Viatcheslav Fatyukhin

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1202 Westrac Dr S Ste 400
Fargo, ND 58103-2356

Phone

(701) 280-9545

NPI assigned

Nov 21, 2024

Last updated

Feb 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nexus-Path Family Healing

  • Community/Behavioral Health Agency
  • Fargo, ND
  • NPI 1811109812

  Case Manager/Care Coordinator

  NPD (past)
• Nexus-Path Family Healing

  dba PATH Trauma and Stress Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fargo, ND
  • NPI 1982117602
  NPD (past)

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1740005941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 28TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038700",
            "telephone_number": "701-280-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 WESTRAC DR S STE 400",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032356",
            "telephone_number": "701-280-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATYUKHIN",
        "first_name": "VIATCHESLAV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-21",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abiola Victoria Fashanu
• Oluwaseun Emmanuel Fashanu, MD, MPH
• Nadezda Fastovtsova
• Nida Fathima, MD
• Fatma Fatouh
• Ashlee Faulkner
• Lisa J Faulkner, RN
• Cherylynn M Fausel
• Amanda Kay Fauske, RN
• Elizabeth A Faust, MD

• Case Manager/Care Coordinator in Fargo, ND
• Providers in Fargo, ND by specialty
• Case Manager/Care Coordinator in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.