Individual provider Active NPI

Ronni Marie Kupris

  • Speech-Language Pathologist
  • Bismarck, ND
National Provider Identifier
1326688441
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1803 Issued in ND
Practice address
809 W Interstate Ave
Bismarck, ND 58503-0964
Phone
(701) 323-6097
NPI assigned
Jan 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1803 ND Primary

Addresses

Primary practice location

809 W Interstate Ave
Bismarck, ND 58503-0964

Mailing address

809 W Interstate Ave
Bismarck, ND 58503-0964
Phone (701) 323-6097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260209004090 ND Practitioner - Qualified Speech Language Pathologist 6800375908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Therapy Solutions and Consulting LLCGroup PAC ID 1759703192, 17 clinicians

Practice addresses (Care Compare)

2550 Windsor PL N
Mandan, ND 58554-8151
Phone (701) 320-2488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1803NDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Therapy Solutions & Consulting LLC CurrentSince Jan 10, 2026 Accepting new patients
Medcenter One Inc PastSince Jan 12, 2020 Accepting new patients

Locations

1929 N Washington St
Ste H
Bismarck, ND 58501
Phone (701) 220-0479

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, 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": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1326688441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 W INTERSTATE AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030964",
            "telephone_number": "701-323-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 W INTERSTATE AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030964",
            "telephone_number": "701-323-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPRIS",
        "first_name": "RONNI",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.