Organization Active NPI

Paulvital Wellness

  • Home Health Registered Nurse
  • Fargo, ND
National Provider Identifier
1972319382
Registry record updated Dec 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
PAULVITAL WELLNESS
Practice address
2900 34TH Ave S Apt 1138
Fargo, ND 58104-5184
Phone
(701) 730-6603
NPI assigned
Dec 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2024

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

Authorized official

Name
Perry Paul Espinosa, PHD
Title
Ceo
Phone
(701) 730-6603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X Primary

Addresses

Primary practice location

2900 34TH Ave S Apt 1138
Fargo, ND 58104-5184

Mailing address

2900 34TH Ave S Apt 1138
Fargo, ND 58104-5184
Phone (701) 730-6603

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734220800000",
    "number": "1972319382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 34TH AVE S APT 1138",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045184",
            "telephone_number": "701-730-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 34TH AVE S APT 1138",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045184",
            "telephone_number": "701-730-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULVITAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-15",
        "certification_date": "2024-12-15",
        "status": "A",
        "authorized_official_last_name": "ESPINOSA",
        "authorized_official_first_name": "PERRY PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-730-6603",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2024; 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.