Active NPI
Sheri Stevens
- Case Manager/Care Coordinator
- Williston, ND
National Provider Identifier
1285045971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 2374
- Practice address
- 110 W Broadway Ste 202
Williston, ND 58801-6056 - Phone
- (701) 774-6300
- NPI assigned
- May 15, 2014
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 2374 | ND | Primary |
Addresses
Primary practice location
110 W Broadway Ste 202
Williston, ND 58801-6056
Mailing address
110 W Broadway Ste 202
Williston, ND 58801-6056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79337 | Medicaid | ND |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2374 | ND | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williams County Social Services | Case Manager/Care Coordinator | Past | Accepting new patients |
| Williams County Social Services | Past | Accepting new patients |
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.
-
- Case Manager/Care Coordinator
- Williston, ND
- NPI 1093213464
-
- Case Management Agency
- Williston, ND
- NPI 1578980272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400112000000",
"number": "1285045971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W BROADWAY STE 202",
"city": "WILLISTON",
"state": "ND",
"postal_code": "588016056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W BROADWAY STE 202",
"city": "WILLISTON",
"state": "ND",
"postal_code": "588016056",
"telephone_number": "701-774-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "SHERI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-15",
"last_updated": "2014-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "ND",
"license": "2374",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "79337",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Williston, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.