Individual provider Active NPI

Sandra Kay Alberty

  • Women's Health Nurse Practitioner
  • Fargo, ND
National Provider Identifier
1679868087
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
R25222 Issued in ND
Practice address
512 1St Ave N
Fargo, ND 58102-4804
Phone
(701) 298-9999
Fax
(701) 235-8084
NPI assigned
Jun 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X R25222 ND Primary

Addresses

Primary practice location

512 1St Ave N
Fargo, ND 58102-4804

Mailing address

512 1St Ave N
Fargo, ND 58102-4804
Phone (701) 298-9999

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

State licenses

LicenseStateTypeSpecialty
R25222NDMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Independent Health Services, Inc. Past Accepting new patients
MKB Management Corporation Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1679868087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 1ST AVE N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024804",
            "telephone_number": "701-298-9999",
            "fax_number": "701-235-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 1ST AVE N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024804",
            "telephone_number": "701-298-9999",
            "fax_number": "701-235-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERTY",
        "first_name": "SANDRA",
        "middle_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "ND",
            "license": "R25222",
            "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 Jun 14, 2011; 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.