Individual provider Active NPI

Sierra Dawn Weight, NP

  • Nurse Practitioner
  • Lisbon, ND
National Provider Identifier
1831619105
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R33291 Issued in ND
Practice address
905 Main St
Lisbon, ND 58054-4334
Phone
(701) 683-6400
Fax
(701) 683-4345
NPI assigned
Jun 27, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R33291 ND Primary
Registered Nurse 163W00000X R33291 ND

Addresses

Primary practice location

905 Main St
Lisbon, ND 58054-4334

Mailing address

9 N 5TH St
Oakes, ND 58474-1202
Phone (701) 742-3386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170815000428 ND Practitioner - Nurse Practitioner 5799057535 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R33291NDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Medical Center CurrentSince Jan 25, 2018 Accepting new patients
Tru Aesthetic and Wellness, PLLC Nurse Practitioner CurrentSince Mar 28, 2021 Accepting new patients
Back to Health PC CurrentSince Mar 28, 2021 Accepting new patients
St. Francis Medical Center CurrentSince Jan 25, 2018 Accepting new patients

Locations

3293 Solutions Ctr
Chicago, IL 60677

9 N 5th St
Oakes, ND 58474
Phone (701) 742-3386

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831619105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N 5TH ST",
            "city": "OAKES",
            "state": "ND",
            "postal_code": "584741202",
            "telephone_number": "701-742-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MAIN ST",
            "city": "LISBON",
            "state": "ND",
            "postal_code": "580544334",
            "telephone_number": "701-683-6400",
            "fax_number": "701-683-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIGHT",
        "first_name": "SIERRA",
        "middle_name": "DAWN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R33291",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R33291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisbon, ND

Sources for this page

Verify at the official NPI Registry.