NPIMap

Organization Active NPI

Pembina Special Education Cooperative

  • Speech-Language Pathologist
  • Cavalier, ND
National Provider Identifier
1285771303
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PEMBINA SPECIAL EDUCATION COOPERATIVE
Practice address
106B Division Ave.
Cavalier, ND 58220
Phone
(701) 265-8080
NPI assigned
Jan 30, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Tom Cummings
Title
Director
Phone
(701) 265-8080

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X ND
Occupational Therapist 225X00000X ND
Speech-Language Pathologist 235Z00000X ND Primary

Addresses

Primary practice location

106B Division Ave.
Cavalier, ND 58220

Mailing address

106B Division Ave.
Cavalier, ND 58220

Other identifiers 1

IdentifierTypeStateIssuer
19016MedicaidND

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1285771303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106B DIVISION AVE.",
            "city": "CAVALIER",
            "state": "ND",
            "postal_code": "58220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106B DIVISION AVE.",
            "city": "CAVALIER",
            "state": "ND",
            "postal_code": "58220",
            "telephone_number": "701-265-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMBINA SPECIAL EDUCATION COOPERATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "701-265-8080"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19016",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cavalier, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.