Individual provider Active NPI

Madison K Schurman, RBT

  • Behavior Technician
  • Fargo, ND
National Provider Identifier
1073330817
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
4215 31St Ave S Ste a
Fargo, ND 58104-7743
Phone
(701) 478-0221
Fax
(701) 478-0222
NPI assigned
Sep 23, 2024
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

4215 31St Ave S Ste a
Fargo, ND 58104-7743

Mailing address

900 30TH Ave S Apt 528
Moorhead, MN 56560-2987
Phone (701) 936-5956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Intervention Specialists, LLC CurrentSince Sep 29, 2024 Accepting new patients

Locations

4215 31st Ave S
Ste A
Fargo, ND 58104
Phone (701) 478-0221

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1073330817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 30TH AVE S APT 528",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602987",
            "telephone_number": "701-936-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 31ST AVE S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047743",
            "telephone_number": "701-478-0221",
            "fax_number": "701-478-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHURMAN",
        "first_name": "MADISON",
        "middle_name": "K",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.