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NPISignal

Individual Healthcare Provider

James Merle Gullekson, LMT

NPI Record: ActiveMassage Therapist
NPI1013603174
Fargo, North Dakota

Provider's NPPES record last updated: April 12, 2023

Overview

Entity Type
Individual Healthcare Provider
NPI
1013603174
Primary Specialty
Massage Therapist
Practice Location
Fargo, North Dakota
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 10:53 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Massage Therapist

    Respiratory, Developmental, Rehabilitative and Restorative Service Providers

    Primary

    An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

    Taxonomy code 225700000X
  • Registered Nurse

    Nursing Service Providers

    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

    Taxonomy code 163W00000X

Provider-Reported License Information

Massage Therapist (North Dakota)
22146
Registered Nurse (North Dakota)
R31784
Registered Nurse (Minnesota)
2014874
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

4501 15th Ave S Ste 104

Fargo, North Dakota 58103-8956

Phone: (701) 446-8833

Record Information

Enumeration Date
April 12, 2023
Provider's NPPES Record Last Updated
April 12, 2023
Certification Date
April 12, 2023
NPISignal NPPES Dataset
August 2026

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