Individual provider Active NPI

Nasren K Williams

  • Personal Care Attendant
  • Fargo, ND
National Provider Identifier
1619547932
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
2921 34TH Ave S Apt 254
Fargo, ND 58104-5145
Phone
(701) 541-7970
NPI assigned
Jun 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

2921 34TH Ave S Apt 254
Fargo, ND 58104-5145

Mailing address

2921 34TH Ave S Apt 254
Fargo, ND 58104-5145
Phone (701) 541-7970

Other practice location 1

3001 34th Ave S Apt 1323
Fargo, ND 58104-5157
Phone (701) 541-7970

Other names 1

  • Miss Nasren K Mohammed Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Suaad Health Information Exchange (HIE)

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1619547932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 34TH AVE S APT 254",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045145",
            "telephone_number": "701-541-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 34TH AVE S APT 254",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045145",
            "telephone_number": "701-541-7970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 34th Ave S Apt 1323",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581045157",
            "country_code": "US",
            "telephone_number": "701-541-7970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NASREN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Suaad",
            "affiliation": "N",
            "endpointDescription": "Mother",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3001 34th Ave S Apt 1323",
            "city": "Fargo",
            "state": "ND",
            "country_code": "US",
            "postal_code": "581045157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NASREN",
            "last_name": "MOHAMMED",
            "middle_name": "K",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.