Individual provider Active NPI

Bonnie K Schriock, BA

  • Case Manager/Care Coordinator
  • Minot, ND
National Provider Identifier
1679605786
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
079045 Issued in ND
Practice address
225 3Rd St SE FL 4
Minot, ND 58701-3958
Phone
(701) 852-3552
Fax
(701) 857-0756
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 079045 ND Primary

Addresses

Primary practice location

225 3Rd St SE FL 4
Minot, ND 58701-3958

Mailing address

PO Box 2209
Minot, ND 58702-2209
Phone (701) 852-3552

Other identifiers 1

IdentifierTypeStateIssuer
054517MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
079045NDMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1679605786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2209",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587022209",
            "telephone_number": "701-852-3552",
            "fax_number": "701-857-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 3RD ST SE FL 4",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013958",
            "telephone_number": "701-852-3552",
            "fax_number": "701-857-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRIOCK",
        "first_name": "BONNIE",
        "middle_name": "K",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "ND",
            "license": "079045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054517",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.