Active NPI
Rapidcare Urgent Care
- Family Nurse Practitioner
- Fargo, ND
National Provider Identifier
1679752851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 7790
- Legal business name
- RAPIDCARE URGENT CARE
- Practice address
- 4622 40TH Ave S
Fargo, ND 58104 - Phone
- (701) 232-6211
- Fax
- (701) 364-9346
- NPI assigned
- Oct 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abby Lewis
- Title
- Clinic Manager
- Phone
- (701) 232-6211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 7790 | ND | Primary |
Addresses
Primary practice location
4622 40TH Ave S
Fargo, ND 58104
Mailing address
4622 40TH Ave S
Fargo, ND 58104
Phone (701) 232-6211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11938 | Medicaid | ND |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193184000000",
"number": "1679752851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4622 40TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "58104",
"telephone_number": "701-232-6211",
"fax_number": "701-364-9346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4622 40TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "58104",
"telephone_number": "701-232-6211",
"fax_number": "701-364-9346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAPIDCARE URGENT CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-24",
"last_updated": "2007-10-24",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "ABBY",
"authorized_official_title_or_position": "CLINIC MANAGER",
"authorized_official_telephone_number": "701-232-6211"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "ND",
"license": "7790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11938",
"state": "ND"
}
],
"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 Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.