Individual provider Active NPI

Hannah Nicole Riegel, ATC, NREMT, CKTP

  • Athletic Trainer
  • Fargo, ND
National Provider Identifier
1821570912
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
860-19 Issued in ND
Practice address
1340 Administration Ave
Fargo, ND 58105-5810
Phone
(701) 231-8011
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 860-19 ND Primary
Student in an Organized Health Care Education/Training Program 390200000X 717 OK

Addresses

Primary practice location

1340 Administration Ave
Fargo, ND 58105-5810

Mailing address

1340 Administration Ave
Fargo, ND 58105

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

LicenseStateTypeSpecialty
717OKMDMarriage & Family Therapist
860-19NDMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1821570912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 ADMINISTRATION AVE",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 ADMINISTRATION AVE",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581055810",
            "telephone_number": "701-231-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEGEL",
        "first_name": "HANNAH",
        "middle_name": "NICOLE",
        "credential": "ATC, NREMT, CKTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ND",
            "license": "860-19",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OK",
            "license": "717",
            "primary": false
        }
    ],
    "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 16, 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.