Shantelle Cruz

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

100 Standing Rock Ave
Fort Yates, ND 58538

Phone

(701) 223-2417

NPI assigned

Aug 26, 2021

Last updated

Apr 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Standing Rock Sioux Tribe

  dba Standing Rock Sioux Tribe CHR Program NEMT

  • Non-emergency Medical Transport (VAN)
  • Fort Yates, ND
  • NPI 1174450464
  Authorized official Same address or phone
• Standing Rock Sioux Tribe

  dba Standing Rock Sioux Tribe CHR Program

  • Community Health Worker
  • Fort Yates, ND
  • NPI 1578490959
  Authorized official Same address or phone
• Standing Rock Sioux Tribe

  dba Standing Rock Sioux Tribe Wellness Program

  • Family Medicine Physician
  • Fort Yates, ND
  • NPI 1861827743
  Authorized official Same address or phone

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1114694130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 STANDING ROCK AVE",
            "city": "FORT YATES",
            "state": "ND",
            "postal_code": "58538",
            "telephone_number": "701-391-7170",
            "fax_number": "701-854-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STANDING ROCK AVE",
            "city": "FORT YATES",
            "state": "ND",
            "postal_code": "58538",
            "telephone_number": "701-223-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "SHANTELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callie C Baker, RN
• Lea Berger, RN
• Tamela J Bohan
• Jennifer Dawn Campbell, RN
• Michael A Candreva, OD
• Dan Dailey, ANP
• Roger R. Davies, D.D.S.
• Tami Decoteau, PHD
• Valerie P Eagle Shield
• Rosalyn Yvonne Fasthorse

• Case Manager/Care Coordinator in Fort Yates, ND
• Providers in Fort Yates, ND by specialty
• Case Manager/Care Coordinator in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.