Individual Healthcare Provider
Kassandra Vettleson, PHARMD
Provider's NPPES record last updated: April 22, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1013762178
- Primary Specialty
- Pharmacist — Pediatrics
- Practice Location
- Fargo, North Dakota
- Sole Proprietor
- No
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 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 17, 2026, 11:52 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
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.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Pharmacist
Pediatrics
Pharmacy Service Providers
A licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists that ensures the safe and effective use of medications for all children from neonates through adolescents.
Taxonomy code 1835P0200X
Provider-Reported License Information
- Pharmacist (North Dakota)
- RRPH6259
Practice Locations
Practice Location
2701 13th Ave S
Fargo, North Dakota 58103-3602
Phone: (701) 234-3642
Record Information
- Enumeration Date
- April 22, 2024
- Provider's NPPES Record Last Updated
- April 22, 2024
- Certification Date
- April 22, 2024
- NPISignal NPPES Dataset
- August 2026
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