Active NPI
Misty Shearer, LSW
- Social Worker
- Minot, ND
National Provider Identifier
1720402126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 4236
- Practice address
- 400 22ND Ave NW
Minot, ND 58703-1071 - Phone
- (701) 857-0757
- Fax
- (701) 857-0791
- NPI assigned
- Feb 6, 2014
- Last updated
- Feb 6, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 4236 | ND | Primary |
Addresses
Primary practice location
400 22ND Ave NW
Minot, ND 58703-1071
Mailing address
400 22ND Ave NW
Minot, ND 58703-1071
Phone (701) 857-0757
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ward County | Social Worker | 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": "1391644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391644800000",
"number": "1720402126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 22ND AVE NW",
"city": "MINOT",
"state": "ND",
"postal_code": "587031071",
"telephone_number": "701-857-0757",
"fax_number": "701-857-0791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 22ND AVE NW",
"city": "MINOT",
"state": "ND",
"postal_code": "587031071",
"telephone_number": "701-857-0757",
"fax_number": "701-857-0791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEARER",
"first_name": "MISTY",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-06",
"last_updated": "2014-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ND",
"license": "4236",
"primary": true
}
],
"identifiers": [],
"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 Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.