Tina M Azure

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

1456575 Issued in ND

Practice address

9959 Bia Rd 25
Dunseith, ND 58329

Phone

(701) 244-0693

NPI assigned

May 19, 2021

Last updated

May 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1548834989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1909",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "583161909",
            "telephone_number": "701-472-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9959 BIA RD 25",
            "city": "DUNSEITH",
            "state": "ND",
            "postal_code": "58329",
            "telephone_number": "701-244-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZURE",
        "first_name": "TINA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "ND",
            "license": "1456575",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "ND",
            "license": "1456575",
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "ND",
            "license": "1456575",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1456575",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica A Alexander
• Megan Marie Allard, NCSP
• Cynthia Ruth Azure
• McKayla Azure
• Nicole Rae Azure
• Sherry Belgarde
• Elizabeth Bercier, PARAMEDIC
• Lyle G Best, MD
• Claresa Arlene Blacksmith
• Brittany Brunelle

• Personal Care Attendant in Dunseith, ND
• Providers in Dunseith, ND by specialty
• Personal Care Attendant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.