Active NPI
Emily Guttormson
- Behavior Technician
- Bismarck, ND
National Provider Identifier
1962273979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 00000
- Practice address
- 1929 N Washington St Ste GG
Bismarck, ND 58501-1669 - Phone
- (701) 751-2315
- NPI assigned
- Jan 10, 2024
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 00000 | ND | Primary |
Addresses
Primary practice location
1929 N Washington St Ste GG
Bismarck, ND 58501-1669
Mailing address
1929 N Washington St Ste GG
Bismarck, ND 58501-1669
Phone (701) 751-2315
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00000 | ND | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1962273979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1929 N WASHINGTON ST STE GG",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585011669",
"telephone_number": "701-751-2315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1929 N WASHINGTON ST STE GG",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585011669",
"telephone_number": "701-751-2315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTTORMSON",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-10",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "ND",
"license": "00000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.