Individual provider Active NPI

Mandy L Ross

  • Home Health Aide
  • Sheyenne, ND
National Provider Identifier
1275128571
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
8147 35TH St NE
Sheyenne, ND 58374-9668
Phone
(701) 649-6269
NPI assigned
Mar 8, 2021
Reactivated
Aug 27, 2026
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X ND Primary

Addresses

Primary practice location

8147 35TH St NE
Sheyenne, ND 58374-9668

Mailing address

8147 35TH St NE
Sheyenne, ND 58374-9668
Phone (701) 649-6269

Other identifiers 1

IdentifierTypeStateIssuer
58374021213OtherNDQSP

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL phone Direct

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": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1275128571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8147 35TH ST NE",
            "city": "SHEYENNE",
            "state": "ND",
            "postal_code": "583749668",
            "telephone_number": "701-649-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8147 35TH ST NE",
            "city": "SHEYENNE",
            "state": "ND",
            "postal_code": "583749668",
            "telephone_number": "701-649-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MANDY",
        "middle_name": "L",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2026-08-27",
        "certification_date": "2021-03-08",
        "deactivation_date": "2026-08-14",
        "reactivation_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QSP",
            "identifier": "58374021213",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "phone",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "phone",
            "address_1": "8147 35th St NE",
            "city": "Sheyenne",
            "state": "ND",
            "country_code": "US",
            "postal_code": "583749668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sheyenne, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.