Active NPI
Vincent Gillette
- Case Manager/Care Coordinator
- Mandan, ND
National Provider Identifier
1205631587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- Three Rivers Human Service Zone
210 2ND Ave NW
Mandan, ND 58554 - Phone
- (701) 667-3395
- Fax
- (701) 667-3384
- NPI assigned
- Feb 19, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
Three Rivers Human Service Zone
210 2ND Ave NW
Mandan, ND 58554
Mailing address
Three Rivers Human Service Zone
210 2ND Ave NW
Mandan, ND 58554
Phone (701) 667-3395
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": "1739923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1205631587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "THREE RIVERS HUMAN SERVICE ZONE",
"address_2": "210 2ND AVE NW",
"city": "MANDAN",
"state": "ND",
"postal_code": "58554",
"telephone_number": "701-667-3395",
"fax_number": "701-667-3384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "THREE RIVERS HUMAN SERVICE ZONE",
"address_2": "210 2ND AVE NW",
"city": "MANDAN",
"state": "ND",
"postal_code": "58554",
"telephone_number": "701-667-3395",
"fax_number": "701-667-3384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLETTE",
"first_name": "VINCENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-19",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mandan, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.