Active NPI
Katherine Klipfel
- Clinical Neuropsychologist
- Fargo, ND
National Provider Identifier
1992056410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 543
- Practice address
- 100 4TH St S
Fargo, ND 58103-1929 - Phone
- (701) 234-2000
- NPI assigned
- Sep 24, 2012
- Last updated
- Jul 1, 2019
- 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 543 | ND | Primary |
Addresses
Primary practice location
100 4TH St S
Fargo, ND 58103-1929
Mailing address
520 N Chestnut St
Ravenna, OH 44266-2218
Phone (330) 296-5552
Other practice location 1
520 N Chestnut St
Ravenna, OH 44266-2218
Phone (330) 296-5552
Other practice location 2
3103 23rd Ave S Unit C
Fargo, ND 58103-6138
Phone (701) 234-2000
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1992056410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 N CHESTNUT ST",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442662218",
"telephone_number": "330-296-5552",
"fax_number": "330-296-6126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 4TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581031929",
"telephone_number": "701-234-2000"
}
],
"practiceLocations": [
{
"address_1": "520 N Chestnut St",
"address_purpose": "LOCATION",
"city": "Ravenna",
"state": "OH",
"postal_code": "442662218",
"country_code": "US",
"telephone_number": "330-296-5552",
"fax_number": "330-296-6126",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3103 23rd Ave S Unit C",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581036138",
"country_code": "US",
"telephone_number": "701-234-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLIPFEL",
"first_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-24",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "ND",
"license": "543",
"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 Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.