Individual provider Active NPI

Nicole Eleanor J Lovat, M.D.

  • Family Medicine Physician
  • Grand Forks, ND
National Provider Identifier
1861989832
Registry record updated Feb 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
64131 Issued in MN
Practice address
2860 10TH Ave N Ste 350
Grand Forks, ND 58203-2276
Phone
(701) 757-1440
NPI assigned
Apr 16, 2018
Reactivated
Feb 20, 2025
Last updated
Feb 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 64131 MN
Family Medicine Physician 207Q00000X MD60913775 WA
Family Medicine Physician 207Q00000X 64131 MN Primary

Addresses

Primary practice location

2860 10TH Ave N Ste 350
Grand Forks, ND 58203-2276

Mailing address

2860 10TH Ave N Ste 350
Grand Forks, ND 58203-2276
Phone (701) 757-1440

Other practice location 1

111 17th Ave E
Alexandria, MN 56308-5273
Phone (320) 762-1511

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nlovat17213444@direct.sanfordhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181106002052 MN Practitioner - Family Practice 9638423833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
64131MNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Firefly Medical Group PLLC Pharmacotherapy Current Accepting new patients
Douglas County Hospital Past Accepting new patients

Locations

2860 10th Ave N
Ste 350
Grand Forks, ND 58203
Phone (701) 757-1440

Interoperability endpoints

  • Direct secure messaging: nlovat1158706@wm.providencedirect.org
  • Direct secure messaging: nlovat17213444@direct.sanfordhealth.org
  • Direct secure messaging: nlovat596488@direct.centracare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1861989832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 10TH AVE N STE 350",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582032276",
            "telephone_number": "701-757-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 10TH AVE N STE 350",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582032276",
            "telephone_number": "701-757-1440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 17th Ave E",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "MN",
            "postal_code": "563085273",
            "country_code": "US",
            "telephone_number": "320-762-1511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVAT",
        "first_name": "NICOLE",
        "middle_name": "ELEANOR J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "deactivation_date": "2025-02-03",
        "reactivation_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "64131",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60913775",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "64131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nlovat17213444@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "323 S Minnesota St",
            "city": "Crookston",
            "state": "MN",
            "country_code": "US",
            "postal_code": "567161601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.