Individual provider Active NPI

Courtney Belgarde, ALCOHOL AND DRUG COU

  • Student in an Organized Health Care Education/Training Program
  • Belcourt, ND
National Provider Identifier
1124636477
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1105 Sheldon Souray Avenue
Belcourt, ND 58316-0520
Phone
(701) 477-3121
Fax
(701) 477-8925
NPI assigned
Jul 22, 2020
Last updated
Jul 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

1105 Sheldon Souray Avenue
Belcourt, ND 58316-0520

Mailing address

P.O. Box 520
1105 Sheldon Souray Avenue
Belcourt, ND 58316-0520
Phone (701) 477-3121

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
Turtle Mountain Band of Chippewa Indians CurrentSince Aug 2, 2020 Accepting new patients

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": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1124636477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 520",
            "address_2": "1105 SHELDON SOURAY AVENUE",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "583160520",
            "telephone_number": "701-477-3121",
            "fax_number": "701-477-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 SHELDON SOURAY AVENUE",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "583160520",
            "telephone_number": "701-477-3121",
            "fax_number": "701-477-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELGARDE",
        "first_name": "COURTNEY",
        "name_prefix": "Ms.",
        "credential": "ALCOHOL AND DRUG COU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belcourt, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.