST",
            "city": "OAKES",
            "state": "ND",
            "postal_code": "584741208",
            "telephone_number": "701-742-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRU AESTHETIC AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "DEVRIES",
        "authorized_official_first_name": "SIERRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-742-3386"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakes, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.

Verify at the official NPI Registry.