Individual provider Active NPI

Joann Mavis Schacher

  • Registered Nurse
  • West Fargo, ND
National Provider Identifier
1841773017
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN22206 Issued in ND
Practice address
1100 13TH Ave E
West Fargo, ND 58078-3376
Phone
(701) 281-5695
NPI assigned
Sep 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN22206 ND Primary

Addresses

Primary practice location

1100 13TH Ave E
West Fargo, ND 58078-3376

Mailing address

1519 Sunset Blvd
Hawley, MN 56549-4428
Phone (701) 866-7730

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
RN22206NDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
White Drug Co of Jamestown 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.

NPI Registry JSON

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1841773017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 SUNSET BLVD",
            "city": "HAWLEY",
            "state": "MN",
            "postal_code": "565494428",
            "telephone_number": "701-866-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 13TH AVE E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783376",
            "telephone_number": "701-281-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHACHER",
        "first_name": "JOANN",
        "middle_name": "MAVIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "RN22206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.