Individual provider Active NPI

Audrey M Urban, BSED

  • Case Manager/Care Coordinator
  • Dickinson, ND
National Provider Identifier
1114142684
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
300 13TH Ave W
Suite 1
Dickinson, ND 58601-4879
Phone
(701) 227-7469
NPI assigned
Apr 17, 2007
Last updated
Jan 5, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

300 13TH Ave W
Suite 1
Dickinson, ND 58601-4879

Mailing address

300 13TH Ave W
Suite 1
Dickinson, ND 58601-4879
Phone (701) 227-7469

Other identifiers 1

IdentifierTypeStateIssuer
54523MedicaidND

Other names 1

  • Ms. Audrey M Grinsteinner Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1114142684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 13TH AVE W",
            "address_2": "SUITE 1",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014879",
            "telephone_number": "701-227-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 13TH AVE W",
            "address_2": "SUITE 1",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014879",
            "telephone_number": "701-227-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAN",
        "first_name": "AUDREY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "BSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54523",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "GRINSTEINNER",
            "middle_name": "M",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dickinson, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.