Active NPI
Candace Kreiter, NP
- Family Nurse Practitioner
- Jamestown, ND
National Provider Identifier
1699871061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R16937
- Practice address
- 300 2ND Ave NE
Jamestown, ND 58401-3373 - Phone
- (701) 251-6000
- Fax
- (701) 952-4596
- NPI assigned
- Sep 15, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R16937 | ND | Primary |
Addresses
Primary practice location
300 2ND Ave NE
Jamestown, ND 58401-3373
Mailing address
PO Box 2168
Fargo, ND 58107-2168
Phone (701) 234-2119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19798 | Medicaid | ND |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R16937 | ND | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Carrington Health Center | Past | Accepting new patients | |
| Carrington Health Center | Past | Accepting new patients |
Locations
2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800
300 2nd Ave NE
Jamestown, ND 58401
Phone (701) 251-6000
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
Organizations & group practices 3
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.
-
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
-
- Rural Health Clinic/Center
- Carrington, ND
- NPI 1558389338
-
- Rural Health Clinic/Center
- New Rockford, ND
- NPI 1801811666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1699871061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2168",
"city": "FARGO",
"state": "ND",
"postal_code": "581072168",
"telephone_number": "701-234-2119",
"fax_number": "701-234-2045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 2ND AVE NE",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584013373",
"telephone_number": "701-251-6000",
"fax_number": "701-952-4596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREITER",
"first_name": "CANDACE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ND",
"license": "R16937",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19798",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.