Organization Active NPI

Way of Life

  • Case Management Agency
  • Fargo, ND
National Provider Identifier
1851168975
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
WAY OF LIFE
Practice address
222 4TH St N
Fargo, ND 58102-4818
Phone
(701) 581-5199
NPI assigned
Dec 8, 2023
Last updated
Dec 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Authorized official

Name
Sheyenne PuetzNPI 1659013969
Title
Owner
Phone
(701) 581-5199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

222 4TH St N
Fargo, ND 58102-4818

Mailing address

1709 13TH Ave S
Fargo, ND 58103-3812

National Provider Directory

National Provider Directory

Locations

222 4th St N
Fargo, ND 58102
Phone (701) 566-3966

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1851168975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 13TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 4TH ST N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024818",
            "telephone_number": "701-581-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAY OF LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "PUETZ",
        "authorized_official_first_name": "SHEYENNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-581-5199"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 26, 2023; 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.