MEDIATION OF THE SELF
NPI 1629615000
Religious Nonmedical Practitioner in Fargo, ND

Active since December 05, 2019
4330 10TH AVE S APT 305, FARGO, ND 58103(701) 730-9365 Get Directions Write a Review

NPPES record last updated: February 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 14, 2021, Jan 10, 2021, Aug 25, 2020 and 4 more (7 updates tracked since 2019).

About Mediation Of The Self NPPES

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

MEDIATION OF THE SELF (NPI 1629615000) is a healthcare organization registered as a religious nonmedical practitioner in Fargo, North Dakota and active in the NPI registry since December 2019. The organization lists Tyrone Crew, Owner, as its authorized official.

NPPES Registry Identity

NPI1629615000
Entity TypeOrganization
Primary Taxonomy374K00000X
Legal Business NameTYRONE L CREW
Location Address4330 10TH AVE S APT 305Fargo, ND 58103-7088
Mailing Address4330 10th Ave S Apt 305Fargo, ND 58103-7088 · (701) 730-9365
Organization SubpartNo
Authorized OfficialTyrone CrewOwner · (701) 730-9365
Enumeration DateDecember 5, 2019
Last NPPES UpdateFebruary 4, 20247 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2024
NPI 1629615000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyReligious Nonmedical PractitionerNursing Service Related Providers
Taxonomy Code374K00000X
Definition
A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.
4330 10TH AVE S APT 305, Fargo, ND 58103

Other Names 1

Doing Business AsMediation Of The Self

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Tyrone L Crew's NPI number?

The NPI number for Tyrone L Crew is 1629615000. It was assigned to this organization in the NPPES registry on December 5, 2019. The provider is doing business as Mediation Of The Self.

Where is Tyrone L Crew located?

Tyrone L Crew is located at 4330 10th Ave S Apt 305, Fargo, ND 58103. The listed phone number is (701) 730-9365.

What is Tyrone L Crew's specialty?

The primary specialty registered for this NPI is Religious Nonmedical Practitioner with taxonomy code 374K00000X.

When was this NPI record last updated?

The NPPES record for Tyrone L Crew was last updated on February 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.