Active NPI
Mary Pierson
- Driver
- Carson, ND
National Provider Identifier
1962843862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 56227
- Practice address
- 6735 54TH Ave SW
Carson, ND 58529 - Phone
- (701) 622-3088
- NPI assigned
- Jul 9, 2013
- Last updated
- Jul 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Driver | 172A00000X | 56227 | ND | Primary |
Addresses
Primary practice location
6735 54TH Ave SW
Carson, ND 58529
Mailing address
6735 54TH Ave SW
Carson, ND 58529
Phone (701) 622-3088
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56227 | Other | ND | MEDICAID TRANSPORTATION PROVIDER |
| 04966 | Other | ND | FOSTER PARENT |
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 |
|---|---|---|---|
| 56227 | ND | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373328000000",
"number": "1962843862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6735 54TH AVE SW",
"city": "CARSON",
"state": "ND",
"postal_code": "58529",
"telephone_number": "701-622-3088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6735 54TH AVE SW",
"city": "CARSON",
"state": "ND",
"postal_code": "58529",
"telephone_number": "701-622-3088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERSON",
"first_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-09",
"last_updated": "2013-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "ND",
"license": "56227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID TRANSPORTATION PROVIDER",
"identifier": "56227",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FOSTER PARENT",
"identifier": "04966",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.