Heather Marie Haarstad, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L18143 Issued in ND

Practice address

1701 38TH St S Ste 101
Fargo, ND 58103-4499

Phone

(800) 237-4629

NPI assigned

Dec 18, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1821805201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2687 56TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046409",
            "telephone_number": "701-640-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 38TH ST S STE 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581034499",
            "telephone_number": "800-237-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAARSTAD",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "825332",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "ND",
            "license": "L18143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Ellen Guttormson, MS, LMFT
• Chaske Sage Guy
• Daniel Gwynn, PHARMD
• Frederick Nkrumah Gyabaah, MD
• Jaclyn Haak, IBCLC
• Alexandria Beth Haas
• Corbett A Haas, DDS,MD
• Mary Omer Habib, APRN, CNP
• Sheikh Habibullah, MD
• Robert E Hackley Jr., DDS

• Licensed Practical Nurse in Fargo, ND
• Providers in Fargo, ND by specialty
• Licensed Practical Nurse in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.