Individual provider Active NPI

Agatha Chinyere Thomas

  • Psychiatric/Mental Health Nurse Practitioner
  • Minot, ND
National Provider Identifier
1164366134
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
203969 Issued in ND
Practice address
1940 S Broadway Ste 500
Minot, ND 58701-6508
Phone
(701) 389-4164
NPI assigned
Apr 17, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 203969 ND Primary

Addresses

Primary practice location

1940 S Broadway Ste 500
Minot, ND 58701-6508

Mailing address

1940 S Broadway Ste 500
Minot, ND 58701-6508
Phone (701) 389-4164

Other practice location 1

700 Western Ave Ste 100
Minot, ND 58701-3760
Phone (701) 389-4164

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

State licenses

LicenseStateTypeSpecialty
203969NDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dakota Psychiatric Care PLLC Psychiatric/Mental Health Current Accepting new patients

Locations

700 Western Ave
#100
Minot, ND 58701
Phone (701) 389-4164

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1164366134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 S BROADWAY STE 500",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016508",
            "telephone_number": "701-389-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 S BROADWAY STE 500",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016508",
            "telephone_number": "701-389-4164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Western Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587013760",
            "country_code": "US",
            "telephone_number": "701-389-4164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "AGATHA",
        "middle_name": "CHINYERE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "203969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.