NPI 1164099214 · live from the CMS NPI Registry
Shari Blixt, RN, CDCES
Registered Nurse, Diabetes Educator in Fargo, ND. National Provider Identifier 1164099214, active.
NPI record
| NPI | 1164099214 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Diabetes Educator 163WD0400X |
| Practice location | 4656 40th Ave S Ste 214, Fargo, ND 58104 |
| Practice phone | 701-234-3725 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | June 8, 2021 |
| Last updated | April 15, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Diabetes Educator | 163WD0400X | 2295444 (MN) |
| Registered Nurse, Diabetes Educator primary | 163WD0400X | R41919 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.