Urban Unwind LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

URBAN UNWIND LLC

Practice address

30 7TH St W
Dickinson, ND 58601-4335

Phone

(701) 483-6666

Fax

(701) 483-6667

NPI assigned

Jan 6, 2022

Organization subpart

No

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

Authorized official

Name

Marlena Staudinger

Title

Cfo/Co-Owner

Phone

(701) 290-9062

Specialties & licenses 1

Addresses

Other names 1

• Urban Unwind Doing business as

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Marie Hinrichs, DNP

  • Family Nurse Practitioner
  • Dickinson, ND
  • NPI 1912743709
  Medicare reassignment Care Compare group NPD
• Paige Hood, FNP-C

  • Family Nurse Practitioner
  • Dickinson, ND
  • NPI 1184338501
  Medicare reassignment Care Compare group NPD
• Megan Gietzen, NP

  • Family Nurse Practitioner
  • Dickinson, ND
  • NPI 1053832006
  Medicare reassignment NPD

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1730840208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586020406",
            "telephone_number": "701-483-6666",
            "fax_number": "701-483-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 7TH ST W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014335",
            "telephone_number": "701-483-6666",
            "fax_number": "701-483-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN UNWIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "STAUDINGER",
        "authorized_official_first_name": "MARLENA",
        "authorized_official_title_or_position": "CFO/CO-OWNER",
        "authorized_official_telephone_number": "701-290-9062"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urban Unwind",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terry Turner-Halverson
• Samantha Axelle Twagirayezu
• Funmilayo Olubayo Ujima
• Renae Mary Ulmer
• United Way of Dickinson, Inc.
• Audrey M Urban, BSED
• Shanna Jo Urban
• Chandra Jo Urlacher, FNP-C
• Perla Valencia
• Sara Ann Valencia

• Family Nurse Practitioner in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.