NPIMap

Organization Active NPI

Standing Rock Sioux Tribe

Doing business as Standing Rock Sioux Tribe CHR Program

  • Community Health Worker
  • Fort Yates, ND
National Provider Identifier
1578490959
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
STANDING ROCK SIOUX TRIBE
Doing business as
Standing Rock Sioux Tribe CHR Program
Practice address
9305 Hwy 24
Fort Yates, ND 58538
Phone
(701) 854-3856
Fax
(701) 854-7611
NPI assigned
May 7, 2026
Last updated
May 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Shantelle CruzNPI 1114694130
Title
Third Party Billing Specialist
Phone
(701) 391-7170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Non-emergency Medical Transport (VAN) 343900000X NU
Community Health Worker 172V00000X NU Primary

Addresses

Primary practice location

9305 Hwy 24
Fort Yates, ND 58538

Mailing address

PO Box D
Fort Yates, ND 58538-0522
Phone (701) 854-3856

Other names 1

  • Standing Rock Sioux Tribe CHR Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Standing Rock Sioux Tribe5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1578490959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX D",
            "city": "FORT YATES",
            "state": "ND",
            "postal_code": "585380522",
            "telephone_number": "701-854-3856",
            "fax_number": "701-854-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 HWY 24",
            "city": "FORT YATES",
            "state": "ND",
            "postal_code": "58538",
            "telephone_number": "701-854-3856",
            "fax_number": "701-854-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDING ROCK SIOUX TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "SHANTELLE",
        "authorized_official_title_or_position": "THIRD PARTY BILLING SPECIALIST",
        "authorized_official_telephone_number": "701-391-7170"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Standing Rock Sioux Tribe CHR Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Yates, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.