NPIMap

Organization Active NPI

Pride Inc

  • Community/Behavioral Health Agency
  • Bismarck, ND
National Provider Identifier
1790385482
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PRIDE INC
Practice address
1200 Missouri Ave
Bismarck, ND 58504-5264
Phone
(701) 712-5125
NPI assigned
Oct 30, 2020
Organization subpart
Yes
Parent organization
PRIDE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Jamie J Stair Tessness
Title
Senior Accountant
Phone
(701) 712-5125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1200 Missouri Ave
Bismarck, ND 58504-5264

Mailing address

PO Box 4086
Bismarck, ND 58502-4086
Phone (701) 712-5125

Other identifiers 1

IdentifierTypeStateIssuer
1456378MedicaidND

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jamies@prideinc.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Pride Inc8 organizations share this tax ID, including this one
Part of
Pride Inc

Other organizations with this tax ID 7

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1790385482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4086",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585024086",
            "telephone_number": "701-712-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MISSOURI AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045264",
            "telephone_number": "701-712-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIDE INC",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "STAIR TESSNESS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SENIOR ACCOUNTANT",
        "authorized_official_telephone_number": "701-712-5125"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1456378",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamies@prideinc.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1200 Missouri Ave",
            "city": "Bismarck",
            "state": "ND",
            "country_code": "US",
            "postal_code": "585045264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Oct 30, 2020; 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.