Individual provider Active NPI

Wendy Coleen Borman-Burman, LSW

  • Case Manager/Care Coordinator
  • Bismarck, ND
National Provider Identifier
1679794382
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
3005 Issued in ND
Practice address
513 E Bismarck Expy
Bismarck, ND 58504-6577
Phone
(701) 255-2773
Fax
(701) 255-6261
NPI assigned
May 1, 2007
Last updated
Apr 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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 3005 ND Primary

Addresses

Primary practice location

513 E Bismarck Expy
Bismarck, ND 58504-6577

Mailing address

PO Box 1995
Bismarck, ND 58502-1995
Phone (701) 255-2773

Other identifiers 1

IdentifierTypeStateIssuer
74047MedicaidND

Other names 1

  • Wendy Coleen Lamontagne Former name

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

State licenses

LicenseStateTypeSpecialty
3005NDMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Hall Youth Services Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1679794382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1995",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585021995",
            "telephone_number": "701-255-2773",
            "fax_number": "701-255-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 E BISMARCK EXPY",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585046577",
            "telephone_number": "701-255-2773",
            "fax_number": "701-255-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORMAN-BURMAN",
        "first_name": "WENDY",
        "middle_name": "COLEEN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "ND",
            "license": "3005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74047",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "LAMONTAGNE",
            "middle_name": "COLEEN",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.