Cole Thomsen

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

15316 26TH St SE
Amenia, ND 58004-9753

Phone

(701) 793-8568

NPI assigned

Mar 15, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Deep Roots LLC

  • Case Manager/Care Coordinator
  • Fargo, ND
  • NPI 1245007095
  NPD Authorized official
• Deep Roots Recovery

  • Peer Specialist
  • Fargo, ND
  • NPI 1942010723
  NPD Authorized official
• Deep Roots Recovery LLC

  • Peer Specialist
  • Fargo, ND
  • NPI 1063262137
  NPD (past) Authorized official

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1457110249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15316 26TH ST SE",
            "city": "AMENIA",
            "state": "ND",
            "postal_code": "580049753",
            "telephone_number": "701-793-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15316 26TH ST SE",
            "city": "AMENIA",
            "state": "ND",
            "postal_code": "580049753",
            "telephone_number": "701-793-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSEN",
        "first_name": "COLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Bates
• Keegan Murphy
• Elizabeth Thomsen

• All providers in Amenia, ND
• Case Manager/Care Coordinator in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.