NPIMap

Organization Active NPI

Danielle Skaar, FNP-C, PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Devils Lake, ND
National Provider Identifier
1568811552
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
R28826 Issued in ND
Legal business name
DANIELLE SKAAR, FNP-C, PLLC
Practice address
210 Highway 2 W Ste 10
Devils Lake, ND 58301-2913
Phone
(701) 739-5769
NPI assigned
Jun 9, 2016
Last updated
Jun 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Danielle D Skaar, FNP-CNPI 1558383653
Title
Nurse Practitioner
Phone
(701) 739-5769

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X R28826 ND
Adolescent and Children Mental Health Clinic/Center 261QM0855X R28826 ND Primary

Addresses

Primary practice location

210 Highway 2 W Ste 10
Devils Lake, ND 58301-2913

Mailing address

210 Highway 2 W Ste 10
Devils Lake, ND 58301-2913
Phone (701) 739-5769

Other identifiers 1

IdentifierTypeStateIssuer
1453301MedicaidND

National Provider Directory

National Provider Directory

Locations

210 Highway 2 W
Ste 10
Devils Lake, ND 58301
Phone (701) 662-1046

Practitioners & affiliated clinicians

Practitioners 1

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": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1568811552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 HIGHWAY 2 W STE 10",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012913",
            "telephone_number": "701-739-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HIGHWAY 2 W STE 10",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012913",
            "telephone_number": "701-739-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELLE SKAAR, FNP-C, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "SKAAR",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "701-739-5769",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "ND",
            "license": "R28826",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "ND",
            "license": "R28826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1453301",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Devils Lake, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.