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  7. NPI Record 1336792431

KELSEY LORRAINE ZIEGLER
Complete NPI Record 1336792431
Speech-Language Pathologist in Minot, ND

NPI Status: Active since July 18, 2019

Contact Information

1015 S BROADWAY STE 21B
MINOT, ND
ZIP 58701
Phone: (701) 837-8877
Fax: (701) 877-1313

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider Middle Name
  6. Provider First Line Business Mailing Address
  7. Provider Business Mailing Address City Name
  8. Provider Business Mailing Address State Name
  9. Provider Business Mailing Address Postal Code
  10. Provider Business Mailing Address Country Code If outside U S
  11. Provider Business Mailing Address Telephone Number
  12. Provider Business Mailing Address Fax Number
  13. Provider First Line Business Practice Location Address
  14. Provider Business Practice Location Address City Name
  15. Provider Business Practice Location Address State Name
  16. Provider Business Practice Location Address Postal Code
  17. Provider Business Practice Location Address Country Code If outside U S
  18. Provider Business Practice Location Address Telephone Number
  19. Provider Business Practice Location Address Fax Number
  20. Provider Enumeration Date
  21. Last Update Date
  22. Provider Gender Code
  23. Healthcare Provider Taxonomy Code 1
  24. Provider License Number 1
  25. Provider License Number State Code 1
  26. Healthcare Provider Primary Taxonomy Switch 1
  27. Is Sole Proprietor
  28. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1336792431. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1336792431
The first name of the provider, if the provider is an individual.
Entity Type Code: 1
The middle name of the provider, if the provider is an individual.
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider First Name: KELSEY
The city name in the mailing address of the provider being identified.
Provider Middle Name: LORRAINE
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider First Line Business Mailing Address: 1015 S BROADWAY STE 21B
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address City Name: MINOT
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address State Name: ND
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Postal Code: 587014612
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider Business Mailing Address Country Code If outside U S : US
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Mailing Address Telephone Number: 7018378877
The city name in the location address of the provider being identified.
Provider Business Mailing Address Fax Number: 7018771313
The State code in the location of the provider being identified.
Provider First Line Business Practice Location Address: 1015 S BROADWAY STE 21B
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address City Name: MINOT
The country code in the location address of the provider being identified.
Provider Business Practice Location Address State Name: ND
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Postal Code: 587014612
The fax number associated with the location address of the provider being identified.
Provider Business Practice Location Address Country Code If outside U S : US
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Practice Location Address Telephone Number: 7018378877
The date that a record was last updated or changed.
Provider Business Practice Location Address Fax Number: 7018771313
The code designating the provider’s gender if the provider is a person.
Provider Enumeration Date: 7/18/2019
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Last Update Date: 5/3/2023
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider Gender Code: F
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Taxonomy Code 1: 235Z00000X
Provider License Number 1: 1739
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
Provider License Number State Code 1: ND
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: N
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
NPI Certification Date: 5/3/2023