Active NPI
Shamsa Issack
- Driver
- Fargo, ND
National Provider Identifier
1982516704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 1709 1St Ave N Ste L
Fargo, ND 58102-4264 - Phone
- (701) 373-6975
- NPI assigned
- Sep 17, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
1709 1St Ave N Ste L
Fargo, ND 58102-4264
Mailing address
1709 1St Ave N Ste L
Fargo, ND 58102-4264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1982516704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 1ST AVE N STE L",
"city": "FARGO",
"state": "ND",
"postal_code": "581024264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1709 1ST AVE N STE L",
"city": "FARGO",
"state": "ND",
"postal_code": "581024264",
"telephone_number": "701-373-6975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISSACK",
"first_name": "SHAMSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-17",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"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 Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.