Upstream Enterprises, LLC.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

UPSTREAM ENTERPRISES, LLC.

Practice address

417 Main Ave
Fargo, ND 58103-1956

Phone

(701) 446-8512

NPI assigned

Sep 19, 2024

Organization subpart

No

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

Authorized official

Name

Troy Alan WhiteNPI 1881428555

Title

President

Phone

(701) 799-6254

Specialties & licenses 1

Addresses

Practitioners 1

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

• Troy White

  • Peer Specialist
  • Fargo, ND
  • NPI 1881428555
  NPD Authorized official

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1417784604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 8TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032535",
            "telephone_number": "701-799-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 MAIN AVE",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031956",
            "telephone_number": "701-446-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTREAM ENTERPRISES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-799-6254"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Fargo, ND
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.