D & L PC
Organization Active NPI Psychiatric/Mental Health Clinical Nurse Specialist · Fargo, ND
NPI 1871684530 · NPPES record last updated Jun 11, 2013
Key facts
- NPI
- 1871684530
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X
- License
- R21956 (ND)
- Legal business name
- D & L PC
- Practice address
- 1316 23Rd St S
Fargo, ND 58103-3707 - Phone
- (701) 478-0333
- Fax
- (701) 478-0434
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Linda Joann Volness, APRN
- Title
- President
- Phone
- (701) 478-0333
Practitioners 11
-
Linda Jo Volness, APRN, CNS
-
Jessica Graham Steinhauer, PMH-NP
-
Leah Victoria Horner, MSN, APRN, PMHNP-BC
-
Jenny E. Emmel, MS,LPCC
-
Albert P Allick, MD
-
Joanna Johnson, NP
-
Erika Lynne Yoney, APRN
-
Natasha Lynn Isaman, APRN
-
Georgia Marie Johnson, LPCC, LPC, RTC
-
Angell Marilyn Naslund, M.S., LPCC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061005000381 | ND | Part B Supplier - Clinic/Group Practice | 3678579166 |
Receives reassigned benefits from 8 practitioners Practice locations: Fargo, ND |
National Provider Directory
Locations
1316 23rd St S
Fargo, ND 58103
Phone (701) 478-0333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist |
364SP0808X | R21956 | ND | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 256945100 | Medicaid | MN |
Other names
- Quality Life
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All providers in Fargo, ND · Psychiatric/Mental Health Clinical Nurse Specialist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.