Active NPI
Beth Schaible, OTR/L
- Specialist
- Fargo, ND
National Provider Identifier
1811392657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 130
- Practice address
- 4152 30TH Ave S Ste 102
Fargo, ND 58104-8403 - Phone
- (701) 364-2663
- Fax
- (701) 364-2660
- NPI assigned
- Oct 22, 2014
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 130 | ND | Primary |
Addresses
Primary practice location
4152 30TH Ave S Ste 102
Fargo, ND 58104-8403
Mailing address
4152 30TH Ave S Ste 102
Fargo, ND 58104-8403
Phone (701) 364-2663
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130 | ND | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413936000000",
"number": "1811392657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4152 30TH AVE S STE 102",
"city": "FARGO",
"state": "ND",
"postal_code": "581048403",
"telephone_number": "701-364-2663",
"fax_number": "701-364-2660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4152 30TH AVE S STE 102",
"city": "FARGO",
"state": "ND",
"postal_code": "581048403",
"telephone_number": "701-364-2663",
"fax_number": "701-364-2660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAIBLE",
"first_name": "BETH",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-22",
"last_updated": "2014-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ND",
"license": "130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.