Convenient Care Clinic, PLLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

CONVENIENT CARE CLINIC, PLLC

Practice address

505 32ND Ave E
West Fargo, ND 58078-8489

Phone

(701) 532-1731

NPI assigned

Mar 27, 2024

Last updated

Mar 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan C NordquistNPI 1023164845

Title

Authorized Official

Phone

(701) 793-1415

Specialties & licenses 1

Addresses

Tax ID family

Convenient Care Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Convenient Care Clinic, PLLC

  dba Convenient Care Clinic

  • Family Nurse Practitioner
  • West Fargo, ND
  • NPI 1457017444
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan C Nordquist, NP

  • Family Nurse Practitioner
  • West Fargo, ND
  • NPI 1023164845
  NPD Authorized official

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1740031913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 CITY WEST PKWY",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443248",
            "telephone_number": "952-653-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 32ND AVE E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788489",
            "telephone_number": "701-532-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT CARE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "NORDQUIST",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "701-793-1415"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Connections Psychological Services, PLLC
• Conscious Living Counseling PLLC (Conscious Living Counseling & Education Center)
• Convenient Care Clinic, PLLC (Convenient Care Clinic)
• Jessica Rae Lynn Conway
• McKenzy Kate Cook, DNP
• Sarah Corbett
• Corwin Family Dentistry, PC
• David Jeffrey Corwin, D.D.S.

• Non-Pharmacy Dispensing Site in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Non-Pharmacy Dispensing Site in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.