Active NPI
Brenda Weisenberger, RN
- Registered Nurse
- Fargo, ND
National Provider Identifier
1669022802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R19064
- Practice address
- 1240 25TH St S
Fargo, ND 58103-2367 - Phone
- (701) 241-1360
- NPI assigned
- Sep 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R19064 | ND | Primary |
Addresses
Primary practice location
1240 25TH St S
Fargo, ND 58103-2367
Mailing address
1240 25TH St S
Fargo, ND 58103-2367
Phone (701) 241-1360
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R19064 | ND | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Fargo | Current | Accepting new patients | |
| City of Fargo | Past | Accepting new patients |
Locations
1240 25th St S
Fargo, ND 58103
Phone (701) 241-1360
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Non-Surgical Family Planning Clinic/Center
- Fargo, ND
- NPI 1447335245
-
- State or Local Public Health Clinic/Center
- Fargo, ND
- NPI 1891879839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568851200000",
"number": "1669022802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 25TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581032367",
"telephone_number": "701-241-1360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 25TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581032367",
"telephone_number": "701-241-1360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISENBERGER",
"first_name": "BRENDA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-19",
"last_updated": "2019-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ND",
"license": "R19064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.