Active NPI
Crystal L May Prentice
- Community Health Worker
- Bemidji, MN
National Provider Identifier
1215855739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 705 5TH St NW Ste 2a
Bemidji, MN 56601-2932 - Phone
- (218) 444-2718
- Fax
- (651) 383-4937
- NPI assigned
- Jul 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
705 5TH St NW Ste 2a
Bemidji, MN 56601-2932
Mailing address
15855 Main Ave
Red Lake, MN 56671
Phone (218) 444-2718
Other practice location 1
15855 Main Ave
Red Lake, MN 56671
Phone (218) 444-2718
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": "1783641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1215855739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15855 MAIN AVE",
"city": "RED LAKE",
"state": "MN",
"postal_code": "56671",
"telephone_number": "218-444-2718",
"fax_number": "651-383-4937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 5TH ST NW STE 2A",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566012932",
"telephone_number": "218-444-2718",
"fax_number": "651-383-4937"
}
],
"practiceLocations": [
{
"address_1": "15855 Main Ave",
"address_purpose": "LOCATION",
"city": "Red Lake",
"state": "MN",
"postal_code": "56671",
"country_code": "US",
"telephone_number": "218-444-2718",
"fax_number": "651-383-4937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAY PRENTICE",
"first_name": "CRYSTAL",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-10",
"last_updated": "2026-07-10",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bemidji, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.