Individual provider Active NPI

Bridget Meranda

  • Social Worker
  • Grand Forks, ND
National Provider Identifier
1164823316
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
3595 Issued in ND
Practice address
151 S 4TH St
Suite 201
Grand Forks, ND 58201-4715
Phone
(701) 787-8540
Fax
(701) 787-5918
NPI assigned
Sep 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 3595 ND Primary

Addresses

Primary practice location

151 S 4TH St
Suite 201
Grand Forks, ND 58201-4715

Mailing address

PO Box 5196
Grand Forks, ND 58206-5196
Phone (701) 787-8540

Other identifiers 1

IdentifierTypeStateIssuer
79298MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191105001129 ND Practitioner - Clinical Social Worker 1355673740 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3595NDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Assessment and Therapy Associates of Grand Forks, PLLC CurrentSince Aug 10, 2019 Accepting new patients
Grand Forks County Social Services Past Accepting new patients

Locations

3535 S 31st St
Ste 201
Grand Forks, ND 58201
Phone (701) 780-6821

Organizations & group practices 2

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": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1164823316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5196",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582065196",
            "telephone_number": "701-787-8540",
            "fax_number": "701-787-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S 4TH ST",
            "address_2": "SUITE 201",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014715",
            "telephone_number": "701-787-8540",
            "fax_number": "701-787-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERANDA",
        "first_name": "BRIDGET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "3595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79298",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.