Individual provider Active NPI

Sharlynn D Knutson, RN

  • General Practice Registered Nurse
  • Fargo, ND
National Provider Identifier
1831858604
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
201737 Issued in ND
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

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
201737NDMDGeneral Practice Registered Nurse
L13677NDMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Soul Solutions Recovery Center Inc PastSince Dec 1, 2021 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.

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.

Verify at the official NPI Registry.