Organization Active NPI

Firefly Medical Group PLLC

  • Family Medicine Physician
  • Grand Forks, ND
National Provider Identifier
1962160937
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FIREFLY MEDICAL GROUP PLLC
Practice address
2860 10TH Ave N Ste 350
Grand Forks, ND 58203-2276
Phone
(701) 213-9620
Fax
(855) 731-1370
NPI assigned
Dec 7, 2021
Last updated
Jan 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
Nicole Lovat, MDNPI 1861989832
Title
Owner Provider
Phone
(701) 213-9620

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X NU
Family Medicine Physician 207Q00000X NU 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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1962160937",
    "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"
        },
        {
            "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": "701-213-9620",
            "fax_number": "855-731-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIREFLY MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "LOVAT",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "701-213-9620",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.