Organization Active NPI

Morningstar Clinic, LLC

  • Advanced Practice Midwife
  • Fargo, ND
National Provider Identifier
1861183105
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Legal business name
MORNINGSTAR CLINIC, LLC
Practice address
3015 30TH Ave S
Fargo, ND 58103-6119
Phone
(608) 444-2765
NPI assigned
May 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Molly Ries, CNP
Title
Ceo
Phone
(608) 444-2765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 367A00000X Primary

Addresses

Primary practice location

3015 30TH Ave S
Fargo, ND 58103-6119

Mailing address

PO Box 10083
Fargo, ND 58106-0083
Phone (608) 444-2765

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1861183105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10083",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581060083",
            "telephone_number": "608-444-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 30TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036119",
            "telephone_number": "608-444-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNINGSTAR CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "RIES",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-444-2765",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 May 17, 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.