Haley Jo Nielsen, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R35245 Issued in ND

Practice address

737 W 12TH St
Grafton, ND 58237-2117

Phone

(701) 352-1760

Fax

(701) 352-1761

NPI assigned

Oct 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• White Drug Co of Jamestown Inc

  dba Thrifty White Pharmacy #046

  • Community/Retail Pharmacy
  • West Fargo, ND
  • NPI 1033208640
  NPD (past)
• White Drug Co of Jamestown Inc

  dba Thrifty White Pharmacy #065

  • Community/Retail Pharmacy
  • Grafton, ND
  • NPI 1932298544
  NPD (past)

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1902371529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 W 12TH ST",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582372117",
            "telephone_number": "701-352-1760",
            "fax_number": "701-352-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 W 12TH ST",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582372117",
            "telephone_number": "701-352-1760",
            "fax_number": "701-352-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "HALEY",
        "middle_name": "JO",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R35245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Miller, DPT
• Makenzie Leigh Miller, PT
• Jane Myers, LIC REG DIETITAN
• Michael R Myers, CRNA
• Neil Daby DDM LTD
• Nicole Michele Nielsen
• Stephanie Jean Nord
• Sandra Leigh Offutt, RPH
• Morgan Olson, SLP
• Gregory L Paintner, PT

• Registered Nurse in Grafton, ND
• Providers in Grafton, ND by specialty
• Registered Nurse in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.