Individual provider Active NPI

Sherryl Frances Kvamme

  • Personal Care Attendant
  • Grand Forks, ND
National Provider Identifier
1780282954
Registry record updated Oct 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
3174 36TH Ave S Apt 8
Grand Forks, ND 58201-3538
Phone
(218) 779-6350
NPI assigned
Oct 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

3174 36TH Ave S Apt 8
Grand Forks, ND 58201-3538

Mailing address

822 19TH Ave S
Grand Forks, ND 58201-6834
Phone (701) 787-0109

Other practice location 1

822 19th Ave S
Grand Forks, ND 58201-6834
Phone (701) 787-0109

Other practice location 2

822 19th Ave S
Grand Forks, ND 58201-6834
Phone (701) 787-0109

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

NPI Registry JSON

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

{
    "created_epoch": "1602374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602374400000",
    "number": "1780282954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 19TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016834",
            "telephone_number": "701-787-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3174 36TH AVE S APT 8",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013538",
            "telephone_number": "218-779-6350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "822 19th Ave S",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582016834",
            "country_code": "US",
            "telephone_number": "701-787-0109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "822 19th Ave S",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582016834",
            "country_code": "US",
            "telephone_number": "701-787-0109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KVAMME",
        "first_name": "SHERRYL",
        "middle_name": "FRANCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-11",
        "last_updated": "2020-10-11",
        "certification_date": "2020-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2020; 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.