AMY FOSSUM
NPI 1356835151
Technician, Other in Moorhead, MN

Q: What is Amy Fossum's NPI number?

The NPI number for Amy Fossum is 1356835151. It was assigned to this individual provider in the NPPES registry on June 15, 2018.

Q: What is Amy Fossum's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Fossum was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 15, 2018

12109 15TH ST NW, MOORHEAD, MN 56560(701) 367-7770 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2021, Jun 15, 2018 (2 updates tracked since 2018).

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About Amy Fossum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY FOSSUM (NPI 1356835151) is an individual technician, other provider in Moorhead, Minnesota and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1356835151

Entity TypeIndividualFemale

Primary Taxonomy247200000X

Provider Legal NameAMY FOSSUM

Location Address12109 15TH ST NWMoorhead, MN 56560-7205

Mailing Address12109 15th St NwMoorhead, MN 56560-7205 · (701) 367-7770

Phone(701) 367-7770

Sole ProprietorNo

Enumeration DateJune 15, 2018

Last NPPES UpdateNovember 18, 20212 updates tracked since enumeration

NPPES CertifiedNovember 18, 2021

✔ NPI 1356835151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247200000X

Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

12109 15TH ST NW, Moorhead, MN 56560

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Fossum's NPI number?

The NPI number for Amy Fossum is 1356835151. It was assigned to this individual provider in the NPPES registry on June 15, 2018.

Where is Amy Fossum located?

Amy Fossum practices at 12109 15th St NW, Moorhead, MN 56560. The listed phone number is (701) 367-7770.

What is Amy Fossum's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Amy Fossum was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.