Active NPI
Sharlynn D Knutson, RN
- General Practice Registered Nurse
- Fargo, ND
National Provider Identifier
1831858604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 201737
- Practice address
- 3523 45TH St S Ste 100
Fargo, ND 58104-8962 - Phone
- (701) 203-5247
- Fax
- (701) 203-2903
- NPI assigned
- Dec 9, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L13677 | ND | |
| General Practice Registered Nurse | 163WG0000X | 201737 | ND | Primary |
Addresses
Primary practice location
3523 45TH St S Ste 100
Fargo, ND 58104-8962
Mailing address
1710 67TH Ave S
Fargo, ND 58104-7863
Phone (701) 261-8541
Other names 1
- Sharlynn D Peck
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201737 | ND | MD | General Practice Registered Nurse |
| L13677 | ND | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soul Solutions Recovery Center Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Fargo, ND
- NPI 1760056436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1831858604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 67TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581047863",
"telephone_number": "701-261-8541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3523 45TH ST S STE 100",
"city": "FARGO",
"state": "ND",
"postal_code": "581048962",
"telephone_number": "701-203-5247",
"fax_number": "701-203-2903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNUTSON",
"first_name": "SHARLYNN",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-09",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "ND",
"license": "L13677",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "ND",
"license": "201737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHARLYNN",
"last_name": "PECK",
"middle_name": "D",
"code": "1",
"type": "Former Name"
}
]
}
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 Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.