Shereen Marie Leiseth, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

R37315 Issued in ND

Practice address

2101 Elm St N
Fargo, ND 58102-2417

Phone

(701) 232-3241

NPI assigned

Nov 6, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1992528152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 BELL BLVD E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788503",
            "telephone_number": "701-866-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 ELM ST N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581022417",
            "telephone_number": "701-232-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISETH",
        "first_name": "SHEREEN",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "ND",
            "license": "R37315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Leinen, RN
• Ceisha Leingang, RN
• Alexis Marie Leininger, LMSW, TG LGSW
• Carlee N Leininger, NP
• Pamela Anne Leino-Mills, LRD
• Jessica Ann Leitch
• John M Leitch, MD
• Garrick Leith
• Nancy Leith, RN
• Traci L Leitheiser, MPAS, PA-C

• Emergency Registered Nurse in Fargo, ND
• Providers in Fargo, ND by specialty
• Emergency Registered Nurse in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.