Individual provider Active NPI

Marisa Smith

  • Other Technician
  • Grand Forks, ND
National Provider Identifier
1306623459
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Practice address
231 Centennial Dr Stop 7189
Education Building Room 200
Grand Forks, ND 58202-7189
Phone
(701) 777-2346
NPI assigned
Sep 12, 2023
Last updated
Oct 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X Primary

Addresses

Primary practice location

231 Centennial Dr Stop 7189
Education Building Room 200
Grand Forks, ND 58202-7189

Mailing address

231 Centennial Dr Stop 7189
Education Building Room 200
Grand Forks, ND 58202-7189
Phone (701) 777-2346

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Harvest Mental Health CurrentSince Sep 17, 2023 Accepting new patients

Locations

930 N 3rd St
Grand Forks, ND 58203
Phone (701) 795-9143

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1306623459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 CENTENNIAL DR STOP 7189",
            "address_2": "EDUCATION BUILDING ROOM 200",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582027189",
            "telephone_number": "701-777-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 CENTENNIAL DR STOP 7189",
            "address_2": "EDUCATION BUILDING ROOM 200",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582027189",
            "telephone_number": "701-777-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.