NPIMap

Organization Active NPI

D & L PC

Doing business as Quality Life

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Fargo, ND
National Provider Identifier
1871684530
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
R21956 Issued in ND
Legal business name
D & L PC
Doing business as
Quality Life
Practice address
1316 23Rd St S
Fargo, ND 58103-3707
Phone
(701) 478-0333
Fax
(701) 478-0434
NPI assigned
Sep 27, 2006
Last updated
Jun 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Authorized official

Name
Linda Joann Volness, APRNNPI 1376581710
Title
President
Phone
(701) 478-0333

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X R21956 ND Primary

Addresses

Primary practice location

1316 23Rd St S
Fargo, ND 58103-3707

Mailing address

PO Box 2309
Fargo, ND 58108-2309
Phone (701) 478-0333

Other identifiers 1

IdentifierTypeStateIssuer
256945100MedicaidMN

Other names 1

  • Quality Life Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061005000381 ND Part B Supplier - Clinic/Group Practice 3678579166 Receives reassigned benefits from 8 practitioners
Practice locations: Fargo, ND

National Provider Directory

National Provider Directory

Locations

1316 23rd St S
Fargo, ND 58103
Phone (701) 478-0333

Practitioners & affiliated clinicians

Practitioners 11

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1871684530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2309",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581082309",
            "telephone_number": "701-478-0333",
            "fax_number": "701-478-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 23RD ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033707",
            "telephone_number": "701-478-0333",
            "fax_number": "701-478-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D & L PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "VOLNESS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "JOANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-478-0333",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "ND",
            "license": "R21956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256945100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.