Individual provider Active NPI

Tiffany Sommerfeld, RN

  • Diabetes Educator Registered Nurse
  • Minot, ND
National Provider Identifier
1912716929
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
R43344 Issued in ND
Practice address
1500 21St Ave NW Ste 102
Minot, ND 58703-0867
Phone
(701) 418-4300
Fax
(701) 418-4346
NPI assigned
Jan 3, 2025
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X R43344 ND Primary

Addresses

Primary practice location

1500 21St Ave NW Ste 102
Minot, ND 58703-0867

Mailing address

1500 21St Ave NW Ste 102
Minot, ND 58703-0867
Phone (701) 418-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R43344NDMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Bismarck PastSince Jan 5, 2025 Accepting new patients

Organizations & group practices 1

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": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1912716929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 21ST AVE NW STE 102",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587030867",
            "telephone_number": "701-418-4300",
            "fax_number": "701-418-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 21ST AVE NW STE 102",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587030867",
            "telephone_number": "701-418-4300",
            "fax_number": "701-418-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMERFELD",
        "first_name": "TIFFANY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "ND",
            "license": "R43344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.