Kari Wayne
Individual provider Active NPI Registered Dietitian · Fargo, ND
NPI 1962230839 · NPPES record last updated Sep 30, 2024
Key facts
- NPI
- 1962230839
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1569 (ND)
- Practice address
- 736 Broadway N
Fargo, ND 58102-4421 - Phone
- (701) 234-2000
- NPI assigned
- Jul 23, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1569 | ND | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Past | Accepting new patients |
Locations
801 Broadway N
Fargo, ND 58102
Phone (701) 234-5121
820 4th St N
Fargo, ND 58102
Phone (701) 234-6161
736 Broadway N
Fargo, ND 58102
Phone (701) 234-2353
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1569 | ND | Yes |
Addresses
Primary practice location
736 Broadway N
Fargo, ND 58102-4421
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-6339
Other providers in Fargo, ND
- Autumn Waverek
- Waves of Change Psychotherapy PLLC
- Theresa Cheryl Wavrin
- Way of Life
- Elizabeth Kathryn Wayne
- Kathryn Taylor Wayt
- We Care Home Care LLC
- We Rock the Spectrum - North Dakota
- Weaver Family Dentisty PA
- Veronica L Webb
All providers in Fargo, ND · Registered Dietitian 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 Sep 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.