Standing Rock Sioux Tribe

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

041 Issued in ND

Legal business name

STANDING ROCK SIOUX TRIBE

Practice address

9311 Highway 24
Fort Yates, ND 58538-9621

Phone

(701) 854-3452

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Robin Shaw Jr.

Title

Director

Phone

(701) 854-3452

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Standing Rock Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in ND, SD2 enrollments

Enrollment records 2

Tax ID family

Standing Rock Sioux Tribe5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Standing Rock Early Childhood Tracking Program

  • Early Intervention Provider Agency
  • Ft. Yates, ND
  • NPI 1184990608
  NPD tax ID
• Standing Rock Sioux Tribe

  • Non-emergency Medical Transport (VAN)
  • Fort Yates, ND
  • NPI 1174450464
  NPD tax ID
• Standing Rock Sioux Tribe

  • Community Health Worker
  • Fort Yates, ND
  • NPI 1578490959
  NPD tax ID
• Standing Rock Sioux Tribe

  • Family Medicine Physician
  • Fort Yates, ND
  • NPI 1861827743
  NPD tax ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Standing Rock Early Childhood Tracking Program

  • Early Intervention Provider Agency
  • Ft. Yates, ND
  • NPI 1184990608

  O20040423000801

  Same enrollment

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Rippley, EMTP

  • Paramedic
  • Fort Yates, ND
  • NPI 1699046706
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1295824852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 974",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585540974",
            "telephone_number": "701-250-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9311 HIGHWAY 24",
            "city": "FORT YATES",
            "state": "ND",
            "postal_code": "585389621",
            "telephone_number": "701-854-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDING ROCK SIOUX TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "701-854-3452",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ND",
            "license": "041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1460847",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9011130",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Standing Rock Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aurelia R Snider, LPN
• Standing Rock Early Childhood Tracking Program
• Standing Rock Indian Health Service
• Standing Rock Public Transportation
• Standing Rock Sioux Tribe
• Standing Rock Sioux Tribe
• Standing Rock Sioux Tribe
• Nicole Marie Strongheart, RN
• Charles Swenson, HIS
• Nick Thomas

• All providers in Fort Yates, ND
• Land Ambulance in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.